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2024 PDP-DrugFinder:
Search Plan Formulary by Drug Letter

Select a Letter below:
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 R 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
ABRYSVO 120 MCG / 0.5 ML INJECTION Prefilled Syringe
(Respiratory Syncytial Virus (RSV) Vaccine)
1   00069034401 54
PDPs
369
MAPDs
ACIPHEX DR 20 MG TABLET
(Rabeprazole Sodium EC)
30 UNITS   69784024330 0
PDPs
1
MAPDs
ACTONEL 150 MG TABLET
(Risedronate)
1 tablet   00430047801 0
PDPs
1
MAPDs
ACTONEL 35 MG TABLET
(Risedronate)
4 tablets   00430047203 0
PDPs
1
MAPDs
ADEMPAS 0.5 MG TABLET
(Riociguat)
90 EA   50419025001 54
PDPs
365
MAPDs
ADEMPAS 1 MG TABLET
(Riociguat)
90 EA   50419025101 54
PDPs
365
MAPDs
ADEMPAS 1.5 MG TABLET
(Riociguat)
90 EA   50419025201 54
PDPs
365
MAPDs
ADEMPAS 2 MG TABLET
(Riociguat)
90 EA   50419025301 54
PDPs
365
MAPDs
ADEMPAS 2.5 MG TABLET
(Riociguat)
90 EA   50419025401 54
PDPs
365
MAPDs
AEMCOLO DR 194 MG TABLET DR
(Rifamycin)
UNITS   57841120001 0
PDPs
9
MAPDs
ALTABAX 1% OINTMENT
(Retapamulin)
15 GRAMS   16110051815 0
PDPs
8
MAPDs
ALTACE 1.25MG CAPSULE
(Ramipril)
100 CAPS BOTPL 61570011001 0
PDPs
4
MAPDs
ALTACE 10MG CAPSULE (100 CT)
(Ramipril)
100 CAPS BOTPL 61570012001 0
PDPs
4
MAPDs
ALTACE 2.5 MG CAPSULE
(Ramipril)
100 EA   61570011101 0
PDPs
4
MAPDs
ALTACE 5MG CAPSULE
(Ramipril)
100 BOT 61570011201 0
PDPs
4
MAPDs
ARCALYST 220 MG VIAL
(Rilonacept)
MLS   73604091404 48
PDPs
349
MAPDs
AREXVY 120 MCG / 0.5 ML INJECTION SINGLE-DOSE VIAL 0.5 ML
(Respiratory Syncytial Virus Vaccine, Adjuvanted)
1   58160084811 54
PDPs
367
MAPDs
ASPRUZYO SPRINKLE ER 1000MG PACK ER GR
(Ranolazine)
UNITS   47335062560 0
PDPs
6
MAPDs
ASPRUZYO SPRINKLE ER 500MG PACK ER GR
(Ranolazine)
UNITS   47335062460 0
PDPs
6
MAPDs
ATAZANAVIR SULFATE 150 MG CAPSULE [Reyataz]
(Atazanavir Sulfate)
CAPSULES   65862071160 54
PDPs
369
MAPDs
ATAZANAVIR SULFATE 200 MG CAPSULE [Reyataz]
(Atazanavir Sulfate)
CAPSULES   65862071260 54
PDPs
369
MAPDs
ATAZANAVIR SULFATE 300 MG CAPSULE [Reyataz]
(Atazanavir Sulfate)
CAPSULES   65862071330 54
PDPs
369
MAPDs
Atelvia 35mg/1 36 DOSE PACK CASE / 4 TABLET, DELAYED RELEASE in 1 DOSE PACK
(RISEDRONATE SODIUM)
36 DOSE PACK in 1 CASE   00430097903 0
PDPs
4
MAPDs
AUGTYRO 40 MG CAPSULE
(Repotrectinib)
60 CAPSULES   00003404060 54
PDPs
367
MAPDs
AZILECT 0.5MG TABLET
(Rasagiline Mesylate)
30 BOT 68546014256 0
PDPs
4
MAPDs
AZILECT 1MG TABLET
(Rasagiline Mesylate)
30 BOT 68546022956 0
PDPs
4
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
BESREMI 500 MCG/ML SYRINGE
(Ropeginterferon Alfa-2b)
ML   73536050001 54
PDPs
369
MAPDs
BETAMETHASONE DP AUG 0.05% CREAM (g) [RRB Pak]
(Augmented Betamethasone Dipropionate)
grams   51672131003 54
PDPs
368
MAPDs
BUTALB-ACETAMIN-CAFF 50-325-40 TABLET [Repan]
(Butalbital, Acetaminophen, Caffeine)
30 TABLETS   00527169505 17
PDPs
202
MAPDs
CALCITRIOL 0.25 MCG CAPSULE [Rocaltrol]
()
30 CAPSULES   69452020720 54
PDPs
369
MAPDs
CALCITRIOL 0.5 MCG CAPSULE [Rocaltrol]
()
90 CAPSULES   69452020820 54
PDPs
369
MAPDs
CEFTRIAXONE 1 GM VIAL [Rocephin]
(Ceftriaxone)
1 ML   60505614804 54
PDPs
368
MAPDs
CEFTRIAXONE 10 GM VIAL [Rocephin]
(Ceftriaxone)
ML   60505615005 54
PDPs
368
MAPDs
CEFTRIAXONE 2 GM VIAL [Rocephin]
(Ceftriaxone)
13 mls   60505614904 54
PDPs
368
MAPDs
CEFTRIAXONE 250 MG VIAL [Rocephin]
(Ceftriaxone)
1 ML   00781320695 54
PDPs
369
MAPDs
CEFTRIAXONE 500 MG VIAL [Rocephin]
(Ceftriaxone)
1 ML   60505615201 54
PDPs
369
MAPDs
CHLORZOXAZONE 250 MG TABLET [Remular S]
()
30 TABLETS   24470092360 1
PDPs
33
MAPDs
CHLORZOXAZONE 500 MG TABLET [Relax-DS]
()
90 TABLETS   70954008510 7
PDPs
151
MAPDs
CORTROPHIN GEL 400 UNIT/5 ML VIAL
(Corticotropin (Porcine))
MLS   62559086015 2
PDPs
88
MAPDs
CRESTOR 10 MG TABLET
(Rosuvastatin Calcium)
30 TABLETS   00310757090 0
PDPs
4
MAPDs
CRESTOR 20 MG TABLET
(Rosuvastatin Calcium)
90 TABLETS   00310758090 0
PDPs
4
MAPDs
CRESTOR 40 MG TABLET
(Rosuvastatin Calcium)
90 TABLETS   00310759030 0
PDPs
4
MAPDs
CRESTOR 5 MG TABLET
(Rosuvastatin Calcium)
90 TABLETS   00310756090 0
PDPs
4
MAPDs
CYCLOSPORINE 0.05% EYE EMULS DROPERETTE [Restasis]
(Cyclosporine)
60 UNITS   00378876091 13
PDPs
171
MAPDs
DALIRESP 250 MCG TABLET
(Roflumilast)
30 tablets   00310008828 0
PDPs
17
MAPDs
DALIRESP 500 MCG TABLET
(ROFLUMILAST)
30 EA   00310009530 0
PDPs
17
MAPDs
EDURANT 27.5mg/1
(Rilpivirine)
    59676027801 54
PDPs
369
MAPDs
ELETRIPTAN HBR 20 MG TABLET [Relpax]
(Eletriptan Hydrobromide)
6 TABLETS   59651010469 5
PDPs
102
MAPDs
ELETRIPTAN HBR 40 MG TABLET [Relpax]
(Eletriptan Hydrobromide)
6 TABLETS   59651010569 5
PDPs
103
MAPDs
ERYTHROMYCIN 0.5% EYE OINTMENT [Romycin]
(Erythromycin Ophth)
3.5 GRAMS   24208091055 54
PDPs
369
MAPDs
EVENITY 210 MG DOSE-2 SYRINGES
(Romosozumab)
mls   55513088002 1
PDPs
31
MAPDs
EVISTA 60 MG TABLET
(Raloxifene HCl)
30 EA   00002418430 0
PDPs
4
MAPDs
EVRYSDI 60 MG/80 ML(0.75MG/ML) SOLUTION RECON
(Risdiplam)
MLS   50242017507 7
PDPs
171
MAPDs
EXELON 13.3 MG/24HR PATCH
(Rivastigmine Tartrate)
30 EA   00078050315 3
PDPs
4
MAPDs
EXELON 4.6MG/24HR PATCH TRANSDERMAL 24 HOURS
(Rivastigmine TD)
30 CRTN 00078050115 3
PDPs
4
MAPDs
