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2024 PDP-DrugFinder:
Search Plan Formulary by Drug Letter

 Select a Letter below:
A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z
Links to Summaries by State for LTC Drugs on LIS/SNP Plans:
AK  AL  AR  AZ  CA  CO  CT  DC  DE  FL  GA  HI  IA  ID  IL  IN  KS  KY  LA  MA  MD  ME  MI  MN  MO  MS  MT  NC  ND  NE  NH  NJ  NM  NV  NY  OH  OK  OR  PA  PR  RI  SC  SD  TN  TX  UT  VA  VT  WA  WI  WV  WY

Drug Names Containing the Letter B in Alphabetical Order.
Example: Lipitor® is found on letter page "L" as well as letter page "A" for Atorvastatin.

Drug Name
 Packaging NDC On This Nbr of 2024 Formularies
PDPs MAPDs
ACANYA 25; 10mg/g; mg/g 1 BOTTLE, PUMP per CARTON / 50 g in 1 BOTTLE, PUMP
(Clindamycin Phosphate-Benzoyl Peroxide)		 1 BOTTLE, PUMP in CARTON   13548013250 0
PDPs		 1
MAPDs
AIRSUPRA 90-80 MCG INHALER HFA AER AD
(Albuterol, Budesonide)		 10.7 GRAMS   00310908012 0
PDPs		 42
MAPDs
ALPHAGAN P 0.1% EYE DROPS
(Brimonidine Tartrate Ophth)		 5.000 ML   00023932105 36
PDPs		 137
MAPDs
ALPHAGAN P 0.15% EYE DROPS
(Brimonidine Tartrate Ophth)		 5.000 ML   00023917705 0
PDPs		 7
MAPDs
ALUNBRIG 180 MG TABLET
(Brigatinib)		 30 EA   63020018030 54
PDPs		 369
MAPDs
ALUNBRIG 30 MG TABLET
(Brigatinib)		 21 tablets   63020011330 54
PDPs		 369
MAPDs
ALUNBRIG 90 MG TABLET
(Brigatinib)		 7 tablets   63020009030 54
PDPs		 369
MAPDs
ALUNBRIG 90 MG-180 MG TABLET PACK
(Brigatinib)		 30 EA   63020019830 52
PDPs		 369
MAPDs
APLENZIN ER 174 MG TABLET
(Bupropion Hydrobromide Extended-Release)		     00187581030 0
PDPs		 24
MAPDs
APLENZIN ER 348 MG TABLET
(Bupropion Hydrobromide Extended-Release)		     00187581130 0
PDPs		 24
MAPDs
APLENZIN ER 522 MG TABLET
(Bupropion Hydrobromide Extended-Release)		     00187581230 0
PDPs		 24
MAPDs
ARFORMOTEROL 15 MCG/2 ML SOLUTION VIAL-NEB [Brovana]
(Arformoterol Tartrate)		 120 MLS   69097016887 18
PDPs		 185
MAPDs
ASA-BUTALB-CAFF-COD #3 CAPSULE [Fiorinal with Codeine]
(Butalbital, Acetaminophen, Caffeine)		 30 CAPSULES   69238199301 0
PDPs		 109
MAPDs
ASCOMP WITH CODEINE CAPSULE
(Butalbital-Aspirin-Caff w/ Codeine)		 100.000 EA   51991007401 0
PDPs		 85
MAPDs
ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE
(Butalbital-Aspirin-Caff w/ Codeine)		     00591264101 1
PDPs		 40
MAPDs
AUVELITY ER 45-105 MG TABLET IR ER
(Dextromethorphan, Bupropion)		 60 UNITS   81968004530 54
PDPs		 369
MAPDs
AZOPT 1% EYE DROPS/EYE DROPPER
(Brinzolamide Ophth)		 10 MLS   00078072210 6
PDPs		 58
MAPDs
Bacitracin 500 unit/gm Eye Ointment
(Bacitracin Ophth)		     00574402235 54
PDPs		 369
MAPDs
BACITRACIN/POLYMYXIN B OINT 500UNT/10000UNT
(Bacitracin-Polymyxin B Ophth)		 0.125 OZ (3.5GM) TUBE 24208055555 54
PDPs		 369
MAPDs
BACLOFEN 10 MG TABLET
(Baclofen)		 1000.000 EA   00172409680 54
PDPs		 369
MAPDs
BACLOFEN 10 MG/5 ML SOLUTION [OZOBAX DS]
()		 60 MLS   52817062008 0
PDPs		 19
MAPDs
BACLOFEN 20 MG TABLET [Lioresal]
(Baclofen)		 90 TABLETS   00527133701 54
PDPs		 369
MAPDs
BACLOFEN 25 MG/5 ML ORAL SUSPENSION [FLEQSUVY]
()		 15 MLS   52536060012 0
PDPs		 6
MAPDs
BACLOFEN 5 MG TABLET
(Baclofen)		 30 tablets   52817031910 41
PDPs		 339
MAPDs
BACTRIM 400-80 MG TABLET
(Sulfamethoxazole-Trimethoprim)		     49708014501 0
PDPs		 4
MAPDs
BACTRIM DS 800-160 MG TABLET
(Sulfamethoxazole-Trimethoprim)		     49708014601 0
PDPs		 4
MAPDs
BAFIERTAM DR 95 MG CAPSULE DR
(Monomethyl Fumarate)		 UNITS   69387000101 11
PDPs		 113
MAPDs
BALCOLTRA TABLET
(Ferrous bis-glycinate chelate;Levonorgestrel, Ethinyl Estradiol)		 28 TABLETS   75854060203 0
PDPs		 4
MAPDs
BALSALAZIDE DISODIUM 750 MG CAPSULE [Colazal]
(Balsalazide Disodium)		 270 CAPSULES   00054007928 54
PDPs		 369
MAPDs
BALVERSA 3 MG TABLET
(Erdafitinib)		 56 TABLETS   59676003056 54
PDPs		 369
MAPDs
BALVERSA 4 MG TABLET
(Erdafitinib)		 28 TABLETs   59676004056 54
PDPs		 369
MAPDs
BALVERSA 5 MG TABLET
(Erdafitinib)		 TABLETs   59676005028 54
PDPs		 369
MAPDs
Balziva 6 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT per BLISTER PACK
(Norethindrone & Ethinyl Estradiol)		 6 POUCH in 1 CARTON / BP   00555903458 44
PDPs		 315
MAPDs
Banzel 200mg/1
(Rufinamide)		     62856058252 0
PDPs		 5
MAPDs
BANZEL 400MG TABLET
(Rufinamide)		 120 BOT 62856058352 0
PDPs		 5
MAPDs
Banzel 40mg/mL
(Rufinamide)		     62856058446 0
PDPs		 7
MAPDs
BAQSIMI 3 MG SPRAY ONE PACK
(Glucagon)		 2 UNITS   00002614511 29
PDPs		 200
MAPDs
BARACLUDE 0.05mg/mL 1 BOTTLE per CARTON / 210 mL in 1 BOTTLE
(Entecavir)		 1 BOTTLE in 1 CARTON   00003161412 51
PDPs		 276
MAPDs
BARACLUDE 0.5MG TABLET
(Entecavir)		 30 BOT 00003161112 0
PDPs		 5
MAPDs
BARACLUDE 1MG TABLET
(Entecavir)		 30 BOT 00003161212 0
PDPs		 5
MAPDs
BASAGLAR 100 UNIT/ML KWIKPEN
(Insulin Glargine)		 3.000 ML   00002771559 13
PDPs		 97
MAPDs
BASAGLAR TEMPO PEN 100 UNIT/ML INSULIN PEN [Semglee]
(Insulin Glargine)		 MLS   00002821405 1
PDPs		 12
MAPDs
BAXDELA 300 MG VIAL
(Delafloxacin Meglumine)		     70842010203 0
PDPs		 17
MAPDs
BAXDELA 450 MG TABLET
