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2011 Medicare Part D Formulary Search By Drug Letter

Select a Letter below:

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

Drug Name
PackagingNDCOn This Nbr of 2011 Formularies
PDPsMAPDs
AMARYL 1MG TABLET
(Glimepiride)
100 BOT0003902211019
PDPs
46
MAPDs
AMARYL 2MG TABLET
(Glimepiride)
100 BOT0003902221019
PDPs
46
MAPDs
AMARYL 4MG TABLET
(Glimepiride)
100 BOT0003902231019
PDPs
46
MAPDs
COPAXONE 20MG/ML 30 BLISTER PACK IN 1 CRTN
(Glatiramer Acetate)
   6854603173068
PDPs
220
MAPDs
CYTOVENE IV INJECTION
(Ganciclovir Sodium For)
10ML X 1 X 25 VIALS CRTN 0000469400330
PDPs
77
MAPDs
DIABETA 1.25MG TABLET
(Glyburide)
50 BOT0003900530520
PDPs
49
MAPDs
DIABETA TABLETS 2.5MG 100 BOT
(Glyburide)
100 BOT0003900511020
PDPs
49
MAPDs
DIABETA TABLETS 5MG 1000 BOT
(Glyburide)
1000 BOT0003900527020
PDPs
49
MAPDs
EGG YOLK PHOSPHOLIPIDS 12 MG/ML / GLYCERIN 25 MG/ML / SAFFLOWER OIL 100 MG/ML / SOYBEAN OIL 100 MG/M
()
   0040997890245
PDPs
128
MAPDs
EGG YOLK PHOSPHOLIPIDS 12 MG/ML / GLYCERIN 25 MG/ML / SOYBEAN OIL 100 MG/ML INJECTABLE SUSPENSION [L
()
   0040997900245
PDPs
126
MAPDs
EGG YOLK PHOSPHOLIPIDS 12 MG/ML / GLYCERIN 25 MG/ML / SOYBEAN OIL 200 MG/ML INJECTABLE SUSPENSION [L
()
   0040997910245
PDPs
124
MAPDs
FACTIVE 320MG TABLET
(Gemifloxacin Mesylate)
5 BLPK6770703200530
PDPs
87
MAPDs
GABAPENTIN CAPSULES 100MG 100 BOT
(Gabapentin)
100 BOT0018500910168
PDPs
220
MAPDs
GABAPENTIN CAPSULES 300MG
(Gabapentin)
   6050501130168
PDPs
220
MAPDs
GABAPENTIN 400 MG CAPSULE
(Gabapentin)
100 EA  5374601030168
PDPs
220
MAPDs
GABAPENTIN 600MG TABLET
(Gabapentin)
100 BOT0022826361168
PDPs
220
MAPDs
GABAPENTIN TABLET 800MG
(Gabapentin)
   6050525520568
PDPs
220
MAPDs
GABITRIL 12MG FILMTAB
(Tiagabine HCl)
100 BOTPL6345904120168
PDPs
219
MAPDs
GABITRIL 16MG FILMTAB
(Tiagabine HCl)
100 BOTPL6345904160168
PDPs
220
MAPDs
GABITRIL 2MG FILMTAB
(Tiagabine HCl)
100 BOTPL6345904020168
PDPs
220
MAPDs
GABITRIL 4MG FILMTAB
(Tiagabine HCl)
100 BOTPL6345904040168
PDPs
220
MAPDs
GALANTAMINE HYDROBROMIDE 4 MG/ML ORAL SOLUTION
(Galantamine Hydrobromide)
   0005401374962
PDPs
191
MAPDs
GALANTAMINE HBR 12MG TABLET
(Galantamine Hydrobromide)
   0055501400967
PDPs
213
MAPDs
GALANTAMINE HYDROBROMIDE CAPSULES EXTENDED RELEASE 16MG 30 BOT
(Galantamine Hydrobromide)
30 BOT0055510210167
PDPs
208
MAPDs
GALANTAMINE HYDROBROMIDE CAPSULES EXTENDED RELEASE 24MG 30 BOT
(Galantamine Hydrobromide)
30 BOT0055510220167
PDPs
208
MAPDs
GALANTAMINE HBR 4MG TABLET
