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2008 PDP-DrugFinder:
Search Plan Formulary by Drug Letter
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
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

Drug Name
ACCUTANE 10MG CAPSULE (Isotretinoin)
ACCUTANE 20MG CAPSULE (Isotretinoin)
ACCUTANE 40MG CAPSULE (Isotretinoin)
ACTIMMUNE SOLUTION FOR INJECTION 100MCG (Interferon Gamma-1B)
IPRATROPIUM-ALBUTEROL 0.5-2.5/3 AMPUL FOR NEBULIZATION (Albuterol-Ipratropium Nebu)
ALDARA 5% CREAM (Imiquimod)
ALFERON N INJ 5MU/ML (Interferon Alfa-n3)
AMNESTEEM 10MG CAPSULE (Isotretinoin)
AMNESTEEM 20MG CAPSULE (Isotretinoin)
AMNESTEEM 40MG CAPSULE (Isotretinoin)
APIDRA 100UNITS/ML VIAL (Insulin Glulisine Subcutaneous)
APIDRA 100UNITS/ML CARTRIDGE (Insulin Glulisine Subcutaneous)
ATROVENT NASAL SPRAY 0.03% (Ipratropium Bromide Nasal)
ATROVENT NASAL SPRAY 0.06% (Ipratropium Bromide Nasal)
ATROVENT HFA AER 17MCG (Ipratropium Bromide HFA)
AVALIDE 300-12.5MG TABLET (Irbesartan-Hydrochlorothiazide)
AVALIDE 150-12.5MG TABLET (Irbesartan-Hydrochlorothiazide)
AVALIDE 300-25MG TABLET (Irbesartan-Hydrochlorothiazide)
AVAPRO 150MG TABLET (Irbesartan)
AVAPRO 300MG TABLET (Irbesartan)
AVAPRO 75MG TABLET (Irbesartan)
AVONEX ADMIN PACK 30MCG VL (Interferon Beta-1a)
AVONEX ADMIN PACK 30MCG SYR (Interferon Beta-1a)
BETASERON 0.3MG VIAL (Interferon Beta-1b For)
BIDIL TABLET (Isosorbide Dinitrate-Hydralazine HCl)
BONIVA 150MG TABLET (Ibandronate Sodium)
BONIVA 2.5MG TABLET (Ibandronate Sodium)
BONIVA 3MG/3 ML SYRINGE (Ibandronate Sodium)
CAMPTOSAR 20MG/ML VIAL (Irinotecan HCl)
CARIMUNE 1GM VIAL (Immune Globulin (Human) IV)
CARIMUNE 12GM VIAL (Immune Globulin (Human) IV)
CARIMUNE NF 1GM VIAL (Immune Globulin (Human) IV)
CARIMUNE NF 3GM VIAL (Immune Globulin (Human) IV)
CARIMUNE NF 6 GM VIAL (Immune Globulin (Human) IV)
CARIMUNE NF 12GM VIAL (Immune Globulin (Human) IV)
CEREZYME INJ 400UNIT (Imiglucerase For)
CEREZYME INJ 200UNIT (Imiglucerase For)
CLARAVIS 30MG CAPSULE (Isotretinoin)
CLARAVIS 10MG CAPSULE (Isotretinoin)
CLARAVIS 20MG CAPSULE (Isotretinoin)
CLARAVIS 40MG CAPSULE (Isotretinoin)
CRIXIVAN 100MG CAPSULE (Indinavir Sulfate)
CRIXIVAN 200MG CAPSULE (Indinavir Sulfate)
CRIXIVAN 333MG CAPSULE (Indinavir Sulfate)
CRIXIVAN 400MG CAPSULE (Indinavir Sulfate)
DILATRATE-SR 40MG CAPSULE (Isosorbide Dinitrate)
DYNACIRC CR 5MG TABLET SA (Isradipine)
DYNACIRC CR 10MG TABLET SA (Isradipine)
ELAPRASE 6MG/3 ML VIAL (Idursulfase)
FLEBOGAMMA 5% VIAL (Immune Globulin (Human) IV)
GAMASTAN S/D VIAL (Immune Globulin (Human))
GAMMAGARD LIQUID 10% VIAL (Immune Globulin (Human) IV)
