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2011 Medicare Part D Formulary Search By Drug Letter

Select a Letter below:

Drug Names Containing the Letter I 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
ACTIMMUNE SOLUTION FOR INJECTION 100MCG
(Interferon Gamma-1B)
12 X 0.5 ML CRTN6411600111268
PDPs
220
MAPDs
IPRATROPIUM BROMIDE/ALBUTEROL SULFATE INHALATION SOLUTION 0.5MG/3ML 33 CRTN
(Albuterol-Ipratropium Nebu)
33 CRTN1625205473357
PDPs
154
MAPDs
ALDARA IMIQUIMOD CREAM 5% 24 PKT X 250 MG CRTN
(Imiquimod)
24 PKT X 250 MG CRTN2933606102435
PDPs
98
MAPDs
AMNESTEEM 10MG CAPSULE
(Isotretinoin)
   0037866119362
PDPs
189
MAPDs
AMNESTEEM 20MG CAPSULE
(Isotretinoin)
   0037866129362
PDPs
189
MAPDs
AMNESTEEM 40MG CAPSULE
(Isotretinoin)
   0037866149362
PDPs
189
MAPDs
APIDRA 100UNITS/ML VIAL
(Insulin Glulisine Subcutaneous)
10 ML VIAL0008825003347
PDPs
135
MAPDs
ATROVENT NASAL SPRAY 0.03%
(Ipratropium Bromide Nasal)
30 ML BOT0059700813023
PDPs
50
MAPDs
ATROVENT NASAL SPRAY 0.06%
(Ipratropium Bromide Nasal)
15 ML BOT0059700867623
PDPs
50
MAPDs
ATROVENT HFA AER 17MCG
(Ipratropium Bromide HFA)
12.9 GRAMS PER 200 ACT CAN0059700871768
PDPs
220
MAPDs
AVALIDE 300-12.5MG TABLET
(Irbesartan-Hydrochlorothiazide)
30 BOT0008727763136
PDPs
119
MAPDs
AVALIDE 150-12.5MG TABLET
(Irbesartan-Hydrochlorothiazide)
90 BOT0008727753236
PDPs
119
MAPDs
AVALIDE 300-25MG TABLET
(Irbesartan-Hydrochlorothiazide)
90 BOT0008727883236
PDPs
119
MAPDs
AVAPRO 150MG TABLET
(Irbesartan)
500 BOT0008727721537
PDPs
122
MAPDs
AVAPRO 300MG TABLET
(Irbesartan)
90 BOT0008727733237
PDPs
122
MAPDs
AVAPRO 75MG TABLET (30 CT)
(Irbesartan)
30 BOT0008727713137
PDPs
122
MAPDs
AVONEX ADMIN PACK 30MCG VL
(Interferon Beta-1a)
1 X 4 KITS PKGCOM5962700010366
PDPs
215
MAPDs
AVONEX ADMIN PACK 30MCG SYR
(Interferon Beta-1a)
1 X 4 PKGCOM5962700020566
PDPs
214
MAPDs
BETASERON KIT 0.3MG/VIAL 14 TRAY BOX PKGCOM
(Interferon Beta-1b For)
14 TRAY BOX PKGCOM5041905233560
PDPs
210
MAPDs
BIDIL TABLET 20MG/37.5MG
(Isosorbide Dinitrate-Hydralazine HCl)
180 BOT1294800011246
PDPs
130
MAPDs
BONIVA 150MG TABLET
(Ibandronate Sodium)
3 CRTN0000401868258
PDPs
189
MAPDs
BONIVA 3MG/3ML SYRINGE
(Ibandronate Sodium)
1 PREFIILED SYR SYRGL0000401880948
PDPs
152
MAPDs
CAMPTOSAR 20MG/ML VIAL
(Irinotecan HCl)
5 ML VIALGL0000975290125
PDPs
62
MAPDs
CARIMUNE NF 3GM VIAL
(Immune Globulin (Human) IV)
3 GM PKGCOM4420604160343
PDPs
140
MAPDs
CEREZYME INJ 200UNIT
(Imiglucerase For)
   5846819830168
PDPs
220
MAPDs
CLARAVIS 30MG CAPSULE