(Galantamine Hydrobromide)
   0055501380967
PDPs
214
MAPDs
GALANTAMINE HBR 8MG TABLET
(Galantamine Hydrobromide)
   0055501390967
PDPs
214
MAPDs
GALANTAMINE HYDROBROMIDE CAPSULES EXTENDED RELEASE 8MG 30 BOT
(Galantamine Hydrobromide)
30 BOT0055510200167
PDPs
208
MAPDs
GAMASTAN S/D INJECTION 16.5GM/2ML VIALGL
(Immune Globulin (Human))
2 ML VIALGL1353306350452
PDPs
176
MAPDs
GAMMAGARD LIQUID 10% VIAL
(Immune Globulin (Human) IV)
   0094427000353
PDPs
181
MAPDs
GAMUNEX FOR SOLUTION 10GM/25ML VIALGL
(Immune Globulin (Human) IV)
25 ML VIALGL1353306451551
PDPs
170
MAPDs
GANCICLOVIR 250MG CAPSULE
(Ganciclovir)
180 BOT6330406362868
PDPs
220
MAPDs
GANCICLOVIR 500MG CAPSULE
(Ganciclovir)
180 BOT6330406372868
PDPs
220
MAPDs
GANCICLOVIR FOR INJECTION
(Ganciclovir)
25 X 10 TRAY 6332303151060
PDPs
170
MAPDs
GARDASIL VIAL
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
1 X 0.5 ML VIAL0000640450068
PDPs
220
MAPDs
GASTROCROM 100MG/5ML CONC
(Cromolyn Sodium Oral)
96 X 5 ML AMP1886006787060
PDPs
202
MAPDs
GELNIQUE GEL 100MG/ML 30 PACKET IN 1 CRTN
(Oxybutynin Chloride)
   5254400843037
PDPs
102
MAPDs
GEMFIBROZIL TABLET 600MG (500 CT)
(Gemfibrozil)
500 BOT0014391300568
PDPs
220
MAPDs
GEMZAR 1GRAM VIAL
(Gemcitabine HCl For)
1 X 50 ML VIAL0000275020151
PDPs
163
MAPDs
GENERLAC SOLUTION 10G/15 ML 473 ML BOTPL
(Lactulose (Encephalopathy))
473 ML BOTPL6043200381664
PDPs
182
MAPDs
GENGRAF 100MG CAPSULE U.D.
(Cyclosporine Modified)
30 BOXUD0007464793267
PDPs
202
MAPDs
GENGRAF 100MG/ML SOLUTION
(Cyclosporine Modified)
50 ML BOTGL0007472695067
PDPs
202
MAPDs
GENGRAF 25MG CAPSULE U.D.
(Cyclosporine Modified)
30 BOXUD0007464633268
PDPs
205
MAPDs
GENOTROPIN 13.8MG CARTRIDGE
(Somatropin For)
1 X 13.8 MG CTG0001326468133
PDPs
130
MAPDs
SOMATROPIN INJECTION KIT 5.8MG/1.14ML 1 PKGCOM
(Somatropin For)
1 PKGCOM0001326268133
PDPs
122
MAPDs
GENOTROPIN MINIQUICK 0.2MG
(Somatropin For)
7 X 0.2 MG VIALPAT0001326490230
PDPs
125
MAPDs
GENOTROPIN MINIQUICK 0.4MG
(Somatropin For)
7 X 0.4 MG VIALPAT0001326500230
PDPs
122
MAPDs
GENOTROPIN MINIQUICK 0.6MG
(Somatropin For)
7 X 0.6 MG VIALPAT0001326510230
PDPs
122
MAPDs
GENOTROPIN MINIQUICK 0.8MG
(Somatropin For)
7 X 0.8 MG VIALPAT0001326520229
PDPs
123
MAPDs
GENOTROPIN MINIQUICK 1MG
(Somatropin For)
7 X 1.0 MG VIALPAT0001326530230
PDPs
123
MAPDs
GENOTROPIN MINIQUICK 1.2MG
(Somatropin For)
7 VIALPAT0001326540230
PDPs
123
MAPDs
GENOTROPIN MINIQUICK 1.4MG
(Somatropin For)
7 VIALPAT0001326550230
PDPs
122
MAPDs
GENOTROPIN MINIQUICK 1.6MG