EXELON 9.5MG/24HR PATCH TRANSDERMAL 24 HOURS
(Rivastigmine TD)
30 CRTN 00078050215 3
PDPs
4
MAPDs
EXSERVAN 50 MG FILM
(Riluzole)
UNITS   70510220102 0
PDPs
23
MAPDs
GALANTAMINE ER 16 MG CAPSULE 24H PEL [Reminyl]
()
30 UNITS   65862074530 51
PDPs
361
MAPDs
GALANTAMINE ER 24 MG CAPSULE 24H PEL [Reminyl]
()
30 UNITS   65862074630 51
PDPs
361
MAPDs
GALANTAMINE ER 8 MG CAPSULE 24H PEL [Reminyl]
()
30 UNITS   65862074430 51
PDPs
361
MAPDs
GALANTAMINE HBR 12 MG TABLET [Reminyl]
()
180 TABLETS   57237005160 51
PDPs
361
MAPDs
GALANTAMINE HBR 4 MG TABLET [Reminyl]
()
60 tablets   57237004960 51
PDPs
361
MAPDs
GALANTAMINE HBR 8 MG TABLET [Reminyl]
()
60 TABLETS   57237005060 51
PDPs
361
MAPDs
GLATIRAMER 20 MG/ML SYRINGE [Glatopa]
(Glatiramer)
mls   00378696093 35
PDPs
311
MAPDs
GLYCOPYRROLATE 1 MG TABLET [Robinul]
(Glycopyrrolate)
60 TABLETS   23155060601 53
PDPs
361
MAPDs
GLYCOPYRROLATE 2 MG TABLET [Robinul Forte]
()
60 TABLETS   23155060701 53
PDPs
361
MAPDs
GRISEOFULVIN 125 MG/5 ML ORAL SUSPENSION [Grifulvin V]
(Griseofulvin Microsize)
120 MLS   69097036108 54
PDPs
368
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)
5 ML   63004871001 0
PDPs
80
MAPDs
Hepatitis B Surface Antigen Vaccine 0.01 MG/ML Prefilled 0.5 ML Syringe [Recombivax]
(Hepatitis B Vaccine (Recombinant))
    00006409302 54
PDPs
369
MAPDs
HYDROXYZINE HCL 10 MG TABLET [Rezine]
(Hydroxyzine HCl)
30 TABLETS   23155050001 47
PDPs
365
MAPDs
IMOVAX RABIES VACCINE VIAL
(Rabies Virus Vaccine, HDC)
ML   49281025251 54
PDPs
369
MAPDs
ISENTRESS 100 MG POWDER PACKET
(Raltegravir Potassium)
1 unit   00006360361 54
PDPs
369
MAPDs
ISENTRESS 100 MG TABLET CHEWABLE
(Raltegravir Potassium)
    00006047761 54
PDPs
369
MAPDs
ISENTRESS 25 MG TABLET CHEWABLE
(Raltegravir Potassium)
    00006047361 54
PDPs
369
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT 00006022761 54
PDPs
369
MAPDs
ISENTRESS HD 600 MG TABLET
(Raltegravir)
tablets   00006308001 54
PDPs
369
MAPDs
JAKAFI 10 MG TABLET
(ruxolitinib)
    50881001060 54
PDPs
369
MAPDs
JAKAFI 15 MG TABLET
(ruxolitinib)
    50881001560 54
PDPs
369
MAPDs
JAKAFI 20 MG TABLET
(ruxolitinib)
    50881002060 54
PDPs
369
MAPDs
JAKAFI 25 MG TABLET
(ruxolitinib)
    50881002560 54
PDPs
369
MAPDs
JAKAFI 5 MG TABLET
(ruxolitinib)
    50881000560 54
PDPs
369
MAPDs
KISQALI 200 MG DAILY DOSE
(Ribociclib)
    00078086001 54
PDPs
369
MAPDs
KISQALI 400 MG DAILY DOSE
(Ribociclib)
    00078086742 54
PDPs
369
MAPDs
KISQALI 600 MG DAILY DOSE
(Ribociclib)
    00078087463 54
PDPs
369
MAPDs
KISQALI FEMARA 200 MG CO-PACK
(Letrozole;Ribociclib)
49 EA   00078090961 54
PDPs
369
MAPDs
KISQALI FEMARA 400 MG CO-PACK
(Letrozole;Ribociclib)
70 EA   00078091661 54
PDPs
369
MAPDs
KISQALI FEMARA 600 MG CO-PACK
(Letrozole;Ribociclib)
91 EA   00078092361 54
PDPs
369
MAPDs
LENALIDOMIDE 10 MG CAPSULE [Revlimid]
()
28 CAPSULES   00480124328 54
PDPs
369
MAPDs
LENALIDOMIDE 15 MG CAPSULE [Revlimid]
()
21 CAPSULES   00480124421 54
PDPs
369
MAPDs
LENALIDOMIDE 2.5 MG CAPSULE [Revlimid]
()
CAPSULES   43598051663 54
PDPs
369
MAPDs
LENALIDOMIDE 20 MG CAPSULE [Revlimid]
()
21 CAPSULES   43598051421 54
PDPs
369
MAPDs
LENALIDOMIDE 25 MG CAPSULE [Revlimid]
()
21 CAPSULES   00480124621 54
PDPs
369
MAPDs
LENALIDOMIDE 5 MG CAPSULE [Revlimid]
()
21 CAPSULES   00480124228 54
PDPs
369
MAPDs
LEVETIRACETAM 500 MG TABLET [Roweepra]
()
60 TABLETS   31722053705 54
PDPs
369
MAPDs
LEVETIRACETAM ER 500 MG TABLET 24H [Roweepra]
()
60 TABLETS   68180011707 42
PDPs
365
MAPDs
LEVETIRACETAM ER 750 MG TABLET 24H [Roweepra]
()
60 TABLETS   68180011807 42
PDPs
363
MAPDs
LITFULO 50 MG CAPSULE
(Ritlecitinib)
CAPSULES   00069033428 1
PDPs
22
MAPDs
M-M-R II VACCINE W/DILUENT 1 DOSE/0.5ML
(Measles, Mumps, and Rubella Vaccine)
10 X 0.5 ML VIAL 00006468100 54
PDPs
369
MAPDs
MAXALT 10 MG TABLET
(Rizatriptan Benzoate)
12 TABLETS   78206014201 0
PDPs
5
MAPDs
MAXALT MLT 10 MG TABLET RAPDIS
(Rizatriptan Benzoate)
9 UNITS   78206014301 0
PDPs
5
MAPDs
METHOCARBAMOL 500 MG TABLET [Robaxin]
()
30 TABLETS   70010075401 30
PDPs
268
MAPDs
METHOCARBAMOL 750 MG TABLET [Robaxin]
()
30 TABLETS   70010077001 30
PDPs
268
MAPDs
METHOTREXATE 2.5 MG TABLET [Rheumatrex]
(Methotrexate)
24 TABLETS   16729048601 54
PDPs
369
MAPDs
METHYLPHENIDATE 10 MG TABLET [Ritalin]
(Methylphenidate HCl)
60 TABLETS   00406114401 54
PDPs
369
MAPDs
METHYLPHENIDATE 20 MG TABLET [Ritalin]
(Methylphenidate HCl)
60 TABLETS   00406114601 54
PDPs
369
MAPDs
METHYLPHENIDATE 5 MG TABLET [Ritalin]
(Methylphenidate HCl)
30 TABLETS   00406114201 54
PDPs
369
MAPDs
METHYLPHENIDATE CD 10 MG CAPSULE CPBP 30-70 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   00527457937 5
PDPs
142
MAPDs
METHYLPHENIDATE CD 20 MG CAPSULE CPBP 30-70 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   00527458037 6
PDPs
141
MAPDs
METHYLPHENIDATE CD 30 MG CAPSULE CPBP 30-70 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   00527458137 5
PDPs
138
MAPDs
METHYLPHENIDATE CD 40 MG CAPSULE CPBP 30-70 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   00527458237 6
PDPs
141
MAPDs
METHYLPHENIDATE CD 60 MG CAPSULE CPBP 30-70 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   00527458437 5
PDPs
140
MAPDs