GAMMAGARD LIQUID 10% VIAL (Immune Globulin (Human) IV)
GAMMAGARD LIQUID 10% VIAL (Immune Globulin (Human) IV)
GAMMAGARD LIQUID 10% VIAL (Immune Globulin (Human) IV)
GAMMAGARD LIQUID 10% VIAL (Immune Globulin (Human) IV)
GAMMAGARD S/D 0.5GM VL W/ST (Immune Globulin (Human) IV)
GAMMAGARD S/D 2.5GM VL W/ST (Immune Globulin (Human) IV)
GAMMAGARD S/D 5GM VL W/SET (Immune Globulin (Human) IV)
GAMMAGARD S/D 10GM VL W/ST (Immune Globulin (Human) IV)
GAMUNEX 10% VIAL (Immune Globulin (Human) IV)
GEOCILLIN 382MG TABLET (Carbenicillin Indanyl)
GLEEVEC 100MG TABLET (Imatinib Mesylate)
GLEEVEC 400MG TABLET (Imatinib Mesylate)
HUMALOG 100U/ML VIAL (Insulin Lispro (Human))
HUMALOG 100UNITS/ML PEN (Insulin Lispro (Human))
HUMALOG MIX 50/50 VIAL (Insulin Lispro Prot & Lispro (Human))
HUMALOG MIX 50/50 PEN (Insulin Lispro Prot & Lispro (Human))
HUMALOG MIX 75/25 VIAL (Insulin Lispro Prot & Lispro (Human))
HUMALOG MIX 75/25 PEN (Insulin Lispro Prot & Lispro (Human))
HUMULIN 50/50 VIAL (Insulin Isophane & Regular (Human))
HUMULIN 70/30 VIAL (Insulin Isophane & Regular (Human))
HUMULIN PEN INJ 70/30 (Insulin Isophane & Regular (Human))
HUMULIN N 100U/ML VIAL (Insulin Isophane (Human))
HUMULIN N PN INJ U-100 (Insulin Isophane (Human))
HUMULIN R 100U/ML VIAL (Insulin Regular (Human))
HUMULIN R 500U/ML VIAL (Insulin Regular (Human))
IBUPROFEN 600MG TABLET (Ibuprofen)
IBUPROFEN 100MG/5ML SUSP (Ibuprofen)
IBUPROFEN 400MG TABLET (Ibuprofen)
IBUPROFEN 800MG TABLET (Ibuprofen)
IDAMYCIN PFS 1MG/ML VIAL (Idarubicin HCl IV)
IDARUBICIN HCL 1MG/ML VIAL (Idarubicin HCl IV)
IFEX 1GM VIAL (Ifosfamide For)
IFEX 3GM VIAL (Ifosfamide For)
IFEX/MESNEX KIT (Ifosfamide For)
IFEX/MESNEX KIT (Ifosfamide For)
IFOSFAMIDE 1GM VIAL (Ifosfamide For)
IFOSFAMIDE 3GM VIAL (Ifosfamide For)
IFOSFAMIDE 1GM/ 20ML VIAL 20ML (Ifosfamide For)
IFOSFAMIDE 3GM/ 60ML VIAL 60ML (Ifosfamide For)
IFOSFAMIDE/MESNA KIT (Ifosfamide & Mesna)
IFOSFAMIDE/MESNA KIT (Ifosfamide & Mesna)
IMDUR 120MG TABLET SA (Isosorbide Mononitrate)
IMDUR 30MG TABLET SA (Isosorbide Mononitrate)
IMDUR 60MG TABLET SA (Isosorbide Mononitrate)
IMIPRAMINE HCL 10MG TABLET (Imipramine HCl)
IMIPRAMINE HCL 25MG TABLET (Imipramine HCl)
IMIPRAMINE HCL 50MG TABLET (Imipramine HCl)
IMIPRAMINE PAMOATE 100MG CAPSULE (Imipramine Pamoate)
IMIPRAMINE PAMOATE 125MG CAPSULE (Imipramine Pamoate)
IMIPRAMINE PAMOATE 150MG CAPSULE (Imipramine Pamoate)
IMIPRAMINE PAMOATE 75MG CAPSULE (Imipramine Pamoate)
IMITREX 100MG TABLET (Sumatriptan Succinate)
IMITREX 20MG NASAL SPRAY (Sumatriptan Succinate)
IMITREX 25MG TABLET (Sumatriptan Succinate)