(Somatropin For)
7 VIALPAT0001326560230
PDPs
123
MAPDs
GENOTROPIN MINIQUICK 1.8MG
(Somatropin For)
7 VIALPAT0001326570230
PDPs
122
MAPDs
GENOTROPIN MINIQUICK 2MG
(Somatropin For)
7 X 2.0 MG VIALPAT0001326580230
PDPs
122
MAPDs
GENTAK 3MG/ML EYE DROPS
(Gentamicin Sulfate Ophth)
1.5 ML BOT1747802831065
PDPs
194
MAPDs
GENTAK 3MG/GM EYE OINTMENT
(Gentamicin Sulfate Ophth)
3.5 GM TUBE1747802843566
PDPs
203
MAPDs
GENTAMICIN 90MG/NS 100ML PB
(Gentamicin)
24 X 100 ML CTR0040978862349
PDPs
145
MAPDs
GENTAMICIN 100MG/NS 100ML
(Gentamicin)
24 X 100 ML CTR0040978892359
PDPs
184
MAPDs
GENTAMICIN 60MG/NS 50ML PB
(Gentamicin)
50 ML PLASTIC BAG X 24 CASE0026458123858
PDPs
188
MAPDs
GENTAMICIN 70MG/NS 50ML PB
(Gentamicin)
24 X 50 ML CTR0040978811348
PDPs
148
MAPDs
GENTAMICIN 80MG/NS 50ML PB
(Gentamicin)
24 X 50 ML CTR0040978831360
PDPs
189
MAPDs
GENTAMICIN 10MG/ML VIAL
(Gentamicin)
25 X 8 ML VIAL0040934010164
PDPs
201
MAPDs
GENTAMICIN INJECTION USP 40MG 25 X 20ML VIALMD
(Gentamicin)
25 X 20 ML VIALMD6332300102066
PDPs
196
MAPDs
GENTAMICIN SULFATE OINTMENT USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE4580200463568
PDPs
216
MAPDs
GENTAMICIN SULFATE CREAM USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE4580200563568
PDPs
216
MAPDs
GENTAMICIN SULFATE OPHTHALMIC SOLUTION 0.3% 5ML BOT
(Gentamicin Sulfate Ophth)
5 ML BOT2420805806068
PDPs
218
MAPDs
GENTASOL 3MG/ML EYE DROPS
(Gentamicin Sulfate Ophth)
5 ML BOT5479905100564
PDPs
196
MAPDs
GEODON 20MG VIAL
(Ziprasidone HCl)
1 VIAL VIALSD0004939208368
PDPs
220
MAPDs
GEODON 20MG CAPSULE
(Ziprasidone HCl)
60 BOT0004939606068
PDPs
220
MAPDs
GEODON 40MG CAPSULE
(Ziprasidone HCl)
60 BOT0004939706068
PDPs
220
MAPDs
GEODON 60MG CAPSULE
(Ziprasidone HCl)
60 BOT0004939806068
PDPs
220
MAPDs
GEODON 80MG CAPSULE
(Ziprasidone HCl)
60 BOT0004939906068
PDPs
220
MAPDs
GIANVI TABLETS
(Drospirenone-Ethinyl Estradiol)
3 BLPK CRTN 0009356615850
PDPs
133
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT0007804013468
PDPs
220
MAPDs
GLEEVEC 400MG TABLET
(Imatinib Mesylate)
30 BOT0007804381568
PDPs
220
MAPDs
GLIMEPIRIDE 1MG TABLET (100 CT)
(Glimepiride)
100 BOT5511103200168
PDPs
219
MAPDs
GLIMEPIRIDE 2MG TABLET (100 CT)
(Glimepiride)
100 BOT5511103210168
PDPs
219
MAPDs
GLIMEPIRIDE 4MG TABLET (100 CT)
(Glimepiride)
100 BOT5511103220168
PDPs
219
MAPDs
GLIPIZIDE 10MG TABLET (100 CT)
(Glipizide)
100 BOT0037811100168
PDPs
220
MAPDs
GLIPIZIDE TABLETS EXTENDED RELEASE
(Glipizide)
100 BOT 0059108450168
PDPs
218
MAPDs