METHYLPHENIDATE ER 10 MG CAPSULE CSBP 40-60 [Ritalin LA]
(Methylphenidate Hydrochloride)
30 UNITS   42858007545 1
PDPs
24
MAPDs
METHYLPHENIDATE ER 20 MG CAPSULE CSBP 40-60 [Ritalin LA]
(Methylphenidate Hydrochloride)
30 UNITS   42858007745 1
PDPs
24
MAPDs
METHYLPHENIDATE ER 20 MG TABLET [Ritalin SR]
(Methylphenidate HCl)
30 TABLETS   70010004301 45
PDPs
317
MAPDs
METHYLPHENIDATE ER 30 MG CAPSULE CSBP 40-60 [Ritalin LA]
(Methylphenidate Hydrochloride)
UNITS   42858007845 1
PDPs
24
MAPDs
METHYLPHENIDATE ER 40 MG CAPSULE CSBP 40-60 [Ritalin LA]
(Methylphenidate Hydrochloride)
UNITS   42858007945 1
PDPs
24
MAPDs
METHYLPHENIDATE ER 45 MG TABLET ER 24 [RELEXXII]
(Methylphenidate Hydrochloride)
30 UNITS   13811071130 0
PDPs
18
MAPDs
METHYLPHENIDATE ER 60 MG CAPSULE CSBP 40-60 [Ritalin LA]
(Methylphenidate Hydrochloride)
30 UNITS   42858008145 1
PDPs
24
MAPDs
METHYLPHENIDATE ER 63 MG TABLET ER 24 [RELEXXII]
(Methylphenidate Hydrochloride)
30 UNITS   13811070030 0
PDPs
18
MAPDs
METHYLPHENIDATE ER 72 MG TABLET ER 24 [RELEXXII]
(Methylphenidate HCl)
30 units   13811071030 0
PDPs
38
MAPDs
METHYLPHENIDATE LA 10 MG CAPSULE CPBP 50-50 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   70010001201 5
PDPs
158
MAPDs
METHYLPHENIDATE LA 20 MG CAPSULE CPBP 50-50 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   70010001301 7
PDPs
157
MAPDs
METHYLPHENIDATE LA 30 MG CAPSULE CPBP 50-50 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   70010001401 7
PDPs
158
MAPDs
METHYLPHENIDATE LA 40 MG CAPSULE CPBP 50-50 [Ritalin LA]
(Methylphenidate HCl)
30 UNITS   70010001501 7
PDPs
157
MAPDs
METHYLPHENIDATE LA 60 MG CAPSULE CPBP 50-50 [Ritalin LA]
(Methylphenidate HCl)
30 units   51862061430 7
PDPs
153
MAPDs
MIRTAZAPINE 15 MG TABLET [Remeron]
(Mirtazapine)
30 tablets   13107003134 54
PDPs
369
MAPDs
MIRTAZAPINE 30 MG ODT TABLET RAPDIS [Remeron SolTab]
()
30 UNITS   57237001206 54
PDPs
369
MAPDs
MIRTAZAPINE 30 MG TABLET [Remeron]
(Mirtazapine)
30 tablets   13107000334 54
PDPs
369
MAPDs
MORPHINE SULF 100 MG/5 ML CONC SOLUTION [Roxanol-T]
()
30 MLS   00121082501 45
PDPs
357
MAPDs
MYCOBUTIN 150MG CAPSULE
(Rifabutin)
100 BOT 00013530117 0
PDPs
4
MAPDs
MYFEMBREE 40 MG-1 MG-0.5 MG TABLET
(Relugolix, Estradiol, Norethindrone)
28 TABLETS   72974041501 4
PDPs
64
MAPDs
NALTREXONE 50 MG TABLET [ReVia]
()
30 TABLETS   00406117003 54
PDPs
369
MAPDs
NEUPRO 1 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080103 40
PDPs
294
MAPDs
NEUPRO 2 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080203 40
PDPs
294
MAPDs
NEUPRO 3 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080303 40
PDPs
294
MAPDs
NEUPRO 4 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080403 40
PDPs
294
MAPDs
NEUPRO 6 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080503 40
PDPs
294
MAPDs
NEUPRO 8 MG/24 HR PATCH
(Rotigotine)
30 EA   50474080603 40
PDPs
294
MAPDs
NORVIR 100 MG POWDER PACKET
(Ritonavir)
units   00074339930 54
PDPs
369
MAPDs
NORVIR 100 MG TABLET
(Ritonavir)
30 TABLETS   00074234030 1
PDPs
6
MAPDs
NURTEC ODT 75 MG TABLET RAPDIS
(Rimegepant)
8 units   72618300002 49
PDPs
280
MAPDs
OPZELURA 1.5% CREAM (G)
(Ruxolitinib)
60 GRAMS   50881000705 0
PDPs
18
MAPDs
ORGOVYX 120 MG TABLET
(Relugolix)
30 TABLETS   72974012001 54
PDPs
369
MAPDs
OXYCODONE HCL (IR) 20 MG TABLET [Roxicodone]
()
120 TABLETS   42858000401 54
PDPs
364
MAPDs
OXYCODONE HCL (IR) 5 MG TABLET [Roxybond]
()
30 TABLETS   00406055201 54
PDPs
364
MAPDs
OXYCODONE HCL 100 MG/5 ML ORAL CONC [Roxicodone]
()
30 MLS   00406855730 24
PDPs
266
MAPDs
OXYCODONE HCL 15 MG TABLET [Roxybond]
(Oxycodone HCl)
120 tablets   00406851501 54
PDPs
364
MAPDs
OXYCODONE HCL 30 MG TABLET [Roxybond]
(Oxycodone HCl)
120 tablets   00406853001 54
PDPs
364
MAPDs
OXYCODONE HCL 5 MG/5 ML SOLUTION [Roxicodone]
(Oxycodone HCl)
500 ML   00054039063 37
PDPs
326
MAPDs
OXYCODONE-ACETAMINOPHEN 5-325 TABLET [Roxicet]
(Oxycodone-Acetaminophen )
30 TABLETS   00406051205 54
PDPs
369
MAPDs
OXYCODONE-ACETAMINOPHEN 5-325/5 SOLUTION [Roxicet]
(Oxycodone-Acetaminophen )
150 MLS   29033040535 5
PDPs
80
MAPDs
Paxlovid 150 mg / 100 mg 20 Tablet Blister Pack
(Nirmatrelvir / Ritonavir)
20 TABLET   00069531720 47
PDPs
300
MAPDs
Paxlovid 300 mg / 100 mg 30 Tablet Blister Pack
(Nirmatrelvir / Ritonavir)
30 TABLET   00069532130 47
PDPs
300
MAPDs
PERSERIS ER 120 MG SYRINGE KIT SUSER SYKT
(Risperidone)
unit   12496012001 51
PDPs
350
MAPDs
PERSERIS ER 90 MG SYRINGE KIT SUSER SYKT
(Risperidone)
unit   12496009001 51
PDPs
350
MAPDs
PREHEVBRIO 10 MCG/ML VIAL
(Recombinant Hepatitis B Surface Antigen (ISOFORM S/SCI-B-VAC), Recombinant Hepatitis B Surface Antig)
ML   75052000101 54
PDPs
369
MAPDs
PRIFTIN 150 MG TABLET
(Rifapentine)
24   00088210224 54
PDPs
369
MAPDs
PRIORIX VIAL
(Measels, mumps, and rubella vaccine)
ML   58160082415 54
PDPs
369
MAPDs
PROPAFENONE HCL 150 MG TABLET [Rythmol]
(Propafenone HCl)
90 TABLETS   00591058201 54
PDPs
369
MAPDs
PROPAFENONE HCL 225 MG TABLET [Rythmol]
(Propafenone HCl)
90 TABLETS   00591058301 54
PDPs
369
MAPDs
PROPAFENONE HCL 300 MG TABLET [Rythmol]
(Propafenone HCl)
8 TABLETS   53489055301 54
PDPs
369
MAPDs
PROPAFENONE HCL ER 225 MG CAPSULE 12H [Rythmol SR]