IMITREX 4MG/0.5ML SYRNG KIT (Sumatriptan Succinate)
IMITREX 4MG/0.5ML KIT REFILL (Sumatriptan Succinate)
IMITREX 5MG NASAL SPRAY (Sumatriptan Succinate)
IMITREX 50MG TABLET (Sumatriptan Succinate)
IMITREX 6MG/0.5ML VIAL (Sumatriptan Succinate)
IMITREX 6MG/0.5ML SYRNG KIT (Sumatriptan Succinate)
IMITREX 6MG/0.5ML SYRNG KIT (Sumatriptan Succinate)
IMMU GLOBULIN GAMMA (IGG) 6G VIAL (Immune Globulin (Human))
IMMU GLOBULIN GAMMA (IGG) 12G VIAL (Immune Globulin (Human))
IMMUNE GLOBULIN HUMAN (Immune Globulin (Human))
IMOVAX RABIES VACCINE (Rabies Virus Vaccine, HDC)
IMURAN 50MG TABLET (Azathioprine)
INCRELEX 40MG/4 ML VIAL (Mecasermin)
INDAPAMIDE 1.25MG TABLET (Indapamide)
INDAPAMIDE 2.5MG TABLET (Indapamide)
INDERAL LA 120MG CAPSULE (Propranolol HCl)
INDERAL LA 160MG CAPSULE (Propranolol HCl)
INDERAL 60MG TABLET (Propranolol HCl)
INDERAL LA 60MG CAPSULE (Propranolol HCl)
INDERAL LA 80MG CAPSULE (Propranolol HCl)
INDERIDE-40/25 TABLET (Propranolol & Hydrochlorothiazide)
INDOCIN 25MG/5ML SUSPENSION (Indomethacin)
INDOCIN SR 75MG CAPSULE SA (Indomethacin)
INDOMETHACIN 25MG CAPSULE (Indomethacin)
INDOMETHACIN 50MG CAPSULE (Indomethacin)
INDOMETHACIN 75MG CAP SA (Indomethacin)
INFANRIX VACCINE VIAL (Diph, Acellular Pert & Tet Tox)
INFERGEN 15MCG/0.5ML VIAL (Interferon alfacon-1)
INFERGEN 9 MCG/0.3 ML VIAL (Interferon alfacon-1)
INFUMORPH 10MG/ML AMPUL P/F (Morphine Sulfate For Microinfusion)
INFUMORPH 25MG/ML AMPUL P/F (Morphine Sulfate For Microinfusion)
INNOHEP 20000UNIT/ML VIAL (Tinzaparin Sodium)
INNOPRAN XL 80MG CAPSULE SA (Propranolol HCl Sustained-Release Beads)
INNOPRAN XL 120MG CAP SA (Propranolol HCl Sustained-Release Beads)
INPERSOL-LM W/1.5% DEXTROSE (Peritoneal Dialysis Solutions 347 MOSM/L)
INPERSOL-LM/2.5% DEXTROSE (Peritoneal Dialysis Solutions 347 MOSM/L)
INPERSOL-LM W/4.25% DEXTROSE (Peritoneal Dialysis Solutions 347 MOSM/L)
INPERSOL W/1.5% DEXTROSE (Peritoneal Dialysis Solutions 347 MOSM/L)
INPERSOL W/4.25% DEXTROSE (Peritoneal Dialysis Solutions 347 MOSM/L)
INPERSOL W/2.5% DEXTROSE (Peritoneal Dialysis Solutions 347 MOSM/L)
INSPRA 50MG TABLET (Eplerenone)
INSPRA 25MG TABLET (Eplerenone)
INSULIN SYRINGE 0.5ML (INSULIN SYRINGE)
INSULIN SYRINGE 1ML (INSULIN SYRINGE)
INSULIN SYRINGE 0.3ML (INSULIN SYRINGE)
INTAL NEBULIZER SOLUTION (Cromolyn Sodium)
INTAL INH AER 800MCG (Cromolyn Sodium)
INTELENCE 100MG TABLET (Etravirine)
INTRALIPID 10% IV FAT EMUL (Fat)
INTRALIPID 20% IV FAT EMUL (Fat)
INTRALIPID IV FAT EMULSION (Fat)
INTRALIPID IV FAT EMULSION INJECTION (Fat)
INTRON A 50MMU VIAL (Interferon Alfa-2B)
INTRON A 5MMU MULTIDOSE PEN (Interferon Alfa-2B)
