Sunshine Health Pharmacy Changes for Termination Labeler NDCs effective October 1, 2025
Date: 01/28/26
The following drug manufacturers voluntarily withdrew from the Medicaid Drug Rebate Program (MDRP). The Centers for Medicare and Medicaid Services (CMS), in compliance with Social Security Law Sec. 1927 [42 U.S.C. 1396r–8] (a), requires drug manufacturers to participate in the program for their drugs to be considered covered under the Medicaid Program. This agreement is required for drugs to be considered for coverage under the Medicaid program. View the announcement.
Because of this decision to withdraw, Medicaid Pharmacy Program will no longer cover the drugs made by the manufacturers listed below. Prescribers and pharmacies are encouraged to assist members with a therapeutically equivalent generic, obtain a new prescription for an available alternative, or consider the patient assistance program if eligible.
NDC 5 -first 5 digits of the NDC (Labeler code) | Manufacturer Name |
|---|---|
99207 | BAUSCH HEALTH US, LLC |
57782 | BAUSCH HEALTH US, LLC |
66490 | BAUSCH HEALTH US, LLC |
25010 | BAUSCH HEALTH US, LLC |
16781 | BAUSCH HEALTH US, LLC |
13548 | BAUSCH HEALTH US, LLC |
00187 | BAUSCH HEALTH US, LLC |
48102 | FERA PHARMACEUTICALS, LLC |
68682 | OCEANSIDE PHARMACEUTICALS |
65649 | SALIX PHARMACEUTICALS, INC |
68012 | SANTARUS, INC. |
41616 | SUN PHARMA GLOBAL, INC. |
29033 | NOSTRUM LABORATORIES |
29273 | SALERNO PHARMACEUTICALS LP |
51645 | GEMINI PHARMACEUTICALS, INC. (dba Plus Pharma) |
Medications impacted
- Alendronate 5mg tabs
- Altreno Lot 0.05%
- *Anusol-HC CRE 2.5%
- Aplenzin TAB 174MG
- *Apriso Cap 0.375GM
- Arazio lotion
- *Ativan Tablets
- *Atralin Gel
- *Benzamycin Gel
- Bryhali Lotion
- Cabtreo Gel
- *Cardizem CD capsules
- *Cardizem LA Tablets
- *Clindagel
- +Cromolyn Nasal Spray
- Diazepam 2.5mg Rectal Gel
- Diuril Suspension
- Duobrii Lotion
- *Elidel Cream
- *Glumetza ER Tablets
- Hydrocortisone Buty Lipid Cream
- Jublia Solution
- *Librax Capsules
- Locoid Lipocream
- Luliconazole Cream
- *Mestinon ER Tablets
- *Mestinon Tablets Solution
- *Migranal Nasal Spray
- *Movieprep Packets
- *Mysoline Tablets
- Noritate Cream
- *Onexton Gel Pump
- *Pepcid Tablets
- Phospholine Iodide Drops
- Plenvu Packets
- Relistor Tablets; Syringes; Vials
- *Retin-A Cream
- Retin-A Gel 0.1% PMP
- Retin-A Micro Gel 0.06% PMP
- Siliq Syringes
- *Targretin Gel
- *Theophylline ER Tablets 100mg; 200mg
- Trulance Tablets
- *Uceris ER Tablets
- *Uceris Rectal Foam
- *Vasotec Tablets
- *Virazole Vials
- Visudyne Vials
- *Wellbutrin XL Tablets
- Xerese Cream
- Xifaxan Tablets
- *Zegerid Packet & Caps
- Zelapar ODT Tablets
- *Ziana Gel
- *Zyclara Cream
* Generics for these drugs will remain available.
+ Over the counter product available
The below products have a patient assistance program option for Medicaid-only patients (PDF) by Bausch Health Companies Inc. For a complete list, please refer to the manufacturer websites.
- Aplenzin Tab 174mg
- Arazlo Lot 0.045%
- Bryhali Lotion
- Cabtreo Gel
- Diazepam Gel 2.5mg
- Duobrii Lotion
- Jublia Sol 10%
- Noritate Cre 1%
- Relistor Inj 12/0.6ml
- Relistor Tab 150mg
- Siliq Syringes
- Trulance Tab 3mg
- Xifaxan Tab 550mg
- Zelapar ODT Tablets
Thank you in advance for your attention to this matter. If you have questions, please call Sunshine Health Provider Services at 1-844-477-8313, Monday through Friday, from 8 a.m. to 8 p.m. Eastern.
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