()
60 CAPSULES   68462040860 45
PDPs
326
MAPDs
PROPAFENONE HCL ER 325 MG CAPSULE 12H [Rythmol SR]
()
180 CAPSULES   68462040960 45
PDPs
326
MAPDs
PROPAFENONE HCL ER 425 MG CAPSULE 12H [Rythmol SR]
()
90 CAPSULES   68462041060 45
PDPs
326
MAPDs
QINLOCK 50 MG TABLET
(Ripretinib)
TABLETS   73207010130 54
PDPs
369
MAPDs
RabAvert Kit Single Dose 1.0ml Syringe w/diluent
(Rabies Vaccine, PCEC For)
1 syringe   50632001001 54
PDPs
369
MAPDs
RABEPRAZOLE SOD DR 20 MG TABLET DR [AcipHex]
()
30 units   62175030232 24
PDPs
266
MAPDs
RADICAVA ORS STARTER KIT ORAL SUSPENSION
(Edaravone)
50 MLS   70510232102 7
PDPs
121
MAPDs
RALOXIFENE HCL 60 MG TABLET [Evista]
()
90 TABLETS   65162005703 54
PDPs
369
MAPDs
RAMELTEON 8 MG TABLET [Rozerem]
(Ramelteon)
30 TABLETS   70710134403 26
PDPs
212
MAPDs
RAMIPRIL 1.25 MG CAPSULE
(Ramipril)
30 EA   68382014406 54
PDPs
369
MAPDs
RAMIPRIL 10 MG CAPSULE [Altace]
(Ramipril)
90 CAPSULES   65862047705 54
PDPs
369
MAPDs
RAMIPRIL 2.5 MG CAPSULE [Altace]
(Ramipril)
90 capsules   65862047501 54
PDPs
369
MAPDs
RAMIPRIL 5 MG CAPSULE [Altace]
(Ramipril)
90 CAPSULES   65862047605 54
PDPs
369
MAPDs
RANOLAZINE ER 1,000 MG TABLET 12H [Ranexa]
(Ranolazine)
60 TABLETS   27241012602 54
PDPs
369
MAPDs
RANOLAZINE ER 500 MG TABLET 12H [Ranexa]
(Ranolazine)
60 TABLETS   27241012502 54
PDPs
367
MAPDs
RAPAFLO 4 MG CAPSULE
(Silodosin)
30 capsules   00023614730 0
PDPs
4
MAPDs
RAPAFLO 8 MG CAPSULE
(Silodosin)
30 capsules   00023614230 0
PDPs
4
MAPDs
RAPAMUNE 0.5MG TABLETS
(Sirolimus)
100 BOT 00008104005 0
PDPs
6
MAPDs
RAPAMUNE 1MG TABLET
(Sirolimus)
100 BOT 00008104105 0
PDPs
6
MAPDs
RAPAMUNE 1MG/ML ORAL TUBEX
(Sirolimus)
60 ML BOT 00008103006 0
PDPs
9
MAPDs
RAPAMUNE 2MG TABLET
(Sirolimus)
100 BOT 00008104205 0
PDPs
6
MAPDs
RASAGILINE MESYLATE 0.5 MG TABLET [Azilect]
(Rasagiline Mesylate)
30 TABLETS   67877025930 54
PDPs
369
MAPDs
RASAGILINE MESYLATE 1 MG TABLET [Azilect]
(Rasagiline Mesylate)
30 TABLETS   42571022130 54
PDPs
369
MAPDs
RASUVO 10 MG/0.2 ML AUTOINJ
(Methotrexate)
    59137051004 5
PDPs
78
MAPDs
RASUVO 12.5 MG/0.25 ML AUTOINJ
(Methotrexate)
    59137051504 5
PDPs
78
MAPDs
RASUVO 15 MG/0.3 ML AUTOINJ
(Methotrexate)
    59137052004 5
PDPs
78
MAPDs
RASUVO 17.5 MG/0.35 ML AUTOINJ
(Methotrexate)
    59137052504 5
PDPs
78
MAPDs
RASUVO 20 MG/0.4 ML AUTOINJ
(Methotrexate)
    59137053004 5
PDPs
78
MAPDs
RASUVO 22.5 MG/0.45 ML AUTOINJ
(Methotrexate)
    59137053504 5
PDPs
78
MAPDs
RASUVO 25 MG/0.5 ML AUTOINJ
(Methotrexate)
    59137054004 5
PDPs
78
MAPDs
RASUVO 30 MG/0.6 ML AUTOINJ
(Methotrexate)
    59137055004 5
PDPs
78
MAPDs
RASUVO 7.5 MG/0.15 ML AUTOINJ
(Methotrexate)
    59137050504 5
PDPs
78
MAPDs
RAVICTI 1.1 GRAM/ML LIQUID
(Glycerol Phenylbutyrate)
25 ML   75987005006 2
PDPs
146
MAPDs
RAYALDEE ER 30 MCG CAPSULE
(Calcifediol)
    70301100101 17
PDPs
184
MAPDs
RAYOS DR 1 MG TABLET
(prednisone)
    75987002001 0
PDPs
4
MAPDs
RAYOS DR 2 MG TABLET
(prednisone)
    75987002101 0
PDPs
4
MAPDs
RAYOS DR 5 MG TABLET
(prednisone)
    75987002201 0
PDPs
4
MAPDs
REBIF 22ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS   44087002203 2
PDPs
116
MAPDs
REBIF 44ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS   44087004403 3
PDPs
116
MAPDs
REBIF REBIDOSE 22 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087332201 2
PDPs
116
MAPDs
REBIF REBIDOSE 44 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087334401 2
PDPs
116
MAPDs
REBIF REBIDOSE TITRATION PACK
(Interferon Beta-1a)
4.2 ML   44087018801 2
PDPs
116
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)
    44087882201 2
PDPs
118
MAPDs
RECLIPSEN 28 DAY TABLET [Solia]
(Desogestrel, Ethinyl Estradiol;Inert)
28 tablets   00093330416 45
PDPs
341
MAPDs
RECOMBIVAX HB 10 MCG/ML SYR
(Hepatitis B Vaccine (Recombinant))
    00006409402 54
PDPs
369
MAPDs
RECOMBIVAX HB 10 MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
ML   00006499541 54
PDPs
369
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
1 ML VIALSD 00006499200 54
PDPs
369
MAPDs
RECOMBIVAX HB 5 MCG/0.5 ML VL VIAL
(Hepatitis B Vaccine (Recombinant))
ML   00006498101 54
PDPs
369
MAPDs
RECORLEV 150 MG TABLET
(Levoketoconazole)
TABLETS   72065000301 3
PDPs
73
MAPDs
RECTIV 0.4% OINTMENT
(Nitroglycerin)
30 GM   58914030180 54
PDPs
369
MAPDs
REGLAN 10 MG TABLET
(Metoclopramide HCl)
90 TABLETS   62559016601 0
PDPs
4
MAPDs
REGLAN 5 MG TABLET
(Metoclopramide HCl)
90 TABLETS   62559016501 0
PDPs
4
MAPDs
REGRANEX 0.01% GEL
(Becaplermin)
15 GM   50484081015 28
PDPs
274
MAPDs
RELAFEN DS 1,000 MG TABLET
(Nabumetone)
60 TABLETS   15370017030 0
PDPs
4
MAPDs
RELENZA 5MG DISKHALER
(Zanamivir Aero)
5 X 4 BLPK 00173068101 43
PDPs
360
MAPDs
RELEUKO 300 MCG/0.5 ML SYRINGE
(Filgrastim (E. coli))
ML   70121156801 0
PDPs
53
MAPDs
RELEUKO 480 MCG/0.8 ML SYRINGE
(Filgrastim (E. coli))
ML   70121157001 0
PDPs
53
MAPDs
RELEXXII ER 18 MG TABLET 24H
(Methylphenidate Hydrochloride)
30 UNITS   68025009510 0
PDPs
3
MAPDs
RELEXXII ER 27 MG TABLET 24H
(Methylphenidate Hydrochloride)
30 UNITS   68025009610 0
PDPs
3
MAPDs
RELEXXII ER 36 MG TABLET 24H
(Methylphenidate Hydrochloride)
30 UNITS   68025009710 0
PDPs
3
MAPDs
RELEXXII ER 45 MG TABLET 24H