GLIPIZIDE ER 2.5MG TABLET SR OSMOTIC PUSH 24HR
(Glipizide)
30 BOTPL0059109003068
PDPs
218
MAPDs
GLIPIZIDE-METFORMIN 2.5-500MG TABLET
(Glipizide)
100 BOT0009374560168
PDPs
215
MAPDs
GLIPIZIDE 5MG TABLET
(Glipizide)
100 BOT0017236496068
PDPs
220
MAPDs
GLIPIZIDE TABLETS EXTENDED RELEASE
(Glipizide)
100 BOT 0059108440168
PDPs
218
MAPDs
GLIPIZIDE AND METFORMIN HCL 2.5-250MG TABLET (100 CT)
(Glipizide-Metformin HCl)
100 BOT0078153040168
PDPs
215
MAPDs
GLIPIZIDE AND METFORMIN HCL 5-500MG TABLET (100 CT)
(Glipizide-Metformin HCl)
100 BOT0078153060168
PDPs
215
MAPDs
GLUCAGEN 1MG HYPOKIT
(Glucagon HCl (rDNA) For)
1 X 1 MG PKGCOM0016970651562
PDPs
196
MAPDs
GLUCAGON 1MG EMERGENCY KIT
(Glucagon (rDNA) For)
1 KIT PKGCOM0000280310167
PDPs
215
MAPDs
GLUCOPHAGE 1000MG TABLET
(Metformin HCl)
100 BOT0008760711120
PDPs
49
MAPDs
GLUCOPHAGE 500MG TABLET
(Metformin HCl)
500 BOT0008760601020
PDPs
49
MAPDs
GLUCOPHAGE 850MG TABLET
(Metformin HCl)
100 BOT0008760700520
PDPs
49
MAPDs
GLUCOPHAGE XR 500MG TABLET SA
(Metformin HCl)
100 BOT0008760631320
PDPs
49
MAPDs
GLUCOPHAGE XR 750MG TABLET SA
(Metformin HCl)
100 BOT0008760641320
PDPs
49
MAPDs
GLUCOTROL 10MG TABLET
(Glipizide)
100 BOT0004941206622
PDPs
47
MAPDs
GLUCOTROL 5MG TABLET
(Glipizide)
100 BOT0004941106622
PDPs
47
MAPDs
GLUCOTROL XL 10MG TABLET SA
(Glipizide)
500 BOT0004915607322
PDPs
47
MAPDs
GLUCOTROL XL 2.5MG TABLET SA
(Glipizide)
30 BOT0004916203022
PDPs
47
MAPDs
GLUCOTROL XL 5MG TABLET SA
(Glipizide)
500 BOT0004915507322
PDPs
47
MAPDs
GLUCOVANCE 1.25/250MG TABLET
(Glyburide-Metformin)
100 BOT0008760721119
PDPs
45
MAPDs
GLUCOVANCE 2.5/500MG TABLET
(Glyburide-Metformin)
100 BOT0008760731119
PDPs
45
MAPDs
GLUCOVANCE 5/500MG TABLET
(Glyburide-Metformin)
100 BOT0008760741119
PDPs
46
MAPDs
GLUMETZA ER 500MG TABLET
(Metformin HCl)
100 BOT1391300021320
PDPs
59
MAPDs
GLYBURIDE TABLETS
(Glyburide)
100 TABLETS BOT 0009383420167
PDPs
217
MAPDs
GLYBURIDE AND METFORMIN HCL 1.25-250MG TABLET (100 CT)
(Glyburide)
100 BOT0009357100168
PDPs
214
MAPDs
GLYBURIDE 2.5MG TABLET (100 CT)
(Glyburide)
100 TABLETS BOT0009383430168
PDPs
219
MAPDs
GLYBURIDE TABLETS
(Glyburide)
500 TABLETS BOT 0009383440567
PDPs
217
MAPDs
GLYBURIDE MICRONIZED 1.5MG TABLET (100 CT)
(Glyburide Micronized)
100 BOT0037811130168
PDPs
212
MAPDs
GLYBURIDE MICRO 3MG TABLET (100 CT)
(Glyburide Micronized)
100 TABLETS BOT0009380350168
PDPs
214
MAPDs
GLYBURIDE TABLET MICRONIZED 6MG (500 CT)
(Glyburide Micronized)
500 BOT6725304625068
PDPs
213
MAPDs
GLYBURIDE-METFORMIN HCL 2.5-500MG TABLET