(Delafloxacin Meglumine)		     70842010101 0
PDPs		 57
MAPDs
BCG VACCINE 50mg/1 1 VIAL per CARTON / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL
(BCG Live Intravesical For)		 1 VIAL in 1 CARTON   00052060302 54
PDPs		 369
MAPDs
BELBUCA 150 MCG FILM
(Buprenorphine Hydrochloride)		 60 EA   59385002260 4
PDPs		 75
MAPDs
BELBUCA 300 MCG FILM
(Buprenorphine Hydrochloride)		 60 EA   59385002360 4
PDPs		 75
MAPDs
BELBUCA 450 MCG FILM
(Buprenorphine Hydrochloride)		 60 EA   59385002460 4
PDPs		 75
MAPDs
BELBUCA 600 MCG FILM
(Buprenorphine Hydrochloride)		 60 EA   59385002560 4
PDPs		 75
MAPDs
BELBUCA 75 MCG FILM
(Buprenorphine Hydrochloride)		 60 EA   59385002160 4
PDPs		 75
MAPDs
BELBUCA 750 MCG FILM
(Buprenorphine Hydrochloride)		 60 EA   59385002660 4
PDPs		 75
MAPDs
BELBUCA 900 MCG FILM
(Buprenorphine Hydrochloride)		 60 EA   59385002760 4
PDPs		 75
MAPDs
BELSOMRA 10 MG TABLET
(Suvorexant)		     00006003330 30
PDPs		 180
MAPDs
BELSOMRA 15 MG TABLET
(Suvorexant)		     00006032530 30
PDPs		 180
MAPDs
BELSOMRA 20 MG TABLET
(Suvorexant)		     00006033530 30
PDPs		 180
MAPDs
BELSOMRA 5 MG TABLET
(Suvorexant)		     00006000530 30
PDPs		 180
MAPDs
BENAZEPRIL HCL 10 MG TABLET
(Benazepril HCl)		 100.000 EA   43547033610 54
PDPs		 368
MAPDs
BENAZEPRIL HCL 20 MG TABLET [Lotensin]
(Benazepril HCl)		 90 TABLETS   43547033750 54
PDPs		 368
MAPDs
BENAZEPRIL HCL 40 MG TABLET [Lotensin]
(Benazepril HCl)		 90 TABLETS   43547033850 54
PDPs		 368
MAPDs
BENAZEPRIL HCL 5 MG TABLET
(Benazepril HCl)		 100.000 EA   43547033510 54
PDPs		 368
MAPDs
BENAZEPRIL-HCTZ 10-12.5 MG TABLET [Lotensin HCT]
(Benazepril & Hydrochlorothiazide)		 90 TABLETS   00185032501 54
PDPs		 365
MAPDs
BENAZEPRIL-HCTZ 20-12.5 MG TABLET [Lotensin HCT]
(Benazepril & Hydrochlorothiazide)		 90 TABLETS   00185021101 54
PDPs		 365
MAPDs
BENAZEPRIL-HCTZ 20-25 MG TABLET [Lotensin HCT]
(Benazepril & Hydrochlorothiazide)		 90 TABLETS   00185027701 54
PDPs		 365
MAPDs
BENAZEPRIL-HCTZ 5-6.25 MG TABLET [Lotensin HCT]
(Benazepril & Hydrochlorothiazide)		 30 TABLETS   00185023601 54
PDPs		 365
MAPDs
BENICAR 20 MG TABLET
(Olmesartan Medoxomil)		 30 TABLETS   00713086130 0
PDPs		 4
MAPDs
BENICAR 40 MG TABLET
(Olmesartan Medoxomil)		 30 TABLETS   00713086230 0
PDPs		 4
MAPDs
BENICAR 5 MG TABLET
(Olmesartan Medoxomil)		 30 TABLETS   00713086030 0
PDPs		 4
MAPDs
BENICAR HCT 20-12.5 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)		 30 TABLETS   00713086330 0
PDPs		 4
MAPDs
BENICAR HCT 40-12.5 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)		 30 TABLETS   00713086430 0
PDPs		 4
MAPDs
BENICAR HCT 40-25 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)		 30 TABLETS   00713086530 0
PDPs		 4
MAPDs
BENLYSTA 200 MG/ML AUTOINJECT
(BELIMUMAB)		 1 ML   49401008835 53
PDPs		 367
MAPDs
BENLYSTA 200 MG/ML SYRINGE
(BELIMUMAB)		 1 ML   49401008847 53
PDPs		 367
MAPDs
BENZAMYCIN GEL
(Benzoyl Peroxide-Erythromycin)		     00187520546 0
PDPs		 4
MAPDs
BENZNIDAZOLE 100 MG TABLET
()		 tablets   00642746410 30
PDPs		 147
MAPDs
BENZNIDAZOLE 12.5 MG TABLET
()		 tablets   00642746312 30
PDPs		 151
MAPDs
BENZTROPINE MES 0.5 MG TABLET [Cogentin]
(Benztropine Mesylate)		 30 TABLETS   69315013601 54
PDPs		 369
MAPDs
BENZTROPINE MES 1 MG TABLET [Cogentin]
(Benztropine Mesylate)		 60 TABLETS   69315013701 54
PDPs		 369
MAPDs
BENZTROPINE MES 2 MG TABLET [Cogentin]
(Benztropine Mesylate)		 30 TABLETS   69315013810 54
PDPs		 369
MAPDs
BEPOTASTINE 1.5% EYE DROPS [Bepreve]
()		 5 MLS   24208063005 2
PDPs		 74
MAPDs
BEPREVE 1.5% EYE DROPS
(Bepotastine Besilate Ophth)		 5.000 ML   24208062902 2
PDPs		 6
MAPDs
BERINERT 500 UNIT KIT
(HUMAN C1-ESTERASE INHIBITOR 5001 in 10mL)		 1 EA   63833082502 15
PDPs		 147
MAPDs
BESIVANCE BESIFLOACIN OPTHALMIC SUSPENSION 0.6% 5 ML BOTDR
(Besifloxacin HCl Ophth)		 5 ML BOTDR 24208044605 34
PDPs		 182
MAPDs
BESREMI 500 MCG/ML SYRINGE
(Ropeginterferon Alfa-2b)		 ML   73536050001 54
PDPs		 369
MAPDs
BETAINE 1 GRAM/SCOOP POWDER [Cystadane]
()		 GRAMS   00713035281 54
PDPs		 356
MAPDs
Betamethasone Dipropionate 0.64mg/g / 45 g TUBE
(Betamethasone Dipropionate)		 1 TUBE in 1 CARTON / 45 g   51672127406 54
PDPs		 367
MAPDs
BETAMETHASONE DP 0.05% LOTION
(Betamethasone Dipropionate)		 60.000 ML   45802002146 54
PDPs		 365
MAPDs
BETAMETHASONE DP 0.05% OINTMENT [Maxivate]
(Betamethasone Dipropionate)		 45 GRAMS   72578009306 54
PDPs		 367
MAPDs
BETAMETHASONE DP AUG 0.05% CREAM (g) [RRB Pak]
(Augmented Betamethasone Dipropionate)		 grams   51672131003 54
PDPs		 368
MAPDs
BETAMETHASONE DP AUG 0.05% GEL
(Augmented Betamethasone Dipropionate)		 50 GM   51672130903 48
PDPs		 342
MAPDs
BETAMETHASONE DP AUG 0.05% LOTION [Diprolene]
(Augmented Betamethasone Dipropionate)		 60 MLS   51672134004 48
PDPs		 349
MAPDs
BETAMETHASONE DP AUG 0.05% OINTMENT [Diprolene]
(Augmented Betamethasone Dipropionate)		 45 GRAMS   66993089749 54
PDPs		 364
MAPDs
BETAMETHASONE VA 0.1% CREAM (G) [Valisone]
(Betamethasone Valerate)		 45 GRAMS   00713032637 54