INTRON A 3MMU INJECTION PEN (Interferon Alfa-2B)
INTRON A 10MMU INJ PEN (Interferon Alfa-2B)
INTRON A 10MMU/ML KIT (Interferon Alfa-2B)
INTRON A 10MMU VIAL (Interferon Alfa-2B)
INTRON A 6MMU/ML VIAL (Interferon Alfa-2B)
INTRON A 18MMU VIAL (Interferon Alfa-2B)
INTRON A 10MMU/ML VIAL (Interferon Alfa-2B)
INVANZ 1GM VIAL (Ertapenem Sodium For)
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR (Paliperidone)
INVEGA 6MG TABLET SR OSMOTIC PUSH 24HR (Paliperidone)
INVEGA 9MG TABLET SR OSMOTIC PUSH 24HR (Paliperidone)
INVERSINE 2.5MG TABLET (Mecamylamine HCl)
INVIRASE 200MG CAPSULE (Saquinavir Mesylate)
INVIRASE 500MG TABLET (Saquinavir Mesylate)
IONOSOL B/D5W IV SOLUTION (Electrolyte-B in D5W)
IONOSOL MB/D5W IV SOLUTION (Electrolyte-MB in D5W)
IONOSOL T-D5W IV SOLUTION (Electrolyte-T in D5W)
IOPIDINE 0.5% EYE DROPS (Apraclonidine HCl Ophth)
IOPIDINE 1% EYE DROPS (Apraclonidine HCl Ophth)
IPLEX 36MG/0.6ML VIAL (mecasermin rinfabate)
IPOL VIAL (Poliovirus Vaccine, IPV)
IPRATROPIUM BROMIDE 0.2MG/ML SOLUTION NON-ORAL (Ipratropium Bromide)
IPRATROPIUM BROMIDE 21MCG AEROSOL SPRAY (Ipratropium Bromide)
IPRATROPIUM BROMIDE 42MCG AEROSOL SPRAY (Ipratropium Bromide)
IQUIX 1.5% DROPS (Levofloxacin Ophth)
IRESSA 250MG TABLET (Gefitinib)
IRINOTECAN HYDROCHLORIDE INJECTION 20MG (Irinotecan HCl)
ISENTRESS 400MG TABLET (Raltegravir Potassium)
ISMO 20MG TABLET (Isosorbide Mononitrate)
ISOCHRON 40MG TABLET SA (Isosorbide Dinitrate)
ISOLYTE H IN 5% DEXTROSE (Electrolyte-H in D5W)
ISOLYTE M IN 5% DEXTROSE INJECTION (Electrolyte-M in D5W)
ISOLYTE P IN 5% DEXTROSE INJECTION (Electrolyte-P in D5W)
ISOLYTE S SOLUTION FOR INJECTION (Electrolyte-S)
ISOLYTE S PH 7.4 SOLUTION FOR INJECTION (Electrolyte-S (PH 7.4))
ISOLYTE S IN 5% DEXTROSE INJECTION (Electrolyte-S in D5W)
ISONARIF 300-150MG CAPSULE (Isoniazid & Rifampin)
ISONIAZID 50MG/5ML SYRUP (Isoniazid)
ISONIAZID 100MG TABLET (Isoniazid)
ISONIAZID INJ 100MG/ML (Isoniazid)
ISONIAZID 300MG TABLET (Isoniazid)
ISOPTIN SR 120MG TABLET (Verapamil HCl)
ISOPTIN SR 180MG TABLET (Verapamil HCl)
ISOPTIN SR 240MG TABLET (Verapamil HCl)
ISORDIL 40MG TABLET (Isosorbide Dinitrate)
ISORDIL 5MG TABLET (Isosorbide Dinitrate)
ISOSORBIDE DN 30MG TABLET (Isosorbide Dinitrate)
ISOSORBIDE DN 10MG TABLET (Isosorbide Dinitrate)
ISOSORBIDE DN 2.5MG TAB SL (Isosorbide Dinitrate)
ISOSORBIDE DN 20MG TABLET (Isosorbide Dinitrate)
ISOSORBIDE DN 40MG TAB SA (Isosorbide Dinitrate)
ISOSORBIDE DN 5MG TABLET (Isosorbide Dinitrate)
ISOSORBIDE DN 5MG TABLET SL (Isosorbide Dinitrate)
ISOSORBIDE MN 120MG TAB SA (Isosorbide Mononitrate)
ISOSORBIDE MN 10MG TABLET (Isosorbide Mononitrate)