(Isotretinoin)
   0055510568660
PDPs
182
MAPDs
CLARAVIS 10MG CAPSULE
(Isotretinoin)
100 BLPK0055510545661
PDPs
186
MAPDs
CLARAVIS 20MG CAPSULE
(Isotretinoin)
100 BLPK0055510555661
PDPs
182
MAPDs
CLARAVIS 40MG CAPSULE
(Isotretinoin)
100 BLPK0055510575661
PDPs
186
MAPDs
CRIXIVAN 100MG CAPSULE
(Indinavir Sulfate)
180 BOT0000605706268
PDPs
220
MAPDs
CRIXIVAN 200MG CAPSULE
(Indinavir Sulfate)
360 BOT0000605714368
PDPs
220
MAPDs
CRIXIVAN 333MG CAPSULE
(Indinavir Sulfate)
135 BOT0000605746566
PDPs
197
MAPDs
CRIXIVAN 400MG CAPSULE (120 CT)
(Indinavir Sulfate)
120 BOT0000605734068
PDPs
220
MAPDs
DILATRATE-SR 40MG CAPSULE
(Isosorbide Dinitrate)
100 BOT0009109200127
PDPs
72
MAPDs
DYNACIRC CR TABLETS 10 MG
(Isradipine)
30 BOT0017307850127
PDPs
88
MAPDs
DYNACIRC CR TABLETS 5 MG
(Isradipine)
30 BOT0017307840126
PDPs
87
MAPDs
ELAPRASE 6MG/3ML VIAL
(Idursulfase)
   5409207000157
PDPs
193
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
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT0007804013468
PDPs
220
MAPDs
GLEEVEC 400MG TABLET
(Imatinib Mesylate)
30 BOT0007804381568
PDPs
220
MAPDs
HIZENTRA LIQUID
(Immune Globulin (Human) Subcutaneous)
5ML X 1 VIALSD CRTN 4420604510130
PDPs
96
MAPDs
HUMALOG 100U/ML VIAL
(Insulin Lispro (Human))
1 X 10 ML VIAL0000275100163
PDPs
199
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 0000287995961
PDPs
178
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL0000275120164
PDPs
200
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL0000275110163
PDPs
199
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 0000287985962
PDPs
180
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 0000287975961
PDPs
178
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL0000287150163
PDPs
195
MAPDs
HUMULIN 70/30 PEN INJECTION 100UNT 1 X 3.0ML(PEN) CTG
(Insulin Isophane & Regular (Human))
1 X 3.0 ML(PEN) CTG0000287700160
PDPs
176
MAPDs
HUMULIN N PEN INJECTION 100UNT 1 X 3.0ML (PEN) CTG
(Insulin Isophane (Human))
1 X 3.0 ML (PEN) CTG0000287300160
PDPs
177
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL0000283150163
PDPs
195
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL0000282150163
PDPs
196
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL0000285010161
PDPs
176
MAPDs
IBUPROFEN 600 MG ORAL TABLET
(Ibuprofen)
   0060340222168
PDPs
220
MAPDs
IBUPROFEN 100MG/5ML SUSP
(Ibuprofen)
1 PINT BOTPL0047212701664
PDPs
203
MAPDs
IBUPROFEN TABLETS
(Ibuprofen)
100 BOXUD 0090458536168
PDPs
220
MAPDs
IBUPROFEN 800 MG TABLET