(Glyburide-Metformin)
500 BOT0022827525068
PDPs
214
MAPDs
GLYBURIDE-METFORMIN HCL 5MG-500MG TABLET
(Glyburide-Metformin)
500 BOT0022827535068
PDPs
214
MAPDs
GLYCOPYRROLATE 0.2MG/ML VL
(Glycopyrrolate)
25 X 20 ML VIALMD0051746202556
PDPs
176
MAPDs
GLYCOPYRROLATE TABLET 1MG (100 CT)
(Glycopyrrolate)
100 BOT4988400650166
PDPs
213
MAPDs
GLYCOPYRROLATE TABLET 2MG (100 CT)
(Glycopyrrolate)
100 BOT4988400660166
PDPs
212
MAPDs
GLYCRON 1.5MG TABLET
(Glyburide Micronized)
100 TABLETS BOTPL6490901010758
PDPs
157
MAPDs
GLYCRON 3MG TABLET
(Glyburide Micronized)
500 BOT6490901020858
PDPs
160
MAPDs
GLYCRON 4.5MG TABLET
(Glyburide Micronized)
100 BOT6490901040741
PDPs
94
MAPDs
GLYCRON 6MG TABLET
(Glyburide Micronized)
500 BOT6490901050849
PDPs
140
MAPDs
GLYNASE 1.5MG PRESTAB
(Glyburide Micronized)
100 BOT0000903410123
PDPs
48
MAPDs
GLYNASE PRESTAB TABLET 3MG (100 CT)
(Glyburide Micronized)
100 BOT0000903520123
PDPs
48
MAPDs
GLYNASE PRESTAB TABLET 6MG (100 CT)
(Glyburide Micronized)
100 BOT0000934490123
PDPs
48
MAPDs
GLYSET 100MG TABLET
(Miglitol)
100 BOTPL0000950140139
PDPs
135
MAPDs
GLYSET 25MG TABLET
(Miglitol)
100 BOT0000950120139
PDPs
135
MAPDs
GLYSET 50MG TABLET
(Miglitol)
100 BOTPL0000950130139
PDPs
135
MAPDs
GOLYTELY PACKET 227.1 GM/2.82 GM
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
263 GM PKT5226807000126
PDPs
74
MAPDs
GOLYTELY SOLUTION 236 GM/2.97 GM/6 GM
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
4 L BOT5226801000129
PDPs
84
MAPDs
GRANISETRON 1 MG/ML INJECTABLE SOLUTION
(Granisetron HCl)
   1001900530355
PDPs
175
MAPDs
GRANISETRON HYDROCHLORIDE INJECTION
(Granisetron HCl)
1 ML X 5 VIALSD 6675800370255
PDPs
173
MAPDs
GRANISETRON HCL 1MG TABLET (20 CT)
(Granisetron HCl)
20 BOT6472001980263
PDPs
198
MAPDs
GRANISOL 1MG/5ML SOLUTION ORAL
(Granisetron HCl)
   6371708013032
PDPs
128
MAPDs
GRIFULVIN V 500MG TABLET
(Griseofulvin Microsize)
100 BOT0006202146044
PDPs
123
MAPDs
GRIS-PEG 125MG TABLET
(Griseofulvin Ultramicrosize)
100 BOT0088407630459
PDPs
187
MAPDs
GRIS-PEG 250 MG TABLET
(Griseofulvin Ultramicrosize)
100 EA  0088407730459
PDPs
186
MAPDs
GRISEOFULVIN ORAL SUSPENSION 125MG/5ML 4 FLOZ CTR
(Griseofulvin Microsize)
4 FLOZ CTR0047200130466
PDPs
211
MAPDs
GUANABENZ ACETATE 4MG TABLET
(Guanabenz Acetate)
100 BOT0017242266045
PDPs
139
MAPDs
GUANABENZ ACETATE 8MG TABLET
(Guanabenz Acetate)
100 BOT0017242276045
PDPs
139
MAPDs
24 HR GUANFACINE 1 MG EXTENDED RELEASE TABLET [INTUNIV]
(Guanfacine HCl)
   5409205130220
PDPs
60
MAPDs