(Methylphenidate Hydrochloride)
30 UNITS   68025008830 0
PDPs
3
MAPDs
RELEXXII ER 63 MG TABLET 24H
(Methylphenidate Hydrochloride)
30 UNITS   68025008930 0
PDPs
3
MAPDs
RELISTOR 12 MG/0.6 ML SYRINGE
(Methylnaltrexone)
.6 ML   65649055103 22
PDPs
238
MAPDs
RELISTOR 12 MG/0.6 ML VIAL
(Methylnaltrexone)
    65649055102 22
PDPs
241
MAPDs
RELISTOR 150 MG TABLET
(Methylnaltrexone)
    65649015090 13
PDPs
97
MAPDs
RELISTOR 8 MG/0.4 ML SYRINGE
(Methylnaltrexone)
.4 ML   65649055204 22
PDPs
237
MAPDs
RELPAX 20MG TABLET
(Eletriptan Hydrobromide)
6 BLPK 00049233045 0
PDPs
1
MAPDs
RELPAX 40 MG TABLET
(Eletriptan Hydrobromide)
6.000 EA   00049234045 0
PDPs
1
MAPDs
RELTONE 200 MG CAPSULE
()
CAPSULES   80056014301 0
PDPs
43
MAPDs
RELTONE 400 MG CAPSULE
()
CAPSULES   80056014401 0
PDPs
43
MAPDs
RELYVRIO 3 GM-1 GM POWDER PACKET
(Sodium Phenylbutyrate, Taurursodiol)
35 UNITS   73063003503 1
PDPs
76
MAPDs
REMERON 15 MG TABLET
(Mirtazapine)
30 TABLETS   78206016001 0
PDPs
4
MAPDs
REMERON 30 MG TABLET
(Mirtazapine)
30 TABLETS   78206016101 0
PDPs
4
MAPDs
REMERON SOLTAB 15 MG TABLET RAPDIS
(Mirtazapine)
30 UNITS   78206015601 0
PDPs
4
MAPDs
REMERON SOLTAB 30 MG TABLET RAPDIS
(Mirtazapine)
30 UNITS   78206015801 0
PDPs
4
MAPDs
REMERON SOLTAB 45 MG TABLET RAPDIS
(Mirtazapine)
30 UNITS   78206015901 0
PDPs
4
MAPDs
RENVELA 800 MG TABLET
(Sevelamer Carbonate)
270 TABLETS   58468013301 2
PDPs
4
MAPDs
REPAGLINIDE 0.5 MG TABLET [Prandin]
()
90 tablets   57237015701 54
PDPs
369
MAPDs
REPAGLINIDE 1 MG TABLET [Prandin]
()
90 tablets   57237015801 54
PDPs
369
MAPDs
REPAGLINIDE 2 MG TABLET [Prandin]
()
90 TABLETS   57237015901 54
PDPs
369
MAPDs
REPATHA 140 MG/ML SURECLICK PEN INJCTR
(Evolocumab)
2 mls   72511076002 51
PDPs
354
MAPDs
REPATHA 140 MG/ML SYRINGE
(Evolocumab)
2 mls   72511075001 51
PDPs
352
MAPDs
REPATHA 420 MG/3.5ML PUSHTRONX WEAR INJCT
(Evolocumab)
3.5 mls   72511077001 51
PDPs
352
MAPDs
RESTASIS 0.05% EYE EMULSION
(Cyclosporine (Ophth))
60 EA   00023916360 49
PDPs
238
MAPDs
RESTASIS MULTIDOSE 0.05% EYE DROPS
(Cyclosporine (Ophth))
5.5 MLS   00023530105 48
PDPs
246
MAPDs
RETACRIT 10,000 UNIT/ML VIAL
(Epoetin Alfa)
2 mls   00069130810 29
PDPs
275
MAPDs
RETACRIT 2,000 UNIT/ML VIAL
(Epoetin Alfa)
ml   00069130510 29
PDPs
275
MAPDs
RETACRIT 20,000 UNIT/2 ML VIAL
(Epoetin Alfa)
2 MLS   00069131810 29
PDPs
268
MAPDs
RETACRIT 20,000 UNIT/ML VIAL
(Epoetin Alfa)
4 MLS   00069131110 29
PDPs
275
MAPDs
RETACRIT 3,000 UNIT/ML VIAL
(Epoetin Alfa)
ml   00069130610 29
PDPs
275
MAPDs
RETACRIT 4,000 UNIT/ML VIAL
(Epoetin Alfa)
2 mls   00069130710 29
PDPs
275
MAPDs
RETACRIT 40,000 UNIT/ML VIAL
(Epoetin Alfa)
4 mls   00069130904 29
PDPs
275
MAPDs
RETEVMO 40 MG CAPSULE
(Selpercatinib)
CAPSULES   00002397760 54
PDPs
369
MAPDs
RETEVMO 80 MG CAPSULE
(Selpercatinib)
60 CAPSULES   00002298026 54
PDPs
369
MAPDs
RETIN-A 0.01% GEL
(Tretinoin)
45 grams   00187517215 0
PDPs
6
MAPDs
RETIN-A 0.025% GEL
(Tretinoin)
    00187517015 0
PDPs
6
MAPDs
RETIN-A 0.1% CREAM (g)
(Tretinoin)
45 grams   00187516420 0
PDPs
6
MAPDs
RETIN-A MICRO 0.04% GEL
(Tretinoin)
    00187514445 0
PDPs
3
MAPDs
RETIN-A MICRO 0.1% GEL
(Tretinoin Microsphere)
    00187514045 0
PDPs
3
MAPDs
RETIN-A MICRO PUMP 0.06% GEL
(Tretinoin Microsphere)
    00187514650 1
PDPs
7
MAPDs
RETIN-A MICRO PUMP 0.08% GEL
(Tretinoin)
    00187514850 0
PDPs
6
MAPDs
RETROVIR 100mg/1 100 CAPSULE BOTTLE
(Zidovudine)
100 CAPSULE BOTTLE   49702021120 0
PDPs
5
MAPDs
RETROVIR 50mg/5mL 240 mL in 1 BOTTLE
(Zidovudine)
240 mL in 1 BOTTLE   49702021248 0
PDPs
5
MAPDs
REVATIO 10 MG/ML ORAL SUSP
(Sildenafil Citrate)
112 ML   00069033621 0
PDPs
1
MAPDs
REVATIO 20MG TABLET
(Sildenafil Citrate)
90 BOT 00069419068 0
PDPs
1
MAPDs
REVCOVI 2.4 MG/1.5 ML VIAL
(Elapegademase)
MLS   10122050201 29
PDPs
131
MAPDs
REVLIMID 10 MG CAPSULE
(Lenalidomide)
28.000 EA   59572041028 34
PDPs
201
MAPDs
REVLIMID 15MG CAPSULE 21 BOTTLE
(Lenalidomide)
21 BOT 59572041521 34
PDPs
201
MAPDs
REVLIMID 2.5 MG CAPSULE
(Lenalidomide)
28.000 EA   59572040228 34
PDPs
205
MAPDs
REVLIMID 20 MG CAPSULE
(Lenalidomide)
21.000 EA   59572042021 34
PDPs
205
MAPDs
REVLIMID 25 MG CAPSULE
(Lenalidomide)
21.000 EA   59572042521 34
PDPs
201
MAPDs
REVLIMID 5 MG CAPSULE
(Lenalidomide)
28.000 EA   59572040528 34
PDPs
201
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
REYATAZ 200MG CAPSULE
(Atazanavir Sulfate)
100 BOT 00003363112 0
PDPs
4
MAPDs
REYATAZ 300MG CAPSULE
(Atazanavir Sulfate)
30 BOT 00003362212 0
PDPs
4
MAPDs
REYATAZ 50 MG POWDER PACKET
(Atazanavir Sulfate)
    00003363810 54
PDPs
369
MAPDs
REYVOW 100 MG TABLET
(Lasmiditan)
8 TABLETS   00002449108 1
PDPs
51
MAPDs
REYVOW 50 MG TABLET
(Lasmiditan)
8 TABLETS   00002431208 1
PDPs
51
MAPDs
REZLIDHIA 150 MG CAPSULE
(Olutasidenib)
CAPSULES   71332000501 54
PDPs
369
MAPDs
REZUROCK 200 MG TABLET
(Belumosudil)
TABLETS   79802020030 33
PDPs
330
MAPDs
REZVOGLAR 100 UNIT/ML INSULN KWIKPEN
(Insulin Glargine)
15 MLS   00002898005 0
PDPs
9
MAPDs
RHOFADE 1% CREAM (G)
(Oxymetazoline)
30 GRAMS   71403000330 0
PDPs
3
MAPDs
RHOPRESSA 0.02% OPHTH SOLUTION Drops
(Netarsudil)
2.5 mls   70727049725 40
PDPs
345
MAPDs
RIBAVIRIN 200 MG CAPSULE [Ribasphere]
()
16 CAPSULES   65862029084 44
PDPs