(Ibuprofen)
500 EA  0090451874068
PDPs
220
MAPDs
IDAMYCIN PFS 1MG/ML VIAL
(Idarubicin HCl IV)
20 ML VIALPL0001325969124
PDPs
48
MAPDs
IDARUBICIN HCL 1MG/ML VIAL
(Idarubicin HCl IV)
1 X 10 ML PKG0070341551149
PDPs
157
MAPDs
IFEX INJECTION 3GM/ML 3GM VIALSD
(Ifosfamide For)
3GM VIALSD0033839930144
PDPs
107
MAPDs
IFOSFAMIDE FOR INFECTION 1 GM
(Ifosfamide For)
01 X 1 GM VIALSD6332301421052
PDPs
159
MAPDs
IFOSFAMIDE/MESNA KIT 1G/20ML / 1MG/
(Ifosfamide & Mesna)
2X60ML IFOSF+6X10ML MESNA PKGCOM0070341006850
PDPs
149
MAPDs
IFOSFAMIDE/MESNA KIT 1G/20ML / 1MG/
(Ifosfamide & Mesna)
5X20ML IFOSF+3X10ML MESNA PKGCOM0070341004850
PDPs
151
MAPDs
ILOPERIDONE 1 MG ORAL TABLET [FANAPT]
(Iloperidone)
   4306801010268
PDPs
220
MAPDs
ILOPERIDONE 2 MG ORAL TABLET [FANAPT]
(Iloperidone)
   4306801020268
PDPs
220
MAPDs
ILOPERIDONE 4 MG ORAL TABLET [FANAPT]
(Iloperidone)
   4306801040268
PDPs
220
MAPDs
ILOPERIDONE 6 MG ORAL TABLET [FANAPT]
(Iloperidone)
   4306801060268
PDPs
220
MAPDs
ILOPERIDONE 8 MG ORAL TABLET [FANAPT]
(Iloperidone)
   4306801080268
PDPs
220
MAPDs
ILOPERIDONE 10 MG ORAL TABLET [FANAPT]
(Iloperidone)
   4306801100268
PDPs
220
MAPDs
ILOPERIDONE 12 MG ORAL TABLET [FANAPT]
(Iloperidone)
   4306801120268
PDPs
220
MAPDs
{2 (ILOPERIDONE 1 MG ORAL TABLET [FANAPT]) / 2 (ILOPERIDONE 2 MG ORAL TABLET [FANAPT]) / 2 (ILOPERID
()
2  4306801130466
PDPs
213
MAPDs
IMDUR 120MG TABLET SA
(Isosorbide Mononitrate)
   0008500910122
PDPs
50
MAPDs
IMDUR 30MG TABLET SA
(Isosorbide Mononitrate)
   0008513740122
PDPs
50
MAPDs
IMDUR 60MG TABLET SA
(Isosorbide Mononitrate)
   0008520280122
PDPs
49
MAPDs
IMIPRAMINE HCL 10MG TABLET (100 CT)
(Imipramine HCl)
100 BOT4988400540168
PDPs
220
MAPDs
IMIPRAMINE HCL 25MG TABLET (100 CT)
(Imipramine HCl)
100 BOT4988400550168
PDPs
220
MAPDs
IMIPRAMINE HCL 50MG TABLET (100 CT)
(Imipramine HCl)
100 BOT5348903320168
PDPs
220
MAPDs
IMIPRAMINE PAMOATE CAPSULES
(Imipramine Pamoate)
30 BOT 0005402741352
PDPs
154
MAPDs
IMIPRAMINE PAMOATE CAPSULES
(Imipramine Pamoate)
30 BOT 0005402751352
PDPs
152
MAPDs
IMIPRAMINE PAMOATE CAPSULES
(Imipramine Pamoate)
30 BOT 0005402761352
PDPs
154
MAPDs
IMIPRAMINE PAMOATE CAPSULES
(Imipramine Pamoate)
30 BOT 0005402731352
PDPs
154
MAPDs
IMIQUIMOD 5% CREAM
(Imiquimod)
24 EA  0016804322465
PDPs
207
MAPDs
IMITREX 100MG TABLET
(Sumatriptan Succinate)
9 BLPK0017307370120
PDPs
51
MAPDs
IMITREX 20MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UD NASAL SPRAY CTR0017305230021
PDPs
80
MAPDs
IMITREX 25MG TABLET
(Sumatriptan Succinate)