24 HR GUANFACINE 2 MG EXTENDED RELEASE TABLET [INTUNIV]
(Guanfacine HCl)
   5409205150220
PDPs
59
MAPDs
24 HR GUANFACINE 3 MG EXTENDED RELEASE TABLET [INTUNIV]
(Guanfacine HCl)
   5409205170220
PDPs
59
MAPDs
24 HR GUANFACINE 4 MG EXTENDED RELEASE TABLET [INTUNIV]
(Guanfacine HCl)
   5409205190220
PDPs
59
MAPDs
GUANFACINE 1MG TABLET
(Guanfacine HCl)
100 BOT0059104440166
PDPs
215
MAPDs
GUANFACINE 2MG TABLET (100 CT)
(Guanfacine HCl)
100 BOT0037811900166
PDPs
215
MAPDs
GUANIDINE HCL 125MG TABLET
(Guanidine HCl)
100 BOT0008504920157
PDPs
194
MAPDs
GYNAZOLE-1 CRE 2%
(Butoconazole Nitrate (One Dose) Vaginal)
5 GRAMS TUBEAP6401100010830
PDPs
107
MAPDs
GYNODIOL 1.5MG TABLET
(Estradiol)
   6650001580145
PDPs
131
MAPDs
IRESSA 250MG TABLET
(Gefitinib)
30 BOT0031004823052
PDPs
166
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG0033805034856
PDPs
172
MAPDs
ISOTON GENTAMICIN 60MG/100ML
(Gentamicin in Saline)
100 BAG0033805014853
PDPs
168
MAPDs
KYTRIL 1MG TABLET
(Granisetron HCl)
20 BLPK0000402412615
PDPs
45
MAPDs
KYTRIL INJECTION
(Granisetron HCl)
4 ML X VIALSD BOX 0000402400919
PDPs
46
MAPDs
LOPID 600MG TABLET (500 CT)
(Gemfibrozil)
500 BOT0007107373022
PDPs
43
MAPDs
METAGLIP 2.5/500MG TABLET
(Glipizide-Metformin HCl)
   0008760773121
PDPs
46
MAPDs
METAGLIP 5/500MG TABLET
(Glipizide-Metformin HCl)
   0008760783121
PDPs
46
MAPDs
METAGLIP 2.5/250MG TABLET
(Glipizide-Metformin HCl)
   0008760813121
PDPs
46
MAPDs
NAGLAZYME 5MG/5ML VIAL
(Galsulfase)
5ML VIALSU6813500200168
PDPs
220
MAPDs
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M
(Neomycin-Polymyxin B-Gramicidin Ophth)
10 ML BOT2420807906265
PDPs
208
MAPDs
NEURONTIN 100MG CAPSULE
(Gabapentin)
100 BOT0007108032421
PDPs
51
MAPDs
NEURONTIN 250MG/5ML TUBEX
(Gabapentin)
470 ML BOT0007120122368
PDPs
220
MAPDs
NEURONTIN 300MG CAPSULE
(Gabapentin)
100 BOT0007108052421
PDPs
51
MAPDs
NEURONTIN 400MG CAPSULE
(Gabapentin)
100 BOT0007108062421
PDPs
51
MAPDs
NEURONTIN 600MG TABLET
(Gabapentin)
100 BOT0007105132421
PDPs
51
MAPDs
NEURONTIN 800MG TABLET
(Gabapentin)
100 BOT0007104012421
PDPs
51
MAPDs
POLYETHYLENE GLYCOL 3350 105 MG/ML / POTASSIUM CHLORIDE 0.005 MEQ/ML / SODIUM BICARBONATE 0.017 MEQ/
(Polyethylene Glycol 3350 Oral)
   4338600501953
PDPs
169
MAPDs
POLYETHYLENE GLYCOL 3350 60 MG/ML / POTASSIUM CHLORIDE 0.01 MEQ/ML / SODIUM BICARBONATE 0.02 MEQ/ML
(Polyethylene Glycol 3350 Oral)
   4338600601959
PDPs
181
MAPDs
POLYETHYLENE GLYCOL 3350 59 MG/ML / POTASSIUM CHLORIDE 0.1 MEQ/ML / SODIUM BICARBONATE 0.02 MEQ/ML /