344
MAPDs
RIBAVIRIN 200 MG TABLET [Ribasphere]
()
140 TABLETS   65862020768 54
PDPs
366
MAPDs
RIDAURA 3 MG CAPSULE
(Auranofin)
    54766009306 13
PDPs
196
MAPDs
RIFABUTIN 150 MG CAPSULE [Mycobutin]
(Rifabutin)
60 CAPSULES   59762135001 54
PDPs
369
MAPDs
RIFAMPIN 150 MG CAPSULE
(Rifampin)
30.000 EA   68180065806 54
PDPs
369
MAPDs
RIFAMPIN 300 MG CAPSULE [Rimactane]
()
60 CAPSULES   68180065907 54
PDPs
369
MAPDs
RIFAMPIN IV 600 MG VIAL [Rifadin IV]
(Rifampin)
ML   67457044560 54
PDPs
369
MAPDs
RILUTEK 50 MG TABLET
(Riluzole)
    70515070060 0
PDPs
1
MAPDs
RILUZOLE 50 MG TABLET [Rilutek]
(Riluzole)
60 tablets   67877028660 54
PDPs
369
MAPDs
Rimantadine 100mg/1 100 TABLET BOTTLE
(Rimantadine)
100 TABLET in 1 BOTTLE   00115191101 30
PDPs
320
MAPDs
RINVOQ ER 15 MG TABLET ER 24H
(Upadacitinib)
TABLETs   00074230630 52
PDPs
364
MAPDs
RINVOQ ER 30 MG TABLET 24H
(Upadacitinib)
TABLETS   00074231030 52
PDPs
361
MAPDs
RINVOQ ER 45 MG TABLET ER 24H
(Upadacitinib)
TABLETS   00074104328 52
PDPs
361
MAPDs
RISEDRONATE SODIUM 150 MG TABLET [Actonel]
(Risedronate Sodium)
3 TABLETS   00093777179 17
PDPs
321
MAPDs
RISEDRONATE SODIUM 30 MG TABLET [Actonel]
(Risedronate Sodium)
30 EA   00093310056 15
PDPs
287
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
4 TABLETS   33342010937 16
PDPs
317
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
4 tablets   33342010950 16
PDPs
317
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
4.000 EA   60505316500 16
PDPs
323
MAPDs
RISEDRONATE SODIUM 5 MG TABLET [Actonel]
(Risedronate Sodium)
30 tablets   33342010707 16
PDPs
312
MAPDs
RISEDRONATE SODIUM DR 35 MG TABLET DR [Atelvia]
()
4 UNITS   59762040704 15
PDPs
260
MAPDs
RISPERDAL 0.5 MG TABLET
(Risperidone)
30 tablets   50458030206 0
PDPs
4
MAPDs
RISPERDAL 1 MG TABLET
(Risperidone)
30 tablets   50458030006 0
PDPs
4
MAPDs
RISPERDAL 1MG/ML SOLUTION
(Risperidone)
30 ML BOT 50458030503 0
PDPs
4
MAPDs
RISPERDAL 2 MG TABLET
(Risperidone)
60.000 EA   50458032006 0
PDPs
4
MAPDs
RISPERDAL 3 MG TABLET
(Risperidone)
30 tablets   50458033006 0
PDPs
4
MAPDs
RISPERDAL 4 MG TABLET
(Risperidone)
60 EA   50458035006 0
PDPs
4
MAPDs
RISPERDAL CONSTA 25MG SYR
(Risperidone Microspheres For)
25 MG VIAL DSPK 50458030611 54
PDPs
369
MAPDs
RISPERDAL CONSTA 37.5MG SYR
(Risperidone Microspheres For)
37.5 MG VIAL DSPK 50458030711 54
PDPs
369
MAPDs
RISPERDAL CONSTA 50MG SYR
(Risperidone Microspheres For)
50 MG VIAL DSPK 50458030811 54
PDPs
369
MAPDs
RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL
(Risperidone Microspheres For)
12.5 MG VIAL DSPK 50458030911 54
PDPs
369
MAPDs
RISPERIDONE 0.25 MG TABLET [Risperdal]
(Risperidone)
30 TABLETS   43547033906 54
PDPs
369
MAPDs
RISPERIDONE 0.5 MG ODT TABLET RAPDIS [Risperdal M-Tab]
(Risperidone)
60 UNITS   59746001032 54
PDPs
369
MAPDs
RISPERIDONE 0.5 MG TABLET [Risperdal]
(Risperidone)
30 TABLETS   43547034050 54
PDPs
369
MAPDs
RISPERIDONE 1 MG ODT TABLET RAPDIS [Risperdal M-Tab]
()
30 units   59746002022 54
PDPs
369
MAPDs
RISPERIDONE 1 MG TABLET [Risperdal]
(Risperidone)
30 TABLETS   43547034150 54
PDPs
369
MAPDs
RISPERIDONE 1 MG/ML SOLUTION [Risperdal]
(Risperidone)
30 MLS   65162067384 54
PDPs
369
MAPDs
RISPERIDONE 2 MG ODT TABLET RAPDIS [Risperdal M-Tab]
()
30 UNITS   59746003022 54
PDPs
369
MAPDs
RISPERIDONE 2 MG TABLET [Risperdal]
(Risperidone)
30 TABLETS   43547034250 54
PDPs
369
MAPDs
RISPERIDONE 3 MG ODT TABLET RAPDIS [Risperdal M-Tab]
()
14 UNITS   59746004022 54
PDPs
369
MAPDs
RISPERIDONE 3 MG TABLET [Risperdal]
(Risperidone)
30 TABLETS   43547034306 54
PDPs
369
MAPDs
RISPERIDONE 4 MG ODT TABLET RAPDIS [Risperdal M-Tab]
()
18 UNITS   59746005022 54
PDPs
369
MAPDs
RISPERIDONE 4 MG TABLET [Risperdal]
(Risperidone)
30 TABLETS   43547034406 54
PDPs
369
MAPDs
RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK
(Risperidone)
4 IN 1 BLPK 49884021255 54
PDPs
369
MAPDs
RITALIN 10MG TABLET
(Methylphenidate HCl)
100 BOT 00078044005 0
PDPs
5
MAPDs
RITALIN 20MG TABLET
(Methylphenidate HCl)
100 BOT 00078044105 0
PDPs
5
MAPDs
RITALIN 5MG TABLET
(Methylphenidate HCl)
100 BOT 00078043905 0
PDPs
5
MAPDs
RITALIN LA 10MG CAPSULE
(Methylphenidate HCl)
100 BOT 00078042405 0
PDPs
1
MAPDs
RITALIN LA 20MG CAPSULE
(Methylphenidate HCl)
100 BOT 00078037005 0
PDPs
1
MAPDs
RITALIN LA 30MG CAPSULE
(Methylphenidate HCl)
100 BOT 00078037105 0
PDPs
1
MAPDs
RITALIN LA 40MG CAPSULE
(Methylphenidate HCl)
100 BOT 00078037205 0
PDPs
1
MAPDs
RITONAVIR 100 MG TABLET [Norvir]
()
30 TABLETS   65862068730 54
PDPs
369
MAPDs
RIVASTIGMINE 1.5 MG CAPSULE [Exelon]
(Rivastigmine Tartrate)
60 CAPSULES   65862064860 54
PDPs
369
MAPDs
RIVASTIGMINE 13.3 MG/24HR PATCH [Exelon Patch]
()
30 PATCHES   00781731331 43
PDPs
365
MAPDs
RIVASTIGMINE 3 MG CAPSULE [Exelon]
(Rivastigmine Tartrate)
60 CAPSULES   65862064960 54
PDPs
369
MAPDs
RIVASTIGMINE 4.5 MG CAPSULE [Exelon]
(Rivastigmine Tartrate)
180 CAPSULES   65862065060 54
PDPs
369
MAPDs
RIVASTIGMINE 4.6 MG/24HR PATCH [Exelon Patch]
()
30 PATCHES   00781730431 43
PDPs
365
MAPDs
RIVASTIGMINE 6 MG CAPSULE [Exelon]
(Rivastigmine Tartrate)
180 CAPSULES   65862065160 54
PDPs
369
MAPDs
RIVASTIGMINE 9.5 MG/24HR PATCH [Exelon Patch]
()
30 PATCHES   00781730931 43