PDPs		 369
MAPDs
BETAMETHASONE VALER 0.1% LOTION [Valisone]
(Betamethasone Valerate)		 60 MLS   00168004160 54
PDPs		 367
MAPDs
BETAMETHASONE VALER 0.1% OINTMENT [Valisone]
(Betamethasone Valerate)		 45 GRAMS   00168003346 54
PDPs		 369
MAPDs
BETAMETHASONE VALER 0.12% FOAM [Luxiq Foam]
()		 100 GRAMS   45802005302 4
PDPs		 53
MAPDs
BETAPACE AF 120 MG TABLET
(Sotalol HCl)		     70515011906 0
PDPs		 1
MAPDs
BETAPACE AF 160 MG TABLET
(Sotalol HCl (AFIB/AFL))		     70515011606 0
PDPs		 1
MAPDs
BETAPACE AF 80 MG TABLET
(Sotalol HCl)		     70515011506 0
PDPs		 1
MAPDs
BETASERON 0.3 MG KIT
(Interferon Beta-1b For)		 1.000 EA   50419052435 52
PDPs		 315
MAPDs
BETAXOLOL 10 MG TABLET
(Betaxolol HCl)		 100.000 EA   10702001301 29
PDPs		 289
MAPDs
BETAXOLOL 20 MG TABLET
(Betaxolol HCl)		 100.000 EA   10702001401 29
PDPs		 289
MAPDs
BETAXOLOL HCL 0.5% EYE DROPS
(Betaxolol HCl)		 5 MLS   61314024501 51
PDPs		 327
MAPDs
BETHANECHOL 10 MG TABLET
(Bethanechol)		 100.000 EA   65162057210 54
PDPs		 369
MAPDs
BETHANECHOL 25 MG TABLET
(Bethanechol)		 100.000 EA   65162057310 54
PDPs		 369
MAPDs
BETHANECHOL 5 MG TABLET
(Bethanechol)		 100.000 EA   65162057110 54
PDPs		 369
MAPDs
BETHANECHOL 50 MG TABLET
(Bethanechol)		 100.000 EA   65162057410 54
PDPs		 369
MAPDs
BETHKIS 300 MG/4 ML AMPULE
(tobramycin)		 4 ML   10122082056 0
PDPs		 5
MAPDs
BETIMOL 0.25% EYE DROPS
(Timolol Ophth)		 5 MLS   82584000105 5
PDPs		 30
MAPDs
BETIMOL 0.5% EYE DROPS
(Timolol Ophth)		 5 MLS   82584000205 5
PDPs		 32
MAPDs
BETOPTIC S 0.25% EYE DROP EYE DROPPER
(Betaxolol HCl Ophth)		 10 MLS   00078072910 18
PDPs		 130
MAPDs
BEVESPI AEROSPHERE INHALER
(Glycopyrrolate and formoterol fumarate)		 10.700 GM   00310460012 15
PDPs		 149
MAPDs
BEXAROTENE 1% GEL [Targretin]
()		 GRAMS   69238208806 54
PDPs		 369
MAPDs
BEXAROTENE 75 MG CAPSULE [Targretin]
(Bexarotene)		 1 capsule   68682000310 54
PDPs		 369
MAPDs
BEXSERO PREFILLED SYRINGE
(Meningococcal group b vaccine)		 0.5 ML   58160097620 54
PDPs		 369
MAPDs
Beyaz 3 BLISTER PACK in 1 PACKAGE / 1 KIT per BLISTER PACK
(DROSPIRENONE/ETHINYL ESTRADIOL/LEVOMEFOLATE CALCIUM AND LEVOMEFOLATE CALCIUM)		 3 BLISTER PACK in 1 PKG   50419040703 0
PDPs		 2
MAPDs
BICALUTAMIDE 50 MG TABLET
(Bicalutamide)		 30.000 EA   16729002310 54
PDPs		 369
MAPDs
BICILL LA PFS 600MU 1ML PED
(Penicillin G Benzathine Intramuscular)		 TEN 4ML CTG 60793070210 53
PDPs		 358
MAPDs
BICILLIN C-R 1.2MM UNITS SYRINGE 2ML x 10
(Penicillin G Procaine & Benzathine)		     60793060010 7
PDPs		 126
MAPDs
BICILLIN C-R 900/300 SYRINGE 2ML x 10
(Penicillin G Procaine & Benzathine)		     60793060210 7
PDPs		 121
MAPDs
BICILLIN LA PFS 1200MU 2ML
(Penicillin G Benzathine Intramuscular)		 TEN 2ML CTG 60793070110 53
PDPs		 357
MAPDs
BICILLIN LA. 600000UNIT/ML 1ML
(Penicillin G Benzathine Intramuscular)		 TEN 1ML CTG 60793070010 54
PDPs		 360
MAPDs
BIDIL 20 MG-37.5 MG TABLET
(Isosorbide Dinitrate-Hydralazine HCl)		 5 TABLETS   24338001009 0
PDPs		 8
MAPDs
BIJUVA 1 MG-100 MG CAPSULE
(Estradiol, Progesterone)		 30 capsules   50261021130 2
PDPs		 19
MAPDs
BIKTARVY 30-120-15 MG TABLET
(Bictegravir Sodium, Emtricitabine, and Tenofovir Alafenamide Fumarate )		 TABLETS   61958250501 54
PDPs		 369
MAPDs
BIKTARVY 50-200-25 MG TABLET
(Bictegravir Sodium, Emtricitabine, and Tenofovir Alafenamide Fumarate )		 30   61958250101 54
PDPs		 369
MAPDs
Biltricide 600mg/1 6 FILM COATED TABLETS in BOTTLE
(Praziquantel)		 6 TABLET, FILM COATED   50419074701 0
PDPs		 4
MAPDs
BIMATOPROST 0.03% EYE DROPS [Lumigan]
(Bimatoprost Ophth)		 2.5 MLS   62332050725 14
PDPs		 160
MAPDs
BIMZELX 160 MG/ML AUTOINJECTOR
(Bimekizumab)		 MLS   50474078185 0
PDPs		 7
MAPDs
BIMZELX 160 MG/ML SYRINGE
(Bimekizumab)		 ML   50474078079 0
PDPs		 7
MAPDs
BINOSTO 70 MG EFFERVESCENT TABLET
(Alendronic Acid)		 4 UNITS   17139040004 0
PDPs		 3
MAPDs
BISMUTH-METRO-TETR 140-125-125 CAPSULE [Pylera]
(Bismuth Subcitrate Potassium, Metronidazole, Tetracycline)		 120 CAPSULES   49884015154 11
PDPs		 60
MAPDs
BISOPROLOL FUMARATE 10 MG TABLET
(Bisoprolol Fumarate)		 100.000 EA   29300012701 54
PDPs		 368
MAPDs
BISOPROLOL FUMARATE 5 MG TABLET
(Bisoprolol Fumarate)		 100.000 EA   29300012601 54
PDPs		 368
MAPDs
BISOPROLOL-HCTZ 10-6.25 MG TABLET [Ziac]
(Bisoprolol, Hydrochlorothiazide)		 90 TABLETS   42799092201 52
PDPs		 368
MAPDs
BISOPROLOL-HCTZ 2.5-6.25 MG TABLET
(Bisoprolol & Hydrochlorothiazide)		 100.000 EA   29300018701 52
PDPs		 368
MAPDs
BISOPROLOL-HCTZ 5-6.25 MG TABLET
(Bisoprolol & Hydrochlorothiazide)		 100 EA   29300018801 52
PDPs		 368
MAPDs
BIVIGAM 10% VIAL [Panzyga]
(Immune Globulin (Human))		 50 MLS   69800650201 15
PDPs		 178
MAPDs
BLISOVI 24 FE TABLET [Tarina Fe 1/20]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)		 28 tablets   68180086473 31
PDPs		 216
MAPDs
BLISOVI FE 1.5-30 TABLET [Microgestin Fe 1.5/30]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)		 28 tablets   68180086673 50
PDPs		 325
MAPDs
BONJESTA ER 20-20 MG TABLET IR DR