1 BLPK0017307350020
PDPs
51
MAPDs
IMITREX 4MG/0.5ML KIT REFILL
(Sumatriptan Succinate)
2 SYR0017307390223
PDPs
67
MAPDs
IMITREX 5MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UNIT DOSE SPRAY CTR0017305240021
PDPs
80
MAPDs
IMITREX 50MG TABLET
(Sumatriptan Succinate)
9 BLPK0017307360120
PDPs
51
MAPDs
IMITREX 6MG/0.5ML SYRNG KIT
(Sumatriptan Succinate)
2 (STATDOSE) SYR0017304780023
PDPs
69
MAPDs
IMITREX 6MG/0.5ML VIAL
(Sumatriptan Succinate)
5 X 0.5 ML VIAL0017304490220
PDPs
58
MAPDs
IMOVAX RABIES VACCINE 2.5UNT/ML
(Rabies Virus Vaccine, HDC)
1 ML VIAL4928102505168
PDPs
220
MAPDs
IMURAN 50MG TABLET
(Azathioprine)
100 BOT6548305901022
PDPs
50
MAPDs
INCRELEX 40MG/4ML VIAL
(Mecasermin)
   1505410400568
PDPs
220
MAPDs
INDAPAMIDE 1.25MG TABLET USP (1000 CT)
(Indapamide)
1000 BOTPL0022825979668
PDPs
218
MAPDs
INDAPAMIDE 2.5MG TABLET USP (1000 CT)
(Indapamide)
1000 BOT0037800801068
PDPs
218
MAPDs
INDERAL LA LONG ACTING CAPSULES 120MG 100 BOT
(Propranolol HCl)
100 BOT2409004738820
PDPs
47
MAPDs
INDERAL LA LONG ACTING CAPSULES 160MG 100 BOT
(Propranolol HCl)
100 BOT2409004798820
PDPs
47
MAPDs
INDERAL LA LONG ACTING CAPSULES 60MG 100 BOT
(Propranolol HCl)
100 BOT2409004708820
PDPs
47
MAPDs
INDERAL LA LONG ACTING CAPSULES 80MG 100 BOT
(Propranolol HCl)
100 BOT2409004718820
PDPs
47
MAPDs
INDOCIN ORAL SUSPENSION 25MG/5ML 237 ML BOT
(Indomethacin)
237 ML BOT4221101011136
PDPs
120
MAPDs
INDOMETHACIN CAPSULES
(Indomethacin)
1000 BOT 0009340291067
PDPs
218
MAPDs
INDOMETHACIN 50MG CAPSULE
(Indomethacin)
100 BOT0037801470167
PDPs
218
MAPDs
INDOMETHACIN 75MG CAPSULE SA
(Indomethacin)
60 BOTPL0018507206064
PDPs
209
MAPDs
INFERGEN INJECTION
(Interferon alfacon-1)
6 VIAL PKG 6643502011551
PDPs
179
MAPDs
INFUMORPH 10MG/ML AMPUL P/F
(Morphine Sulfate For Microinfusion)
1 X 20 ML AMP6097701140133
PDPs
92
MAPDs
INFUMORPH 25MG/ML AMPUL P/F
(Morphine Sulfate For Microinfusion)
20 ML AMP6097701150133
PDPs
80
MAPDs
INNOHEP 20000UNIT/ML VIAL
(Tinzaparin Sodium)
10 X 2 ML VIALMD6721103425324
PDPs
85
MAPDs
INNOPRAN CAPSULES EXTENDED RELEASE 120 MG
(Propranolol HCl Sustained-Release Beads)
100 BOT0017307910225
PDPs
80
MAPDs
INNOPRAN CAPSULES EXTENDED RELEASE 80 MG
(Propranolol HCl Sustained-Release Beads)
30 BOT0017307900125
PDPs
80
MAPDs
INSPRA 50MG TABLET
(Eplerenone)
   0002517200319
PDPs
45
MAPDs
INSPRA 25MG TABLET
(Eplerenone)
90 TABLETS BOT0002517100219
PDPs
45
MAPDs
INSULIN, GLULISINE, HUMAN 100 UNT/ML PREFILLED SYRINGE [APIDRA] 3 ML
(Insulin Glulisine Subcutaneous)