PDPs
365
MAPDs
RIVELSA TABLET TBDSPK 3MO
(Ethinyl Estradiol and Levonorgestrel)
    00093603182 16
PDPs
128
MAPDs
RIZATRIPTAN 10 MG ODT TABLET RAPDIS [Maxalt-MLT]
(Rizatriptan Benzoate)
9 UNITS   33342009441 54
PDPs
367
MAPDs
RIZATRIPTAN 10 MG TABLET [Maxalt]
(Rizatriptan)
9 tablets   67877026218 54
PDPs
367
MAPDs
RIZATRIPTAN 5 MG ODT TABLET RAPDIS [Maxalt-MLT]
(Rizatriptan Benzoate)
9 UNITS   33342009341 54
PDPs
367
MAPDs
RIZATRIPTAN 5 MG TABLET [Maxalt]
(Rizatriptan)
9 TABLETS   67877026118 54
PDPs
367
MAPDs
ROBINUL 1 MG TABLET
(Glycopyrrolate)
60 TABLETS   70199000790 0
PDPs
2
MAPDs
ROBINUL FORTE 2 MG TABLET
(Glycopyrrolate)
60 TABLETS   70199000890 0
PDPs
2
MAPDs
ROCALTROL 0.25 MCG CAPSULE
(Calcitriol)
30 CAPSULES   30698014323 0
PDPs
5
MAPDs
Rocaltrol 0.5ug GELATIN COATED 100 CAPSULE BOTTLE
(Calcitriol)
100 CAPSULE BOTTLE   30698014401 0
PDPs
5
MAPDs
Rocaltrol 1ug/mL 15 mL in 1 BOTTLE
(Calcitriol)
15 mL in 1 BOTTLE   30698091115 0
PDPs
5
MAPDs
ROCKLATAN 0.02%-0.005% EYE DROPS
(Netarsudil, Latanoprost)
2.5 mls   70727052925 39
PDPs
329
MAPDs
ROFLUMILAST 250 MCG TABLET [Daliresp]
()
30 TABLETS   72205020132 50
PDPs
363
MAPDs
ROFLUMILAST 500 MCG TABLET [Daliresp]
()
30 TABLETS   31722062330 54
PDPs
369
MAPDs
ROPINIROLE HCL 0.25 MG TABLET
(Ropinirole Hydrochloride)
100.000 EA   43547026810 54
PDPs
369
MAPDs
ROPINIROLE HCL 0.5 MG TABLET
(Ropinirole Hydrochloride)
100.000 EA   43547026910 54
PDPs
369
MAPDs
ROPINIROLE HCL 1 MG TABLET [Requip]
(Ropinirole Hydrochloride)
60 tablets   62332003231 54
PDPs
369
MAPDs
ROPINIROLE HCL 2 MG TABLET [Requip]
(Ropinirole Hydrochloride)
30 TABLETS   68462025601 54
PDPs
369
MAPDs
ROPINIROLE HCL 3 MG TABLET
(Ropinirole Hydrochloride)
100.000 EA   43547027210 54
PDPs
369
MAPDs
ROPINIROLE HCL 4 MG TABLET
(Ropinirole Hydrochloride)
100.000 EA   43547027310 54
PDPs
369
MAPDs
ROPINIROLE HCL 5 MG TABLET
(Ropinirole Hydrochloride)
100.000 EA   43547027410 54
PDPs
369
MAPDs
ROPINIROLE HCL ER 12 MG TABLET 24H [Requip XL]
()
30 tablets   55111072830 16
PDPs
237
MAPDs
ROPINIROLE HCL ER 2 MG TABLET 24H [Requip XL]
()
30 tablets   55111065930 16
PDPs
237
MAPDs
ROPINIROLE HCL ER 4 MG TABLET 24H [Requip XL]
()
30 TABLETS   55111066130 16
PDPs
237
MAPDs
ROPINIROLE HCL ER 6 MG TABLET 24H [Requip XL]
()
30 tablets   55111072730 16
PDPs
237
MAPDs
ROPINIROLE HCL ER 8 MG TABLET 24H [Requip XL]
()
30 TABLETS   55111066230 16
PDPs
237
MAPDs
ROSUVASTATIN CALCIUM 10 MG TABLET [Crestor]
(Rosuvastatin Calcium)
30 TABLETS   68462026290 54
PDPs
369
MAPDs
ROSUVASTATIN CALCIUM 20 MG TABLET [Crestor]
(Rosuvastatin Calcium)
30 TABLETS   72205000490 54
PDPs
369
MAPDs
ROSUVASTATIN CALCIUM 40 MG TABLET [Crestor]
(Rosuvastatin Calcium)
90 tablets   31722088530 54
PDPs
369
MAPDs
ROSUVASTATIN CALCIUM 5 MG TABLET [Crestor]
(Rosuvastatin Calcium)
90 TABLETS   72205002790 54
PDPs
369
MAPDs
ROTARIX VACCINE SUSPENSION
(live rotavirus vaccine)
    58160085452 54
PDPs
369
MAPDs
ROTATEQ VACCINE SOLUTION
(Rotavirus Vaccine, Live Oral Pentavalent)
mls   00006404741 54
PDPs
369
MAPDs
Rotavirus Vaccine, Live, Oral
(Rotavirus Vaccine, Live, Oral)
  58160074002 54
PDPs
369
MAPDs
ROWASA 4 GM/60 ML ENEMA KIT
(Mesalamine)
1 UNIT   00037006605 0
PDPs
7
MAPDs
ROWEEPRA 500 MG TABLET
(Levetiracetam)
60 TABLETS   69102010501 53
PDPs
279
MAPDs
ROXICODONE 15 MG TABLET
(Oxycodone HCl)
100 EA   23635058110 0
PDPs
4
MAPDs
ROXICODONE 30 MG TABLET
(Oxycodone HCl)
    23635058210 0
PDPs
4
MAPDs
ROXYBOND 15 MG TABLET ORL
(Oxycodone HCl)
30 UNITS   81140010210 0
PDPs
4
MAPDs
ROXYBOND 30 MG TABLET ORL
(Oxycodone HCl)
UNITS   81140010310 0
PDPs
4
MAPDs
ROXYBOND 5 MG TABLET ORL
(Oxycodone HCl)
30 UNITS   81140010110 0
PDPs
4
MAPDs
ROZEREM 8 MG TABLET
(Ramelteon)
30.000 EA   64764080530 0
PDPs
4
MAPDs
ROZLYTREK 100 MG CAPSULE
(Entrectinib)
capsules   50242009130 54
PDPs
369
MAPDs
ROZLYTREK 200 MG CAPSULE
(Entrectinib)
capsules   50242009490 54
PDPs
369
MAPDs
RUBRACA 200 MG TABLET
(RUCAPARIB CAMSYLATE)
60.000 EA   69660020191 54
PDPs
369
MAPDs
RUBRACA 250 MG TABLET
(RUCAPARIB CAMSYLATE)
60   69660020291 54
PDPs
369
MAPDs
RUBRACA 300 MG TABLET
(RUCAPARIB CAMSYLATE)
    69660020391 54
PDPs
369
MAPDs
RUCONEST 2,100 UNIT VIAL
(C1 Esterase Inhibitor (Recombinant))
ML   71274035002 1
PDPs
66
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
RUKOBIA ER 600 MG TABLETLET 12H
(Fostemsavir)
TABLETS   49702025018 54
PDPs
369
MAPDs
RYALTRIS 665-25 MCG SPRAY/PUMP
(Olopatadine, Mometasone)
GRAMS   59467070027 3
PDPs
10
MAPDs
RYBELSUS 14 MG TABLET
(Semaglutide)
30 TABLETS   00169431430 49
PDPs
337
MAPDs
RYBELSUS 3 MG TABLET
(Semaglutide)
30 TABLETS   00169430330 49
PDPs
337
MAPDs
RYBELSUS 7 MG TABLET
(Semaglutide)
30 TABLETS   00169430730 49
PDPs
337
MAPDs
RYDAPT 25 MG CAPSULE
(Midostaurin)
56 EA   00078069899 54
PDPs
369
MAPDs
RYTARY ER 23.75 MG-95 MG CAPSULE
(Levodopa and Carbidopa)
100.000 EA   64896066101 19
PDPs
135
MAPDs
RYTARY ER 36.25 MG-145 MG CAPSULE
(Levodopa and Carbidopa)
100.000 EA   64896066201 19
PDPs
135
MAPDs
RYTARY ER 48.75 MG-195 MG CAPSULE
(Levodopa and Carbidopa)
100.000 EA   64896066301 19
PDPs
135
MAPDs
RYTARY ER 61.25 MG-245 MG CAPSULE
(Levodopa and Carbidopa)