()		 60 units   55494012060 0
PDPs		 3
MAPDs
BOOSTRIX TDAP VACCINE SYRINGE
(Tet Tox-Diph-Acell Pertuss Ad)		     58160084252 54
PDPs		 369
MAPDs
BOOSTRIX TDAP VACCINE VIAL
(Tet Tox-Diph-Acell Pertuss Ad)		     58160084211 54
PDPs		 369
MAPDs
BOSENTAN 125 MG TABLET [Tracleer]
(Bosentan)		 30 tablets   68382044714 25
PDPs		 317
MAPDs
BOSENTAN 62.5 MG TABLET [Tracleer]
(Bosentan)		 30 tablets   68382044614 25
PDPs		 317
MAPDs
BOSULIF 100 MG TABLET
(bosutinib monohydrate)		 30 EA   00069013501 54
PDPs		 369
MAPDs
BOSULIF 400 MG TABLET
(bosutinib monohydrate)		     00069019301 54
PDPs		 369
MAPDs
BOSULIF 500 MG TABLET
(bosutinib monohydrate)		 30 EA   00069013601 54
PDPs		 369
MAPDs
BRAFTOVI 75 MG CAPSULE
(Encorafenib)		 capsules   70255002501 54
PDPs		 369
MAPDs
BREO ELLIPTA 100-25 MCG INH
(fluticasone and vilanterol)		 60 EA   00173085910 54
PDPs		 351
MAPDs
BREO ELLIPTA 200-25 MCG INH
(fluticasone and vilanterol)		 60 EA   00173088210 54
PDPs		 351
MAPDs
BREO ELLIPTA 50-25 MCG INHALER BLST W/DEV
(fluticasone and vilanterol)		 UNITS   00173091610 51
PDPs		 348
MAPDs
BREYNA 160-4.5 MCG INHALER HFA AER AD [Symbicort]
()		 10.2 GRAMS   00378750332 32
PDPs		 202
MAPDs
BREYNA 80-4.5 MCG INHALER HFA AER AD [Symbicort]
()		 10.2 GRAMS   00378750232 32
PDPs		 202
MAPDs
BREZTRI AEROSPHERE INHALER HFA AER AD
(Budesonide, Glycopyrrolate, Formoterol)		 10.7 GRAMS   00310461612 33
PDPs		 336
MAPDs
BRIELLYN TABLET
(NORETHINDRONE AND ETHINYL ESTRADIOL)		 28 EA   68462031629 44
PDPs		 309
MAPDs
BRILINTA 60 MG TABLET
(TICAGRELOR)		     00186077660 54
PDPs		 369
MAPDs
BRILINTA 90mg/1 60 TABLET BOTTLE
(TICAGRELOR)		 60 TABLET in 1 BOTTLE   00186077760 54
PDPs		 369
MAPDs
BRIMONIDINE 0.2% EYE DROPS [Alphagan]
(Brimonidine Tartrate Ophth)		 5 mls   61314014305 54
PDPs		 369
MAPDs
BRIMONIDINE 0.33% GEL PUMP [Mirvaso]
(Brimonidine Tartrate)		 30 GRAMS   45802007830 0
PDPs		 13
MAPDs
BRIMONIDINE TARTRATE 0.1% DROPS [Alphagan P]
()		 5 MLS   60505057701 33
PDPs		 241
MAPDs
BRIMONIDINE TARTRATE 0.15% DROPS [Alphagan P]
()		 5 MLS   62332066105 38
PDPs		 302
MAPDs
BRIMONIDINE-TIMOLOL 0.2%-0.5% DROPS [Combigan]
(Brimonidine, Timolol Maleate)		 5 MLS   00781718675 34
PDPs		 259
MAPDs
BRINZOLAMIDE 1% EYE DROPS/EYE DROPPER [Azopt]
(Brinzolamide Ophth)		 10 MLS   00781601470 29
PDPs		 250
MAPDs
BRIVIACT 10 MG TABLET
(Brivaracetam)		 60 EA   50474037066 54
PDPs		 369
MAPDs
BRIVIACT 10 MG/ML ORAL SOLUTION
(Brivaracetam)		 300 ML   50474087015 54
PDPs		 369
MAPDs
BRIVIACT 100 MG TABLET
(Brivaracetam)		 60 EA   50474077066 54
PDPs		 369
MAPDs
BRIVIACT 25 MG TABLET
(Brivaracetam)		 60 EA   50474047066 54
PDPs		 369
MAPDs
BRIVIACT 50 MG TABLET
(Brivaracetam)		 60 EA   50474057066 54
PDPs		 369
MAPDs
BRIVIACT 75 MG TABLET
(Brivaracetam)		 60 EA   50474067066 54
PDPs		 369
MAPDs
BROMFENAC SODIUM 0.09% EYE DROPS [Xibrom]
(BROMFENAC SODIUM)		 1.7 MLS   62332050817 13
PDPs		 189
MAPDs
BROMOCRIPTINE 2.5 MG TABLET [Parlodel]
(Bromocriptine Mesylate)		 15 TABLETS   00574010603 54
PDPs		 369
MAPDs
BROMOCRIPTINE 5 MG CAPSULE [Parlodel]
()		 30 CAPSULES   68382011006 39
PDPs		 344
MAPDs
BROMSITE 0.075% EYE DROPS
(BROMFENAC SODIUM)		 mls   49708075441 14
PDPs		 182
MAPDs
BRONCHITOL 40 MG INHALE CAPSULE W/DEV
(Mannitol)		 10 UNITS   10122021256 24
PDPs		 280
MAPDs
BROVANA 15 MCG/2 ML SOLUTION VIAL-NEB
(Arformoterol Tartrate)		 MLS   27437005530 0
PDPs		 9
MAPDs
BRUKINSA 80 MG CAPSULE
(Zanubrutinib)		 CAPSULES   72579001102 54
PDPs		 369
MAPDs
BRYHALI 0.01% LOTION
(Halobetasol Propionate)		 60 mls   00187000260 0
PDPs		 4
MAPDs
BUDESONIDE 0.25 MG/2 ML SUSP AMPUL-NEB [Pulmicort]
(Budesonide)		 60 mls   00093681573 54
PDPs		 366
MAPDs
BUDESONIDE 0.5 MG/2 ML SUSP AMPUL-NEB [Pulmicort]
(Budesonide)		 60 mls   00093681673 54
PDPs		 369
MAPDs
BUDESONIDE 1 MG/2 ML INH SUSP AMPUL-NEB [Pulmicort]
(Budesonide)		 60 mls   69097032187 40
PDPs		 277
MAPDs
BUDESONIDE 2 MG RECTAL FOAM/APPL [UCERIS Rectal]
()		 33.4 GRAMS   45802062786 0
PDPs		 109
MAPDs
BUDESONIDE EC 3 MG CAPSULE DR - ER [Entocort EC]
(Budesonide)		 90 units   65162077810 54
PDPs		 369
MAPDs
BUDESONIDE ER 9 MG TABLET ER [UCERIS]
()		 30 UNITS   68682030930 54
PDPs		 322
MAPDs
BUDESONIDE-FORMOTEROL 160-4.5 HFA AER AD [Symbicort]
(Budesonide-Formoterol Fumarate Dihyd)		 10.2 GRAMS   00310737020 29
PDPs		 235
MAPDs
BUDESONIDE-FORMOTEROL 80-4.5 HFA AER AD [Symbicort]
(Budesonide-Formoterol Fumarate Dihyd)		 10.2 GRAMS   00310737220 29
PDPs		 235
MAPDs
BUMETANIDE 0.5 MG TABLET [Bumex]
(Bumetanide)		 60 TABLETS   14539070001 54
PDPs		 369
MAPDs
BUMETANIDE 1 MG TABLET [Bumex]
(Bumetanide)		 30 TABLETS   69238149001 54
PDPs		 369
MAPDs
BUMETANIDE 1 MG/4 ML VIAL
(Bumetanide)		 2 mls   00641600810 51
PDPs		 347
MAPDs
BUMETANIDE 2 MG TABLET [Bumex]
(Bumetanide)		 90 TABLETS   00832054211 54
PDPs		 369
MAPDs
BUPHENYL 500 MG TABLET
(Sodium Phenylbutyrate Oral)		 250 EA   75987006008 0
PDPs		 4
MAPDs
BUPHENYL POWDER
(Sodium Phenylbutyrate Oral)		     75987007009 0
PDPs		 1
MAPDs