   0008825020544
PDPs
122
MAPDs
INTELENCE 100MG TABLET
(Etravirine)
120 TABLETS BOT5967605700168
PDPs
220
MAPDs
INTERFERON BETA-1B 0.25 MG/ML INJECTABLE SOLUTION [EXTAVIA]
(Interferon Beta-1b For)
   0007805691248
PDPs
133
MAPDs
INTRALIPID PHARMACY BULK PACKAGE FAT EMULSION 1.7-1.2-30GM 500ML BAG
(Fat)
500 ML BAG0033805200360
PDPs
177
MAPDs
INTRALIPID 20% IV FAT EMUL
(Fat)
250 ML BAG0033805190265
PDPs
206
MAPDs
INTRON A 5MMU MULTIDOSE PEN
(Interferon Alfa-2B)
   0008512350168
PDPs
215
MAPDs
INTRON A 3MMU INJECTION PEN
(Interferon Alfa-2B)
   0008512420168
PDPs
220
MAPDs
INTRON A 10MMU INJ PEN
(Interferon Alfa-2B)
   0008512540168
PDPs
216
MAPDs
INTRON A 10MMU VIAL
(Interferon Alfa-2B)
2 ML KIT0008505710268
PDPs
214
MAPDs
INTRON A 6MMU/ML VIAL
(Interferon Alfa-2B)
3 ML VIAL0008511680168
PDPs
213
MAPDs
INVANZ 1GM VIAL
(Ertapenem Sodium For)
10X 1 GM VIAL0000638437155
PDPs
185
MAPDs
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805500168
PDPs
220
MAPDs
INVEGA 6MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805510168
PDPs
220
MAPDs
INVEGA 9MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805520168
PDPs
220
MAPDs
INVIRASE 200MG CAPSULE
(Saquinavir Mesylate)
270 BOT0000402451568
PDPs
220
MAPDs
INVIRASE 500MG TABLET
(Saquinavir Mesylate)
120 BOT0000402445168
PDPs
220
MAPDs
IONOSOL B-D5W IV SOLUTION
(Electrolyte-B in D5W)
12 X 1000 ML BAG0040973710945
PDPs
140
MAPDs
IONOSOL MB-D5W IV SOLUTION
(Electrolyte-MB in D5W)
24 X 500 ML CTR0040973720345
PDPs
141
MAPDs
IONOSOL T-D5W IV SOLUTION
(Electrolyte-T in D5W)
12 X 1000 ML CTR0040973730945
PDPs
140
MAPDs
IOPIDINE 0.5% EYE DROPS
(Apraclonidine HCl Ophth)
10 ML BOTDR0006506651025
PDPs
67
MAPDs
IOPIDINE 1% EYE DROPS
(Apraclonidine HCl Ophth)
0.1 ML CTR0006506601037
PDPs
113
MAPDs
IPOL VIAL 40;8;32; UNT
(Poliovirus Vaccine, IPV)
10 DOSE VIAL4928108601068
PDPs
220
MAPDs
IPRATROPIUM BROMIDE INHALATION SOLUTION 0.02% 60 X 2.5ML VIALSD
(Ipratropium Bromide)
60 X 2.5ML VIALSD1625200986659
PDPs
170
MAPDs
IPRATROPIUM BROMIDE 42MCG AEROSOL SPRAY
(Ipratropium Bromide)
   6050508270168
PDPs
219
MAPDs
IPRATROPIUM BROMIDE NASAL SPRAY
(Ipratropium Bromide Nasal)
345 SPRAY CRTN 0005400454468
PDPs
219
MAPDs
IQUIX 1.5% DROPS
(Levofloxacin Ophth)
5 ML BOT6866901450523
PDPs
66
MAPDs
IRESSA 250MG TABLET
(Gefitinib)
30 BOT0031004823052
PDPs
166
MAPDs
IRINOTECAN HCL INJECTION 20MG
(Irinotecan HCl)
1 X 5 ML VIAL6170303490950
PDPs
157
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT0000602276168
PDPs
220