100.000 EA   64896066401 19
PDPs
135
MAPDs
RYTHMOL SR 225mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE
(Propafenone HCl)
60 CAPSULE, EXTENDED RELE   00173082318 0
PDPs
4
MAPDs
RYTHMOL SR 325mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE
(Propafenone HCl)
60 CAPSULE, EXTENDED RELE   00173082418 0
PDPs
4
MAPDs
RYTHMOL SR 425mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE
(Propafenone HCl)
60 CAPSULE, EXTENDED RELE   00173082618 0
PDPs
4
MAPDs
SEVELAMER 0.8 GM POWDER PACKET [RENVELA]
(Sevelamer Carbonate)
90 EA   65862093090 46
PDPs
321
MAPDs
SEVELAMER 2.4 GM POWDER PACKET POWDER PACK [Renvela]
(Sevelamer Carbonate)
    65862093190 46
PDPs
323
MAPDs
SEVELAMER CARBONATE 26.7 MG/ML ORAL SUSPENSION [RENVELA]
(Sevelamer Carbonate)
    58468013202 2
PDPs
4
MAPDs
SEVELAMER CARBONATE 40 MG/ML ORAL SUSPENSION [RENVELA]
(Sevelamer Carbonate)
    58468013102 2
PDPs
4
MAPDs
SEVELAMER CARBONATE 800 MG TABLET [Renvela]
(Sevelamer Carbonate)
90 TABLETS   65862092127 51
PDPs
363
MAPDs
SEVELAMER HCL 400 MG TABLET [RenaGel]
(Sevelamer Hydrochloride)
90 TABLETs   68462044626 2
PDPs
95
MAPDs
SEVELAMER HCL 800 MG TABLET [RenaGel]
(Sevelamer Hydrochloride)
90 TABLETs   68462044718 2
PDPs
64
MAPDs
SILDENAFIL 10 MG/ML ORAL SUSPENSION [Revatio]
(Sildenafil)
80 MLS   70954016810 3
PDPs
47
MAPDs
SILDENAFIL 20 MG TABLET [Revatio]
(Sildenafil)
30 TABLETS   65862068890 54
PDPs
369
MAPDs
SILODOSIN 4 MG CAPSULE [Rapaflo]
(Silodosin)
30 CAPSULES   59651009530 27
PDPs
226
MAPDs
SILODOSIN 8 MG CAPSULE [Rapaflo]
(Silodosin)
30 CAPSULES   59651009630 27
PDPs
226
MAPDs
SIROLIMUS 0.5 MG TABLET [Rapamune]
()
    68382052001 54
PDPs
369
MAPDs
SIROLIMUS 1 MG TABLET [Rapamune]
()
100 EA   55111065301 54
PDPs
369
MAPDs
SIROLIMUS 1 MG/ML SOLUTION [Rapamune]
()
60 mls   66689034702 54
PDPs
367
MAPDs
SIROLIMUS 2 MG TABLET [Rapamune]
()
100 EA   55111065401 54
PDPs
369
MAPDs
SKYRIZI 150 MG/ML PEN INJECTOR
(Risankizumab)
1 ML   00074210001 52
PDPs
364
MAPDs
SKYRIZI 150 MG/ML SYRINGE
(Risankizumab)
1 ML   00074105001 52
PDPs
364
MAPDs
SKYRIZI 180 MG/1.2 ML ON-BODY WEAR INJCT
(Risankizumab)
MLS   00074106501 52
PDPs
364
MAPDs
SKYRIZI 360 MG/2.4 ML ON-BODY WEAR INJCT
(Risankizumab)
0.8 ML   00074107001 52
PDPs
364
MAPDs
TALICIA DR 10-250-12.5 MG CAPSULE IR
()
168 UNITS   57841115002 3
PDPs
14
MAPDs
TEMAZEPAM 15 MG CAPSULE [Restoril]
(Temazepam)
30 capsules   67877014601 50
PDPs
343
MAPDs
TEMAZEPAM 22.5 MG CAPSULE [Restoril]
(Temazepam)
30 CAPSULES   43547061303 4
PDPs
70
MAPDs
TEMAZEPAM 30 MG CAPSULE [Restoril]
(Temazepam)
30 CAPSULES   67877014701 50
PDPs
343
MAPDs
TEMAZEPAM 7.5 MG CAPSULE [Restoril]
(Temazepam)
30 CAPSULES   43547061110 19
PDPs
152
MAPDs
TIGLUTIK 50 MG/10 ML Oral Suspension
(Riluzole)
mls   70726030301 3
PDPs
33
MAPDs
Tretinoin 0.0004 MG/MG Topical Gel
(Tretinoin)
    68682051494 2
PDPs
45
MAPDs
Tretinoin 0.25 MG/ML Topical Cream [Retin-A]
(Tretinoin)
    00187516020 0
PDPs
6
MAPDs
Tretinoin 0.5 MG/ML Topical Cream [Retin-A]
(Tretinoin)
    00187516220 0
PDPs
6
MAPDs
TRETINOIN GEL MICRO 0.08% W/PUMP [Retin-A Micro]
()
50 GRAMS   21922004340 0
PDPs
13
MAPDs
TRETINOIN GEL MICRO 0.1% TUBE [Retin-A Micro]
()
45 GRAMS   00378809345 5
PDPs
46
MAPDs
URSODIOL 200 MG CAPSULE [Reltone]
()
60 CAPSULES   72887014306 1
PDPs
14
MAPDs
URSODIOL 400 MG CAPSULE [Reltone]
()
60 CAPSULES   72887014406 1
PDPs
8
MAPDs
UZEDY ER 100 MG/0.28 ML SYRINGE
(Risperidone)
ML   51759052010 23
PDPs
199
MAPDs
UZEDY ER 125 MG/0.35 ML SYRINGE
(Risperidone)
ML   51759063010 23
PDPs
199
MAPDs
UZEDY ER 150 MG/0.42 ML SYRINGE
(Risperidone)
ML   51759074010 23
PDPs
199
MAPDs
UZEDY ER 200 MG/0.56 ML SYRINGE
(Risperidone)
ML   51759085010 23
PDPs
199
MAPDs
UZEDY ER 250 MG/0.7 ML SYRINGE
(Risperidone)
ML   51759096010 23
PDPs
199
MAPDs
UZEDY ER 50 MG/0.14 ML SYRINGE
(Risperidone)
ML   51759030510 23
PDPs
199
MAPDs
UZEDY ER 75 MG/0.21 ML SYRINGE
(Risperidone)
ML   51759041010 23
PDPs
199
MAPDs
VARUBI 90 MG TABLET
(Rolapitant)
tablets   70720010102 1
PDPs
97
MAPDs
XARELTO 1 MG/ML ORAL SUSPENSION
(Rivaroxaban)
MLS   50458057501 44
PDPs
319
MAPDs
XARELTO 10 MG TABLET
(Rivaroxaban)
30.000 EA   50458058030 54
PDPs
369
MAPDs
XARELTO 15 MG TABLET
(Rivaroxaban)
30.000 EA   50458057830 54
PDPs
369
MAPDs
XARELTO 2.5 MG TABLET
(Rivaroxaban)
60 tablets   50458057760 54
PDPs
369
MAPDs
XARELTO 20 MG TABLET
(Rivaroxaban)
30.000 EA   50458057930 54
PDPs
369
MAPDs
XARELTO STARTER PACK
(Rivaroxaban)
51 EA   50458058451 54
PDPs
369
MAPDs
XIFAXAN 200MG TABLET
(Rifaximin)
30 BOT 65649030103 19
PDPs
237
MAPDs
XIFAXAN 550 MG TABLET
(Rifaximin)
60.000 EA   65649030302 54
PDPs
369
MAPDs
YUPELRI 175 MCG/3 ML SOLUTION VIAL-NEB
(Revefenacin)
MLS   49502080693 1
PDPs
51
MAPDs
ZORYVE 0.3% CREAM (G)
(Roflumilast)
60 GRAMS   80610013060 0
PDPs
45
MAPDs






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    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • 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.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • 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.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • 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.