BUPRENORP-NALOX 12-3 MG SL FILM [Suboxone]
(Buprenorphine, Naloxone Hydrochloride)		 7 units   47781035803 49
PDPs		 361
MAPDs
BUPRENORPHIN-NALOXON 8-2 MG SL SUSLIGUAL TABLET [Suboxone]
(Buprenorphine HCl-Naloxone HCl SL)		 14 tablets   00054018913 51
PDPs		 351
MAPDs
BUPRENORPHINE 10 MCG/HR PATCH [Butrans]
(Buprenorphine HCl)		 4 PATCHES   00093365740 15
PDPs		 216
MAPDs
BUPRENORPHINE 15 MCG/HR PATCH [Butrans]
(Buprenorphine HCl)		 4 PATCHES   00093365840 15
PDPs		 216
MAPDs
BUPRENORPHINE 2 MG SUBLIGUAL TABLET [Subutex]
()		 60 TABLETS   42858050103 54
PDPs		 369
MAPDs
BUPRENORPHINE 20 MCG/HR PATCH [Butrans]
(Buprenorphine HCl)		 PATCHES   00093365940 15
PDPs		 216
MAPDs
BUPRENORPHINE 5 MCG/HR PATCH [Butrans]
(Buprenorphine HCl)		 4 PATCHES   00093365640 15
PDPs		 216
MAPDs
BUPRENORPHINE 7.5 MCG/HR PATCH [Butrans]
(Buprenorphine HCl)		 PATCHES   69238150502 15
PDPs		 216
MAPDs
BUPRENORPHINE 8 MG TABLET SUSLIGUAL [Subutex]
(Buprenorphine)		 30 tablets   00054017713 54
PDPs		 369
MAPDs
BUPRENORPHINE-NALOX 2-0.5MG FILM [Suboxone]
(Buprenorphine, Naloxone Hydrochloride)		 30 UNITS   47781035503 49
PDPs		 361
MAPDs
BUPRENORPHINE-NALOX 4-1MG FILM [Suboxone]
(Buprenorphine, Naloxone Hydrochloride)		 30 UNITS   47781035603 49
PDPs		 361
MAPDs
BUPRENORPHINE-NALOX 8-2MG FILM [Suboxone]
(Buprenorphine, Naloxone Hydrochloride)		 14 UNITS   47781035703 49
PDPs		 361
MAPDs
BUPRENORPHN-NALOXN 2-0.5 MG TABLET SUSLIGUAL [Suboxone]
(Buprenorphine, Naloxone Hydrochloride)		 30 tablets   00054018813 51
PDPs		 351
MAPDs
BUPROPION HCL 100 MG TABLET
(Bupropion HCl)		 100.000 EA   60505015701 54
PDPs		 369
MAPDs
BUPROPION HCL 75 MG TABLET
(Bupropion HCl)		 100.000 EA   60505015801 54
PDPs		 369
MAPDs
BUPROPION HCL SR 100 MG TABLET SR 12H [Wellbutrin SR]
(Bupropion HCl (Smoking Deterrent))		 30 units   43547028810 54
PDPs		 369
MAPDs
BUPROPION HCL SR 150 MG TABLET
(Bupropion HCl (Smoking Deterrent))		 60.000 EA   00591354360 54
PDPs		 369
MAPDs
BUPROPION HCL SR 150 MG TABLET SR 12H [Wellbutrin SR]
(Bupropion HCl (Smoking Deterrent))		 60 units   43547028910 54
PDPs		 369
MAPDs
BUPROPION HCL SR 200 MG TABLET SR 12H [Wellbutrin SR]
(Bupropion HCl (Smoking Deterrent))		 30 UNITS   43547029010 54
PDPs		 369
MAPDs
BUPROPION HCL XL 150 MG TABLET ER 24H [Wellbutrin XL]
()		 30 TABLETS   70436001002 54
PDPs		 369
MAPDs
BUPROPION HCL XL 300 MG TABLET ER 24H [Wellbutrin XL]
()		 30 TABLETS   70436001102 54
PDPs		 369
MAPDs
BUPROPION HCL XL 450 MG TABLET ER 24H [Forfivo XL]
(Bupropion Hydrochloride)		 30 TABLETS   64679083001 1
PDPs		 56
MAPDs
BUSPIRONE HCL 15 MG TABLET
(Buspirone HCl)		 100.000 EA   00093100301 54
PDPs		 369
MAPDs
BUSPIRONE HCL 30 MG TABLET
(Buspirone HCl)		 60.000 EA   00093520006 54
PDPs		 369
MAPDs
BUSPIRONE HCL 5 MG TABLET
(Buspirone HCl)		 100.000 EA   00093005301 54
PDPs		 369
MAPDs
BUSPIRONE HCL 7.5 MG TABLET
(Buspirone)		 60 tablets   64380078706 54
PDPs		 368
MAPDs
BUSPIRONE HYDROCHLORIDE 10 MG TABLET
(Buspirone HCl)		 100 BOT 00093005401 54
PDPs		 369
MAPDs
BUTALB-ACETAMIN-CAFF 50-300-40 CAPSULE [Phrenilin Forte]
(Butalbital, Acetaminophen, Caffeine)		 30 CAPSULES   11534018701 8
PDPs		 52
MAPDs
BUTALB-ACETAMIN-CAFF 50-325-40 TABLET [Repan]
(Butalbital, Acetaminophen, Caffeine)		 30 TABLETS   00527169505 17
PDPs		 202
MAPDs
BUTALB-CAFF-ACETAMINOPH-CODEIN
(Butalbital-Acetaminophen-Caff w/ COD)		 100.000 EA   51991007301 5
PDPs		 99
MAPDs
BUTALBITAL-ACETAMINOPHN 50-300 CAPSULE
(Butalbital-Acetaminophen)		 20 capsules   51862054401 1
PDPs		 5
MAPDs
BUTALBITAL-ACETAMINOPHN 50-300 TABLET [ORBIVAN CF]
(Butalbital, Acetaminophen)		 30 TABLETS   68682030601 0
PDPs		 3
MAPDs
BUTALBITAL-ACETAMINOPHN 50-325 TABLET [Phrenilin]
(Butalbital, Acetaminophen)		 30 TABLETS   00603254021 8
PDPs		 78
MAPDs
BUTALBITAL-ASA-CAFFEINE CAPSULE [Fiorinal]
(Butalbital, Aspirin, Caffeine)		 30 CAPSULES   00527155201 13
PDPs		 151
MAPDs
BUTALBITAL/ACETAMINOPHEN/CAFFEINE CAPSULE
(Butalbital-Acetaminophen-Caffeine)		     51862017901 12
PDPs		 101
MAPDs
BUTORPHANOL 10 MG/ML SPRAY [Stadol NS]
(Butorphanol Tartrate)		 2.5 MLS   00054309036 25
PDPs		 202
MAPDs
Butrans 10ug/h
(buprenorphine (transdermal))		     59011075104 2
PDPs		 5
MAPDs
BUTRANS 15 MCG/HR PATCH
(buprenorphine (transdermal))		 4 EA   59011075804 2
PDPs		 5
MAPDs
Butrans 20ug/h
(buprenorphine (transdermal))		     59011075204 2
PDPs		 5
MAPDs
Butrans 5ug/h
(buprenorphine (transdermal))		     59011075004 2
PDPs		 5
MAPDs
BUTRANS 7.5 MCG/HR PATCH
(buprenorphine (transdermal))		 4 EA   59011075704 2
PDPs		 5
MAPDs
BYDUREON BCISE 2 MG AUTOINJECT
(Exenatide)		 3.4 mls   00310654004 48
PDPs		 248
MAPDs
BYETTA 10 MCG DOSE PEN INJ
(Exenatide)		 2.4 ML   00310652401 25
PDPs		 169
MAPDs
BYETTA 5 MCG DOSE PEN INJ
(Exenatide)		 1.2 ML   00310651201 25
PDPs		 169
MAPDs
BYLVAY 1,200 MCG CAPSULE
(Odevixibat)		 CAPSULES   74528012001 2
PDPs		 59
MAPDs
BYLVAY 200 MCG PELLET DSP CP
(Odevixibat)		 UNITS   74528002001 2
PDPs		 59
MAPDs
BYLVAY 400 MCG CAPSULE