ISOSORBIDE MONONITRATE 20MG TABLET (Isosorbide Mononitrate)
ISOSORBIDE MONONITRATE 30MG TABLET SR 24HR (Isosorbide Mononitrate)
ISOSORBIDE MONONITRATE 60MG TABLET SR 24HR (Isosorbide Mononitrate)
ISO GENTAMICIN 100MG/100ML (Gentamicin in Saline)
ISOTON GENTAMICIN 80MG/100ML (Gentamicin in Saline)
ISOTON GENTAMICIN 60MG/100ML (Gentamicin in Saline)
ISO GENTAMICIN 120MG/100ML (Gentamicin in Saline)
ISOTON GENTAMICIN 80MG/50ML (Gentamicin in Saline)
ISRADIPINE 2.5MG CAPSULE (Isradipine)
ISRADIPINE 5MG CAPSULE (Isradipine)
ISTALOL 0.5% EYE DROPS (Timolol Maleate Ophth)
ISUPREL 0.2MG/ML AMPUL (Isoproterenol HCl)
ITRACONAZOLE 100MG CAPSULE (Itraconazole)
ITRACONAZOLE 100MG CAPSULE (Itraconazole)
IVEEGAM EN INJ 5GM HU (Immune Globulin (Human) IV)
IXEMPRA KIT 15MG (IXABEPILONE)
IXEMPRA KIT 45MG (IXABEPILONE)
LANTUS 100U/ML VIAL (Insulin Glargine)
LANTUS 100UNITS/ML CARTRIDGE (Insulin Glargine)
LANTUS INJECTION (Insulin Glargine)
LEVEMIR 100UNITS/ML VIAL (Insulin Detemir)
LEVEMIR FLEXPEN 100UNITS/ML (Insulin Detemir)
MAOIS-N ISOCARB (MAOIS-N ISOCARB)
MONOKET 10MG TABLET (Isosorbide Mononitrate)
MONOKET 20MG TABLET (Isosorbide Mononitrate)
MOTRIN 600MG TABLET (Ibuprofen)
MOTRIN TAB 800MG (Ibuprofen)
NOVOLIN 70/30 100U/ML VIAL (Insulin Isophane & Regular (Human))
NOVOLIN 70/INJ 30 INNLT (Insulin Isophane & Regular (Human))
NOVOLIN 70/30 U100 CARTRIDG (Insulin Isophane & Regular (Human))
NOVOLIN N 100U/ML VIAL (Insulin Isophane (Human))
NOVOLIN N INJ INNOLET (Insulin Isophane (Human))
NOVOLIN N 100U/ML CARTRIDGE (Insulin Isophane (Human))
NOVOLIN R 100U/ML VIAL (Insulin Regular (Human))
NOVOLIN R 100UNIT/ML INNOLET (Insulin Regular (Human))
NOVOLIN R 100U/ML CARTRIDGE (Insulin Regular (Human))
NOVOLIN R INJECTION (Insulin Regular (Human))
NOVOLOG 100U/ML CARTRIDGE (Insulin Aspart)
NOVOLOG 100U/ML VIAL (Insulin Aspart)
NOVOLOG FLEXPEN SYRINGE (Insulin Aspart)
NOVOLOG MIX 70/30 CARTRIDGE (Insulin Aspart Prot & Aspart (Human))
NOVOLOG MIX 70/30 VIAL (Insulin Aspart Prot & Aspart (Human))
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML (Insulin Aspart Prot & Aspart (Human))
NYDRAZID INJECTION (Isoniazid)
OCTAGAM IMMUNE GLOBULIN INTRAVENOUS HUMAN 5% S/D 50MG (Immune Globulin (Human) IV)
OCTAGAM IMMUNE GLOBULIN INTRAVENOUS HUMAN 5% S/D 50MG (Immune Globulin (Human) IV)
OCTAGAM IMMUNE GLOBULIN INTRAVENOUS HUMAN 5% S/D 50MG (Immune Globulin (Human) IV)
OCTAGAM IMMUNE GLOBULIN INTRAVENOUS HUMAN 5% S/D 50MG (Immune Globulin (Human) IV)
PANGLOBULIN 6GM VIAL (Immune Globulin (Human) IV)
Panglobulin 12GM (Immune Globulin (Human) IV)