(Polyethylene Glycol 3350 Oral)
   4338600901958
PDPs
174
MAPDs
POLYETHYLENE GLYCOL 3350 105 MG/ML / POTASSIUM CHLORIDE 0.00497 MEQ/ML / SODIUM BICARBONATE 1.43 MG/
(Polyethylene Glycol 3350 Oral)
   6822001310454
PDPs
193
MAPDs
POLYETH GLYC NF POWDER FOR ORAL SOLUTION 17GM (527 CT)
(Polyethylene Glycol 3350 Powder)
527 BOT0057404120561
PDPs
190
MAPDs
PRED G OPHTHALMIC SUSPENSION 1;0.3%;% 5 ML BOTDR
(Gentamicin-Prednisolone Ace Ophth)
5 ML BOTDR0002301060529
PDPs
95
MAPDs
PRED-G S.O.P. EYE OINTMENT
(Gentamicin-Prednisolone Ace Ophth)
3.5 GM TUBE0002300660429
PDPs
95
MAPDs
RAZADYNE 12MG TABLET
(Galantamine Hydrobromide)
TABLETS BOT5045803986018
PDPs
43
MAPDs
RAZADYNE SOL 4MG/ML
(Galantamine Hydrobromide)
100 ML BOT5045804901024
PDPs
57
MAPDs
RAZADYNE 4MG TABLET
(Galantamine Hydrobromide)
60 TABLETS BOT5045803966018
PDPs
42
MAPDs
RAZADYNE 8MG TABLET
(Galantamine Hydrobromide)
60 TABLETS BOT5045803976018
PDPs
42
MAPDs
RAZADYNE ER 16MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT5045803883019
PDPs
47
MAPDs
RAZADYNE ER 24MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT5045803893019
PDPs
47
MAPDs
RAZADYNE ER 8MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT5045803873019
PDPs
47
MAPDs
ROBINUL 0.2MG/ML VIAL
(Glycopyrrolate)
25 X 5ML VIALMD6097701550320
PDPs
40
MAPDs
ROBINUL 1MG TABLET
(Glycopyrrolate)
100 TABS BOTPL5963002001022
PDPs
47
MAPDs
ROBINUL FORTE 2MG TABLET
(Glycopyrrolate)
100 TABS BOTPL5963002051022
PDPs
47
MAPDs
SANCUSO TRANSDERMAL SYSTEM 3.1MG/24HRS 1 PATCH CRTN
(Granisetron Transdermal)
1 PATCH CRTN4274707260145
PDPs
131
MAPDs
SIMPONI GOLIMUMAB INJECTION 50MG/0.5ML 1 50 MG SINGLE DOSE SYR SYR
(Golimumab Subcutaneous)
1 50 MG SINGLE DOSE SYR SYR5789400700130
PDPs
96
MAPDs
TENEX 1MG TABLET
(Guanfacine HCl)
500 TABS BOTPL6785707050522
PDPs
44
MAPDs
TENEX 2MG TABLET
(Guanfacine HCl)
100 TABS BOTPL6785707060122
PDPs
44
MAPDs
ZIRGAN 0.15% OPHTHALMIC GEL
(Ganciclovir Ophth)
5ML  4282606055031
PDPs
86
MAPDs
ZYMAR 0.3% EYE DROPS
(Gatifloxacin Ophth)
   0002392180552
PDPs
182
MAPDs
ZYMAXID 0.5 % O/S 2.5 ML
(Gatifloxacin Ophth)
   0002336152540
PDPs
132
MAPDs



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




Tips & Disclaimers
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  • Medicare has neither reviewed nor endorsed the information on our site.
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  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • 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.