MAPDs
ISMO 20MG TABLET
(Isosorbide Mononitrate)
100 TABS BOT6785707020122
PDPs
47
MAPDs
ISOCHRON 40MG TABLET SA
(Isosorbide Dinitrate)
100 BOT0045606370137
PDPs
122
MAPDs
ISOLYTE H IN 5% DEXTROSE
(Electrolyte-H in D5W)
12 X 1000 ML BAG0026477190050
PDPs
153
MAPDs
ISOLYTE M IN 5% DEXTROSE INJECTION
(Electrolyte-M in D5W)
12 X 1000 ML BAG0026477200046
PDPs
132
MAPDs
ISOLYTE P IN 5% DEXTROSE INJECTION
(Electrolyte-P in D5W)
24 X 500 ML BAG0026477301049
PDPs
152
MAPDs
ISOLYTE S SOLUTION FOR INJECTION
(Electrolyte-S)
1000 ML X 12 CASE0026477030050
PDPs
155
MAPDs
ISOLYTE S IN 5% DEXTROSE INJECTION
(Electrolyte-S in D5W)
12 X 1000 ML BAG0026477040049
PDPs
152
MAPDs
ISONARIF 300-150MG CAPSULE
(Isoniazid & Rifampin)
60 CAPS BOT6174800176056
PDPs
161
MAPDs
ISONIAZID 50MG/5ML SYRUP
(Isoniazid)
16 FLO BOT4628700090164
PDPs
205
MAPDs
ISONIAZID INJ 100MG/ML
(Isoniazid)
10 ML VIALMD0078130567051
PDPs
168
MAPDs
ISONIAZID 100MG TABLET
(Isoniazid)
1000 BOT0014312601068
PDPs
220
MAPDs
ISONIAZID TABLETS
(Isoniazid)
1000 BOT 0014312611068
PDPs
220
MAPDs
ISOPTIN SR 120MG
(Verapamil HCl)
   1063104880123
PDPs
45
MAPDs
ISOPTIN SR 180MG
(Verapamil HCl)
   1063104890123
PDPs
46
MAPDs
ISOPTIN SR 240MG (500 Count)
(Verapamil HCl)
   1063104900523
PDPs
46
MAPDs
ISORDIL 40MG TABLET
(Isosorbide Dinitrate)
100 BOT6445501920134
PDPs
107
MAPDs
ISORDIL TABLETS 5MG 100 BOT
(Isosorbide Dinitrate)
   6445501520123
PDPs
48
MAPDs
ISOSORBIDE DN 10MG TABLET
(Isosorbide Dinitrate)
1000 BOT0014317711068
PDPs
220
MAPDs
ISOSORBIDE DN 20MG TABLET
(Isosorbide Dinitrate)
100 BOT0014317720168
PDPs
220
MAPDs
ISOSORBIDE DN 30MG TABLET
(Isosorbide Dinitrate)
1000 BOT4988400091068
PDPs
220
MAPDs
ISOSORBIDE DINITRATE TABLETS EXTENDED RELEASE
(Isosorbide Dinitrate)
100 BOT 5766406008866
PDPs
217
MAPDs
ISOSORBIDE DINITRATE TABLETS
(Isosorbide Dinitrate)
1000 BOT 0014317691068
PDPs
219
MAPDs
ISOSORBIDE DN 5MG TABLET SL
(Isosorbide Dinitrate)
100 BOT0060341232168
PDPs
218
MAPDs
ISOSORBIDE DN 2.5 MG TAB SL
(Isosorbide Dinitrate)
100 EA  0014317650168
PDPs
218
MAPDs
ISOSORBIDE MONONITRATE 20 MG ORAL TABLET [MONOKET]
(Isosorbide Mononitrate)
   0009136200125
PDPs
49
MAPDs
ISOSORBIDE MN 10MG TABLET
(Isosorbide Mononitrate)
100 BOTPL0022826311168
PDPs
218
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 120MG (100 CT)
(Isosorbide Mononitrate)
100 TABLETS BOT6217501293768
PDPs
220
MAPDs
ISOSORBIDE MONONITRATE 20MG TABLET
(Isosorbide Mononitrate)
100 BOT0014313330168
PDPs
219
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 30MG (100 CT)