PANGLOBULIN INJ 1GM (Immune Globulin (Human) IV)
PANGLOBULIN INJ 3GM (Immune Globulin (Human) IV)
PHYSIOLYTE SOLUTION FOR IRRIGATION (Irrigation Solution, Physiological)
PHYSIOSOL IRRIGATION SOLN (Irrigation Solution, Physiological)
PHYSIOSOL IRRIGATION SOL (Irrigation Solution, Physiological)
POLYGAM S/D 0.5GM VL W/DILUEN (Immune Globulin (Human) IV)
POLYGAM S/D 2.5GM VL W/DILUEN (Immune Globulin (Human) IV)
POLYGAM S/D 5GM VL W/DILUENT (Immune Globulin (Human) IV)
POLYGAM S/D 10 GM VL W/DILUENT (Immune Globulin (Human) IV)
PRIMAXIN I.M. 750MG VIAL (Imipenem-Cilastatin Intravenous For)
PRIMAXIN I.M. 500MG VIAL (Imipenem-Cilastatin Intravenous For)
PRIMAXIN I.V. 250MG VIAL (Imipenem-Cilastatin Intravenous For)
PRIMAXIN IV INJ 500MG (Imipenem-Cilastatin Intravenous For)
PRIMAXIN IV INJ 500MG (Imipenem-Cilastatin Intravenous For)
PRIMAXIN 250MG VIAL ADD-VANTAG (Imipenem-Cilastatin Intravenous For)
REBIF 22MCG/0.5ML SYRINGE (Interferon Beta-1a)
REBIF 44MCG/0.5ML SYRINGE (Interferon Beta-1a)
REBIF TITRTN SOL PACK (Interferon Beta-1a)
RELION 70/30 INJ 100/ML (Insulin Isophane & Regular (Human))
RELION 70/30 INJ INNOLET 2 0.33% (Insulin Isophane & Regular (Human))
RELION N INJ 100/ML (Insulin Isophane (Human))
RELION N INJ INNOLET 3 0.50% (Insulin Isophane (Human))
RELION R INJ 100/ML (Insulin Regular (Human))
REMICADE 100MG VIAL (Infliximab For IV)
RIFAMATE CAPSULE (Isoniazid & Rifampin)
RIFATER TABLET (Isoniazid-Rifampin w/ Pyrazinamide)
ROFERON-A 3MMU/0.5ML KIT (Interferon Alfa-2A)
ROFERON-A 6MMU/0.5ML KIT (Interferon Alfa-2A)
ROFERON-A 9MMU/0.5ML KIT (Interferon Alfa-2A)
SOTRET 30MG CAPSULE (Isotretinoin)
SOTRET 10MG CAPSULE (Isotretinoin)
SOTRET 20MG CAPSULE (Isotretinoin)
SOTRET 40MG CAPSULE (Isotretinoin)
SPORANOX 100MG CAPSULE (Itraconazole)
SPORANOX 100MG CAPSULE (Itraconazole)
SPORANOX 10MG/ML SOLUTION (Itraconazole)
SPORANOX 250MG KIT (Itraconazole)
STROMECTOL 6MG TABLET (Ivermectin)
STROMECTOL 3MG TABLET (Ivermectin)
TOFRANIL 10MG TABLET (Imipramine HCl)
TOFRANIL 25MG TABLET (Imipramine HCl)
TOFRANIL TAB 50MG (Imipramine HCl)
TOFRANIL-PM 100MG CAPSULE (Imipramine Pamoate)
TOFRANIL-PM 125MG CAPSULE (Imipramine Pamoate)
TOFRANIL-PM 150MG CAPSULE (Imipramine Pamoate)
TOFRANIL-PM 75MG CAPSULE (Imipramine Pamoate)
VENTAVIS 20MCG/2ML SOLUTION (Iloprost)
VIVAGLOBIN SOL 160MG/ML (Immune Globulin (Human) Subcutaneous)



(Chart Source: Centers for Medicare and Medicaid files: CMS Data )




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  • 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.
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