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May 2020 Medicare Drug List Updates: Twenty-six (26) medications added to 2020 Medicare Part D Drug plan formularies.

Category: Monthly Formulary Changes
Published: May, 23 2020 01:05:46


We now have the recently released May 2020 Medicare Part D prescription drug plan formulary (drug lists) data online and included in our Formulary Browser and Drug Finder.  The May formulary updates include the addition of 40 new National Drug Codes (NDCs), representing 26 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 May 2020 Formulary update include twelve newly-added generic drugs:   The May Medicare Part D drug data includes 12 new generic medications, five of which are newly-introduced generic drugs.  These drugs include:
  • ACETAMIN-CAF-DIHYDROCODEIN [Panlor®],
  • BIVIGAM [Panzyga®],
  • BUTALBITAL-ACETAMINOPHN [Allzital®],
  • CARBINOXAMINE MALEATE [Palgic®], and
  • PREDNISONE [Predone®].

You can see our article "May 2020 Drug List Updates: Twelve (12) new generic drugs added to many Medicare Part D plan formularies" found at https://Q1News.com/825.html for more about coverage the new generics.


The May 2020 Formulary update includes fourteen (14) newly-added brand-name drugs:  The May drug data updates also include 14 new brand-name drugs, seven (7) of which are newly introduced brand-name drugs, some with multiple strengths. These drugs include:
  • AEMCOLO®,
  • JORNAY®,
  • ODACTRA 12®,
  • REYVOW®,
  • SECUADO®,
  • TAZVERIK®, and
  • VALTOCO®.

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 40 new NDCs is as follows:

Reason for NDC Addition Occurrences
New Delivery Form and Strength 1
New Drug 15
New Drug and Strength 14
New Manufacturer and Strength 3
New Strength 7
Total New NDCs 40

The following chart details the 40 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
71993030030 ACETAMIN-CAF-DIHYDROCODEIN 325 TABLET [Panlor] 0 7 New Drug
71068000110 AEMCOLO DR 194 MG TABLET 1 13 New Drug
00023588615 ALORA 0.05 MG PATCH TDSW [Vivelle-Dot] 2 44 New Strength
00185021101 BENAZEPRIL-HCTZ 20-12.5 MG TABLET [Lotensin HCT] 64 361 New Manufacturer and Strength
69800650201 BIVIGAM 10% VIAL [Panzyga] 25 197 New Drug
71993030110 BUTALBITAL-ACETAMINOPHN 25-325 TABLET [Allzital] 2 8 New Drug
44523082501 CARBINOXAMINE MALEATE 4 MG TABLET [Palgic] 0 72 New Drug
68791010204 DERMA-SMOOTHE-FS SCALP OIL 0 9 New Drug
68791010320 DERMOTIC OIL 0.01% EAR DROPS 2 12 New Drug
68180089173 ENSKYCE 28 TABLET [Solia] 61 359 New Drug
17139061740 ESTROGEL 0.06% GEL MD PMP 0 16 New Drug
52709150103 GRASTEK 2,800 BAU SUBLIGUAL TABLET 7 34 New Drug
71376020503 JORNAY PM 100 MG CAPSULE ER SP 0 1 New Drug and Strength
71376020103 JORNAY PM 20 MG CAPSULE ER SP 0 1 New Drug and Strength
71376020203 JORNAY PM 40 MG CAPSULE ER SP 0 1 New Drug and Strength
71376020303 JORNAY PM 60 MG CAPSULE ER SP 0 1 New Drug and Strength
71376020403 JORNAY PM 80 MG CAPSULE ER SP 0 1 New Drug and Strength
00409767003 NORMOSOL-R PH 7.4 IV SOLUTION 45 318 New Drug
52709170103 ODACTRA 12 SQ-HDM SUBLIGUAL TABLET 3 29 New Drug
00054001829 PREDNISONE 20 MG TABLET [Predone] 67 384 New Drug
00172435770 RANITIDINE 150 MG TABLET [Zantac] 67 380 New Manufacturer and Strength
00002449108 REYVOW 100 MG TABLET 1 10 New Drug and Strength
00002431208 REYVOW 50 MG TABLET 1 10 New Drug and Strength
10631001917 RIOMET ER 500 MG/5 ML SUSP ER REC 1 72 New Delivery Form and Strength
68968017203 SECUADO 3.8 MG/24 HR PATCH 66 381 New Drug and Strength
68968017303 SECUADO 5.7 MG/24 HR PATCH 66 381 New Drug and Strength
68968017403 SECUADO 7.6 MG/24 HR PATCH 66 381 New Drug and Strength
00574200316 SODIUM POLYSTYREN SULF 15 G/60 ML ORAL SUSPENSION [SPS] 65 358 New Drug
16110091530 TAZORAC 0.05% CREAM (G) 58 354 New Manufacturer and Strength
72607010000 TAZVERIK 200 MG TABLET 66 371 New Drug
68382074516 TIADYLT ER 120 MG CAPSULE SA 24H [Tiazac] 59 354 New Strength
68382074616 TIADYLT ER 180 MG CAPSULE SA 24H [Tiazac] 59 354 New Strength
68382074716 TIADYLT ER 240 MG CAPSULE SA 24H [Tiazac] 59 354 New Strength
68382074816 TIADYLT ER 300 MG CAPSULE SA 24H [Tiazac] 59 354 New Strength
68382075016 TIADYLT ER 420 MG CAPSULE SA 24H [Tiazac] 59 351 New Strength
72252051002 VALTOCO 10 MG NASAL SPRAY 66 379 New Drug and Strength
72252051504 VALTOCO 15 MG NASAL SPRAY 66 379 New Drug and Strength
72252052004 VALTOCO 20 MG NASAL SPRAY 66 379 New Drug and Strength
72252050502 VALTOCO 5 MG NASAL SPRAY 66 379 New Drug and Strength
50419039101 VITRAKVI 100 MG CAPSULE 67 384 New 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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