(Odevixibat)		 CAPSULES   74528004001 2
PDPs		 57
MAPDs
BYLVAY 600 MCG PELLET DSP CP
(Odevixibat)		 UNITS   74528006001 2
PDPs		 59
MAPDs
Bystolic 10mg/1 30 TABLET BOTTLE
(Nebivolol HCl)		 30 TABLET in 1 BOTTLE   00456141030 1
PDPs		 7
MAPDs
Bystolic 2.5mg/1 30 TABLET BOTTLE
(Nebivolol HCl)		 30 TABLET in 1 BOTTLE   00456140230 1
PDPs		 7
MAPDs
BYSTOLIC 20 MG TABLET
(Nebivolol HCl)		 30 TABLETS   00456142090 1
PDPs		 7
MAPDs
Bystolic 5mg 30 TABLET BOTTLE
(Nebivolol HCl)		 30 TABLET in 1 BOTTLE   00456140530 1
PDPs		 7
MAPDs
CALCIPOTRIENE-BETAMETH DP OINTMENT [Taclonex]
(Calcipotriene)		 60 GRAMS   45802081696 1
PDPs		 35
MAPDs
CALCIPOTRIENE-BETAMETH DP SUSPENSION [Taclonex Scalp]
(Calcipotriene, Betamethasone)		 60 GRAMS   63646004060 1
PDPs		 29
MAPDs
CARVEDILOL ER 10 MG CAPSULE
(Carvedilol)		     57664066383 9
PDPs		 87
MAPDs
CLARITHROMYCIN 500 MG TABLET [Biaxin]
(Clarithromycin)		 28 TABLETS   65862022660 54
PDPs		 369
MAPDs
CLARITHROMYCIN ER 500 MG TABLET ER 24H [Biaxin XL]
(Clarithromycin)		 14 TABLETS   00527193006 42
PDPs		 323
MAPDs
CLIND PH-BENZOYL PERO 1.2-2.5% GEL W/PUMP [Acanya]
(Clindamycin Phosphate-Benzoyl Peroxide)		 50 GRAMS   45802059701 1
PDPs		 53
MAPDs
CLIND PH-BENZOYL PEROX 1.2-5% [Benzaclin]
(Clindamycin Phosphate-Benzoyl Peroxide)		 45.000 GM   45802073684 7
PDPs		 158
MAPDs
CLINDAMYC-BNZ PEROX 1.2-3.75% GEL W/PUMP [ONEXTON]
(Clindamycin / Benzoyl Peroxide)		 GRAMS   68682013350 0
PDPs		 7
MAPDs
CLINDAMYCIN-BENZOYL PEROX 1-5% GEL [BenzaClin]
(Benzoyl Peroxide;Clindamycin)		 50 GRAMS   68462048627 15
PDPs		 140
MAPDs
COLAZAL 750MG CAPSULE
(Balsalazide Disodium)		 280 CAPSULES BOT 65649010102 0
PDPs		 4
MAPDs
COMBIGAN 0.2%-0.5% DROPS
(Brimonidine Tartrate-Timolol Maleate Ophth)		 5 ML BOTDR 00023921105 27
PDPs		 165
MAPDs
CYCLOSET 0.8MG TABLETS
(Bromocriptine Mesylate)		 200 BOT 68012025820 12
PDPs		 84
MAPDs
CYSTADANE 1 GRAM/1.7 ML POWDER
(Betaine)		 180 GM   52276040001 1
PDPs		 14
MAPDs
DICYCLOMINE 10 MG CAPSULE [Bentyl]
(Dicyclomine HCl)		 90 CAPSULES   00527058601 54
PDPs		 369
MAPDs
DICYCLOMINE 20 MG TABLET [Bentyl]
(Dicyclomine HCl)		 90 TABLETS   00143122701 54
PDPs		 369
MAPDs
DIPROLENE 0.05% OINTMENT
(Augmented Betamethasone Dipropionate)		 45 GRAMS   78206012401 0
PDPs		 4
MAPDs
DROSP-EE-LEVOMEF 3-0.02-0.451 [Beyaz, Safyral]
(DROSPIRENONE/ETHINYL ESTRADIOL/LEVOMEFOLATE CALCIUM)		 28.000 EA   00781407515 10
PDPs		 86
MAPDs
DUAVEE 0.45-20 MG TABLET
(bazedoxifene and conjugated estrogens)		     00008112312 28
PDPs		 201
MAPDs
ENTECAVIR 0.5 MG TABLET [Baraclude]
(Entecavir)		 30 TABLETS   51991089533 54
PDPs		 369
MAPDs
ENTECAVIR 1 MG TABLET [Baraclude]
(Entecavir)		 30 TABLETS   51991089633 54
PDPs		 369
MAPDs
EPSOLAY 5% CREAM PUMP (G)
(Benzoyl Peroxide)		 30 GRAMS   00299589030 0
PDPs		 4
MAPDs
ERYTHROMYCIN-BENZOYL GEL [Benzamycin]
(Benzoyl Peroxide;Erythromycin)		 23.3 GRAMS   64980032802 39
PDPs		 269
MAPDs
FASENRA 30 MG/ML SYRINGE
(Benralizumab)		     00310173030 31
PDPs		 276
MAPDs
FASENRA PEN 30 MG/ML AUTO INJCT
(Benralizumab)		 ml   00310183030 31
PDPs		 299
MAPDs
FLEQSUVY 25 MG/5 ML ORAL SUSPENSION
(Baclofen)		 120 MLS   52652600102 0
PDPs		 2
MAPDs
FLUTICASONE-VILANTEROL 100-25 BLST W/DEV [BREO ELLIPTA]
(Fluticasone Furoate;Vilanterol)		 60 UNITS   66993013597 0
PDPs		 10
MAPDs
FLUTICASONE-VILANTEROL 200-25 BLST W/DEV [BREO ELLIPTA]
(Fluticasone Furoate;Vilanterol)		 60 UNITS   66993013697 0
PDPs		 10
MAPDs
FORFIVO XL 450 MG TABLET
(bupropion hydrochloride)		 30 EA   52427057530 0
PDPs		 3
MAPDs
GYNAZOLE-1 2% CREAM
(Butoconazole Nitrate (One Dose) Vaginal)		 5 GM   45802039601 0
PDPs		 14
MAPDs
HELIDAC THERAPY PACK COMBO PKG
(Bismuth Subsalicylate;Metronidazole;Tetracycline)		 UNITS   70199002114 0
PDPs		 4
MAPDs
IBANDRONATE SODIUM 150 MG TABLET [Boniva]
(Ibandronate Sodium)		 3 tablets   55111057503 54
PDPs		 367
MAPDs
ISOSORBIDE-HYDRALAZINE 20-37.5 TABLET [BiDil]
(Isosorbide Dinitrate, Hydralazine Hydrochloride)		 90 TABLETS   50742024690 11
PDPs		 206
MAPDs
LEVOBUNOLOL 0.5% EYE DROPS [Betagan]
(Levobunolol)		 5 MLS   24208050505 54
PDPs		 369
MAPDs
LOTENSIN 10 MG TABLET
(Benazepril)		 30 tablets   30698044801 0
PDPs		 4
MAPDs
LOTENSIN 20 MG TABLET
(Benazepril HCl)		     30698044901 0
PDPs		 4
MAPDs
LOTENSIN 40 MG TABLET
(Benazepril HCl)		     30698045001 0
PDPs		 4
MAPDs
LUMIGAN 0.01% EYE DROPS
(Bimatoprost Ophth)		 2.500 ML   00023320503 49
PDPs		 355
MAPDs
LYVISPAH 10 MG GRANULE PACKET
(Baclofen)		 30 UNITS   64896007709 0
PDPs		 4
MAPDs
LYVISPAH 20 MG GRANULE PACKET
(Baclofen)		 UNITS   64896007809 0
PDPs		 4
MAPDs
LYVISPAH 5 MG GRANULE PACKET
(Baclofen)		 90 UNITS   64896007609 0
PDPs		 4
MAPDs
MEKTOVI 15 MG TABLET
(Binimetinib)		 tablets   70255001002 54
PDPs		 369
MAPDs
MIRVASO 0.33% GEL PUMP
(Brimonidine Tartrate)		 30 GM   00299598035 0
PDPs		 2
MAPDs
MUPIROCIN 2% CREAM (g) [Bactroban]
(Mupirocin)		 15 grams   68462056435 26
PDPs		 111
MAPDs
NEBIVOLOL 10 MG TABLET [Bystolic]
(Nebivolol HCl)		 30 TABLETS   67877039130 40