(Isosorbide Mononitrate)
100 BOT0014322300168
PDPs
218
MAPDs
ISOSORBIDE MONONITRATE TABLETS EXTENDED RELEASE 60MG 100 TABLETS BOT
(Isosorbide Mononitrate)
100 TABLETS BOT6217501193768
PDPs
218
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
ISRADIPINE CAPSULES 2.5MG (100 CT)
(Isradipine)
100 BOT1625205390163
PDPs
198
MAPDs
ISRADIPINE CAPSULES 5MG (100 CT)
(Isradipine)
100 BOT1625205400163
PDPs
198
MAPDs
ISTALOL 0.5% EYE DROPS
(Timolol Maleate Ophth)
5 ML BOTDR6742500035037
PDPs
106
MAPDs
ISTODAX KIT
(Romidepsin)
1 PKGCOM 5957209830153
PDPs
173
MAPDs
ITRACONAZOLE 100MG CAPSULE
(Itraconazole)
30 CAPS BOT0018505503066
PDPs
216
MAPDs
IXEMPRA KIT 45MG
(IXABEPILONE)
   0001519111343
PDPs
121
MAPDs
IXIARO JAPANESE ENCEPHALITIS VACCINE 6MCG/.5ML
(Japanese Encephalitis Vaccine Inactivated Adsorbed)
0.5ML SYR4251500010160
PDPs
178
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL0008822203368
PDPs
220
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)
3 ML X 5 CRTG CRTN 0008822190564
PDPs
184
MAPDs
LEVEMIR FLEXPEN 100UNITS/ML
(Insulin Detemir)
   0016964391063
PDPs
176
MAPDs
LEVEMIR 100UNITS/ML VIAL
(Insulin Detemir)
1 X 10 ML VIAL0016936871266
PDPs
208
MAPDs
MARPLAN 10MG TABLET (100 CT)
(Isocarboxazid)
100 BOT3069800320168
PDPs
220
MAPDs
MONOKET 10MG TABLET
(Isosorbide Mononitrate)
100 BOT0009136100125
PDPs
51
MAPDs
NOVOLIN 70/30 100U/ML VIAL
(Insulin Isophane & Regular (Human))
   0016918371163
PDPs
209
MAPDs
NOVOLIN 70/INJ 30 INNLT
(Insulin Isophane & Regular (Human))
   0016923172159
PDPs
178
MAPDs
NOVOLIN N 100U/ML VIAL
(Insulin Isophane (Human))
   0016918341163
PDPs
209
MAPDs
NOVOLIN N INJ INNOLET
(Insulin Isophane (Human))
   0016923142159
PDPs
178
MAPDs
NOVOLIN R 100U/ML VIAL
(Insulin Regular (Human))
   0016918331163
PDPs
209
MAPDs
NOVOLOG 100U/ML VIAL
(Insulin Aspart)
1 X 10ML VIALGL0016975011165
PDPs
214
MAPDs
NOVOLOG FLEXPEN SYRINGE
(Insulin Aspart)
5 X 3ML SYR0016963391062
PDPs
190
MAPDs
NOVOLOG MIX 70/30 VIAL
(Insulin Aspart Prot & Aspart (Human))
1 VIAL0016936851265
PDPs
214
MAPDs
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML
(Insulin Aspart Prot & Aspart (Human))
5 X 3 ML SYR0016936961962
PDPs
189
MAPDs
24 HR PALIPERIDONE 1.5 MG EXTENDED RELEASE TABLET [INVEGA]
(Paliperidone Palmitate IM Extended-Release)
   5045805540168
PDPs
218
MAPDs
PALIPERIDONE PALMITATE 156 MG/ML PREFILLED SYRINGE [INVEGA]
(Paliperidone)
0.25 ML  5045805600168
PDPs
220
MAPDs
PALIPERIDONE PALMITATE 156 MG/ML PREFILLED SYRINGE [INVEGA]