PDPs		 352
MAPDs
NEBIVOLOL 2.5 MG TABLET [Bystolic]
(Nebivolol HCl)		 30 TABLETS   62559027530 40
PDPs		 352
MAPDs
NEBIVOLOL 20 MG TABLET [Bystolic]
(Nebivolol HCl)		 30 TABLETS   67877039030 40
PDPs		 352
MAPDs
NEBIVOLOL 5 MG TABLET [Bystolic]
(Nebivolol HCl)		 30 TABLETS   67877039230 40
PDPs		 352
MAPDs
NEO-POLYCIN EYE OINTMENT [Polymycin]
(Neomycin, Polymyxin B, Bacitracin Zinc)		 3.5 GRAMS   00574425035 48
PDPs		 308
MAPDs
NEO-POLYCIN HC EYE OINTMENT [Ocu-Cort]
(Neomycin, Polymyxin B, Bacitracin Zinc, Hydrocortisone)		 3.5 GRAMS   00574414435 46
PDPs		 295
MAPDs
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT
(Bacitracin-Polymyxin-Neomycin-HC Ophth)		 3.5 GM TUBE 24208078555 51
PDPs		 357
MAPDs
NEXLETOL 180 MG TABLET
(Bempedoic Acid)		 30 TABLETS   72426011803 7
PDPs		 172
MAPDs
NEXLIZET 180-10 MG TABLET
(Bempedoic Acid, Ezetimibe)		 30 TABLETS   72426081803 7
PDPs		 172
MAPDs
OCUTRICIN EYE OINTMENT 400UNT/3.5MG/10UNT
(Bacitracin-Polymyxin-Neomycin Ophth)		 3.5 GRAM TUBE 24208078055 54
PDPs		 361
MAPDs
OLMESARTAN MEDOXOMIL 20 MG TABLET [Benicar]
(Olmesartan Medoxomil)		 30 TABLETS   68462043730 54
PDPs		 362
MAPDs
OLMESARTAN MEDOXOMIL 40 MG TABLET [Benicar]
(Olmesartan Medoxomil)		 30 TABLETS   33342018010 54
PDPs		 362
MAPDs
OLMESARTAN MEDOXOMIL 5 MG TABLET [Benicar]
(Olmesartan Medoxomil)		 30 TABLETS   68462043630 54
PDPs		 362
MAPDs
OLMESARTAN-HCTZ 20-12.5 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)		 30 TABLETS   70756081290 52
PDPs		 363
MAPDs
OLMESARTAN-HCTZ 40-12.5 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)		 30 TABLETS   62332015030 52
PDPs		 363
MAPDs
OLMESARTAN-HCTZ 40-25 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)		 30 TABLETS   62332015130 52
PDPs		 363
MAPDs
OLUMIANT 1 MG TABLET
(Baricitinib)		 tablets   00002473230 1
PDPs		 100
MAPDs
OLUMIANT 2 MG TABLET
(Baricitinib)		 tablets   00002418230 1
PDPs		 99
MAPDs
OLUMIANT 4 MG TABLET
(Baricitinib)		 30 TABLETS   00002447930 1
PDPs		 95
MAPDs
ONEXTON GEL PUMP
(Clindamycin / Benzoyl Peroxide)		     00187305050 0
PDPs		 3
MAPDs
ORLADEYO 110 MG CAPSULE
(Berotralstat)		 CAPSULES   72769010201 1
PDPs		 83
MAPDs
ORLADEYO 150 MG CAPSULE
(Berotralstat)		 CAPSULES   72769010101 1
PDPs		 83
MAPDs
PARLODEL 2.5 MG TABLET
(Bromocriptine Mesylate)		 15 TABLETS   30698020230 0
PDPs		 1
MAPDs
PARLODEL 5 MG CAPSULE
(Bromocriptine Mesylate)		 30 capsules   30698020130 0
PDPs		 1
MAPDs
POLYCIN EYE OINTMENT [Polytracin]
(Bacitracin, Polymyxin B)		 3.5 GRAMS   00574402135 51
PDPs		 301
MAPDs
PRAZIQUANTEL 600 MG TABLET [Biltricide]
(Praziquantel)		 1 TABLET   49884023183 50
PDPs		 283
MAPDs
PROLENSA 0.07% EYE DROPS
(Bromfenac Sodium)		     24208060203 37
PDPs		 262
MAPDs
PULMICORT .25MG/2ML RESPULE
(Budesonide)		 30 X 2 ML AMP 00186198804 0
PDPs		 5
MAPDs
PULMICORT 1MG/2ML AMPUL FOR NEBULIZATION
(Budesonide)		 5 AMP 00186199004 0
PDPs		 5
MAPDs
PULMICORT FLEXHALER 180MCG AEROSOL POWDER BREATH ACTIVATED
(Budesonide)		 120 METERED DOSES INHL 00186091612 8
PDPs		 57
MAPDs
PULMICORT FLEXHALER 90MCG AEROSOL POWDER BREATH ACTIVATED
(Budesonide)		 60 METERED DOSES CTR 00186091706 8
PDPs		 57
MAPDs
PULMICORT RESPULES 0.5mg/2mL 6 POUCH per CARTON / 5 AMPULE in 1 POUCH / 2 mL in 1 AMPULE
(Budesonide)		 6 POUCH in 1 CARTON   00186198904 0
PDPs		 5
MAPDs
PYLERA CAPSULE
(Bismuth Subcit-Metronidazole-Tetracycline)		 120 EA   58914060120 0
PDPs		 14
MAPDs
QNASL 80 MCG NASAL SPRAY HFA AER AD
(contains Beclomethasone)		 10.6 grams   59310041012 0
PDPs		 5
MAPDs
QNASL CHILDREN'S 40 MCG SPRAY HFA AER AD
(contains Beclomethasone)		 4.9 grams   59310040606 0
PDPs		 8
MAPDs
QVAR REDIHALER 40 MCG
(Beclomethasone Dipropionate)		 10.6 GM   59310030240 7
PDPs		 106
MAPDs
QVAR REDIHALER 80 MCG
(Beclomethasone Dipropionate)		 10.6 GM   59310030480 7
PDPs		 106
MAPDs
REGRANEX 0.01% GEL
(Becaplermin)		 15 GM   50484081015 28
PDPs		 274
MAPDs
REXULTI 0.25 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148003513 54
PDPs		 369
MAPDs
REXULTI 0.5 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148003613 54
PDPs		 369
MAPDs
REXULTI 1 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148003713 54
PDPs		 369
MAPDs
REXULTI 2 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148003813 54
PDPs		 369
MAPDs
REXULTI 3 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148003913 54
PDPs		 369
MAPDs
REXULTI 4 MG TABLET
(BREXPIPRAZOLE)		 30 EA   59148004013 54
PDPs		 369
MAPDs
REZUROCK 200 MG TABLET
(Belumosudil)		 TABLETS   79802020030 33
PDPs		 330
MAPDs
RUFINAMIDE 200 MG TABLET [Banzel]
(Rufinamide)		 30 TABLETS   00054042523 54
PDPs		 369
MAPDs
RUFINAMIDE 40 MG/ML ORAL SUSPENSION [Banzel]
(Rufinamide)		 460 MLS   00054052863 54
PDPs		 367
MAPDs
RUFINAMIDE 400 MG TABLET [Banzel]
(Rufinamide)		 25 TABLETS   00054042623 54
PDPs		 369
MAPDs
SILIQ 210 MG/1.5 ML SYRINGE
(Brodalumab)		 0.75 ml   00187000402 1
PDPs		 23
MAPDs
SIMBRINZA 1%-0.2% EYE DROP EYE DROPPER
(Brinzolamide, Brimonidine)		 8 MLS   00065414727 42
PDPs		 321
MAPDs
SIRTURO 100 MG TABLET
(Bedaquiline Fumarate)		     59676070101 54
PDPs		 369
MAPDs
SIRTURO 20 MG TABLET
(Bedaquiline)		 TABLETS   59676070260 54
PDPs		 366
MAPDs
SODIUM PHENYLBUTYRATE 500MG TABLET [Buphenyl]
(Sodium Phenylbutyrate Oral)		 250 EA   49884017004 44
PDPs		 279
MAPDs
SODIUM PHENYLBUTYRATE POWDER [Buphenyl]
(Sodium Phenylbutyrate Oral)		 GRAMS   49884000604 52
PDPs		 284
MAPDs
SUBOXONE 12 MG-3 MG SL FILM
(Buprenorphine HCl-Naloxone HCl SL)		     12496121203 6
PDPs		 34
MAPDs
Suboxone 2; 0.5mg/1; mg/1 30 POUCH per CARTON / 1 FILM, SOLUBLE in 1 POUCH
(Buprenorphine HCl-Naloxone HCl SL)		 30 POUCH in 1 CARTON   12496120203 6
PDPs		 34
MAPDs
SUBOXONE 4 MG-1 MG SL FILM
(Buprenorphine HCl-Naloxone HCl SL)		     12496120403 6
PDPs		 34
MAPDs
Suboxone 8; 2mg/1; mg/1 30 POUCH per CARTON / 1 FILM, SOLUBLE in 1 POUCH
(Buprenorphine HCl-Naloxone HCl SL)		 30 POUCH in 1 CARTON   12496120803 6
PDPs		 34
MAPDs
SYMBICORT 160-4.5MCG HFA AEROSOL WITH ADAPTER
(Budesonide-Formoterol Fumarate Dihyd)		 120 INHL 00186037020 4
PDPs		 49
MAPDs
SYMBICORT 80; 4.5ug/1; ug/1 1 POUCH in 1 CARTON / 1 CANISTER in 1 POUCH / 120 AEROSOL in 1 CANISTER
(Budesonide-Formoterol Fumarate Dihyd)		 1 POUCH in 1 CARTON   00186037220 3
PDPs		 49
MAPDs
TARGRETIN 1% GEL
(Bexarotene)		     00187552560 0
PDPs		 10
MAPDs
TARGRETIN 75 MG CAPSULE
(Bexarotene)		 100 EA   00187552675 0
PDPs		 6
MAPDs
TARPEYO DR 4 MG CAPSULE DR
(Budesonide)		 UNITS   81749000401 0
PDPs		 31
MAPDs
Tencon 50-325 MG TABLET
(Butalbital-Acetaminophen)		     11584003001 8
PDPs		 67
MAPDs
TERBUTALINE SULFATE 2.5 MG TABLET [Brethine]
()		 30 TABLETS   00115261101 36
PDPs		 312
MAPDs
TERBUTALINE SULFATE 5 MG TABLET [Brethine]
()		 10 TABLETS   00115262201 36
PDPs		 312
MAPDs
TOBRAMYCIN 0.3% EYE DROPS [Tobrex]
()		 5 MLS   70069013101 54
PDPs		 369
MAPDs
TOBRAMYCIN 10 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate]
()		 2.000 ML   63323030502 54
PDPs		 324
MAPDs
TOBRAMYCIN 300 MG/4 ML AMPULE-NEB [BETHKIS]
()		 112 MLS   66993019594 5
PDPs		 126
MAPDs
TOBRAMYCIN 300 MG/5 ML AMPULE [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate]
()		 5 ML   65162091446 54
PDPs		 368
MAPDs
TOBRAMYCIN 40 MG/ML VIAL [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate]
()		 2.000 ML   63323030602 54
PDPs		 369
MAPDs
TRACLEER 125MG TABLET
(Bosentan)		 60 BOT 66215010206 0
PDPs		 48
MAPDs
TRACLEER 32 MG TABLET FOR SUSPENSION TABLET SUSP
(Bosentan)		 UNITS   66215010314 16
PDPs		 173
MAPDs
TRACLEER 62.5MG TABLET
(Bosentan)		 60 BOT 66215010106 0
PDPs		 48
MAPDs
TWYNEO 0.1%-3% CREAM (G)
(Tretinoin, Benzoyl Peroxide)		 GRAMS   00299594530 0
PDPs		 2
MAPDs
UCERIS 2 MG RECTAL FOAM/APPL
(Budesonide)		 66.8 grams   65649065103 0
PDPs		 17
MAPDs
UCERIS 9 MG ER TABLET
(budesonide)		     68012030930 0
PDPs		 3
MAPDs
WELIREG 40 MG TABLET
(Belzutifan)		 TABLETS   00006533101 54
PDPs		 369
MAPDs
WELLBUTRIN SR 100MG TABLET SA
(Bupropion HCl)		 60 BOT 00173094755 0
PDPs		 4
MAPDs
WELLBUTRIN SR 150MG TABLET SA
(Bupropion HCl)		 60 X 150 MG TABLETS BOT 00173013555 0
PDPs		 4
MAPDs
WELLBUTRIN SR 200MG TABLET SA
(Bupropion HCl)		 60 BOT 00173072200 0
PDPs		 4
MAPDs
WELLBUTRIN XL 150 MG TABLET
(Bupropion HCl)		 30 EA   00187073030 0
PDPs		 5
MAPDs
WELLBUTRIN XL 300 MG TABLET
(Bupropion HCl)		 30 EA   00187073130 0
PDPs		 5
MAPDs
XOFLUZA 40 MG TABLET
(Baloxavir)		 1 TABLET   50242086001 33
PDPs		 258
MAPDs
XOFLUZA 80 MG TABLET
(Baloxavir)		 1 TABLET   50242087701 33
PDPs		 260
MAPDs
ZIAC 10-6.25 MG TABLET
(Bisoprolol , Hydrochlorothiazide)		 30 tablets   51285004001 0
PDPs		 4
MAPDs
ZIAC 2.5-6.25MG TABLET
(Bisoprolol & Hydrochlorothiazide)		 100 BOT 51285004702 0
PDPs		 4
MAPDs
ZIAC 5-6.25 MG TABLET
(Bisoprolol , Hydrochlorothiazide)		 30 tablets   51285005002 0
PDPs		 4
MAPDs
ZUBSOLV 0.7-0.18 MG SUBLIGUAL TABLET
(buprenorphine hydrochloride and naloxone hydrochloride)		 2 TABLETS   54123090730 7
PDPs		 51
MAPDs
ZUBSOLV 1.4-0.36 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)		 30 EA   54123091430 7
PDPs		 51
MAPDs
ZUBSOLV 11.4-2.9 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)		     54123011430 7
PDPs		 51
MAPDs
ZUBSOLV 2.9-0.71 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)		     54123092930 7
PDPs		 51
MAPDs
ZUBSOLV 5.7-1.4 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)		 30 EA   54123095730 7
PDPs		 51
MAPDs
ZUBSOLV 8.6-2.1 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)		     54123098630 7
PDPs		 51
MAPDs





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  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
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  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
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  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
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  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.
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