(Paliperidone)
0.5 ML  5045805610168
PDPs
219
MAPDs
PALIPERIDONE PALMITATE 156 MG/ML PREFILLED SYRINGE [INVEGA]
(Paliperidone)
0.75 ML  5045805620168
PDPs
219
MAPDs
PALIPERIDONE PALMITATE 156 MG/ML PREFILLED SYRINGE [INVEGA]
(Paliperidone)
1 ML  5045805630168
PDPs
219
MAPDs
PALIPERIDONE PALMITATE 156 MG/ML PREFILLED SYRINGE [INVEGA]
(Paliperidone)
1.5 ML  5045805640168
PDPs
219
MAPDs
PHYSIOLYTE SOLUTION FOR IRRIGATION
(Irrigation Solution, Physiological)
1000 ML X 16 CASE0026422050035
PDPs
80
MAPDs
PHYSIOSOL IRRIGATION SOL
(Irrigation Solution, Physiological)
24 X 500 ML CTR0040961410332
PDPs
67
MAPDs
PRIMAXIN I.M. 500MG VIAL
(Imipenem-Cilastatin Intravenous For)
1 X 10 VIALS VIAL0000635827564
PDPs
194
MAPDs
PRIMAXIN IV 250MG VIAL
(Imipenem-Cilastatin Intravenous For)
25 X 10 ML VIAL0000635145863
PDPs
204
MAPDs
PRIMAXIN IV INJ 500MG
(Imipenem-Cilastatin Intravenous For)
10 X 100 ML VIAL0000635177563
PDPs
201
MAPDs
PRIVIGEN 10% VIAL
(Immune Globulin (Human) IV)
200 ML  4420604382038
PDPs
110
MAPDs
REBIF 22MCG/0.5ML SYRINGE
(Interferon Beta-1a)
   4408700220360
PDPs
195
MAPDs
REBIF 44MCG/0.5ML SYRINGE
(Interferon Beta-1a)
   4408700440360
PDPs
195
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)
   4408788220159
PDPs
194
MAPDs
RELION R INJ 100/ML
(Insulin Regular (Human))
   5906018330251
PDPs
165
MAPDs
REMICADE 100MG VIAL
(Infliximab For IV)
20 ML VIALSU5789400300168
PDPs
220
MAPDs
RIFAMATE CAPSULE
(Isoniazid & Rifampin)
60 BOT0006805096025
PDPs
55
MAPDs
RIFATER TABLET
(Isoniazid-Rifampin w/ Pyrazinamide)
60 BOT0008805764136
PDPs
115
MAPDs
SOTRET 10MG CAPSULE
(Isotretinoin)
100 BOXUD1063105847759
PDPs
164
MAPDs
SOTRET 20MG CAPSULE
(Isotretinoin)
100 BOXUD1063105857761
PDPs
187
MAPDs
SOTRET 30MG CAPSULE
(Isotretinoin)
30 BOXUD1063104473159
PDPs
163
MAPDs
SOTRET 40MG CAPSULE
(Isotretinoin)
100 BOXUD1063105867759
PDPs
164
MAPDs
SPORANOX 10MG/ML SOLUTION
(Itraconazole)
150 ML BOT5045802951543
PDPs
153
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
28 (PULSE PACK) BLPK5045802902818
PDPs
37
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
30 BOT5045802900422
PDPs
45
MAPDs
STROMECTOL 3MG TABLET
(Ivermectin)
20 X 1 TABLET BOXUD0000600322053
PDPs
167
MAPDs
TOFRANIL TABLETS 10MG 30 BOT
(Imipramine HCl)
30 BOT0040699200319
PDPs
47
MAPDs
TOFRANIL TABLETS 25MG 30 BOT
(Imipramine HCl)
30 BOT0040699210319
PDPs
47
MAPDs
TOFRANIL 50MG TABLET (30 CT)
(Imipramine HCl)
30 BOT0040699220319
PDPs
47
MAPDs
TOFRANIL-PM 100MG CAPSULE
(Imipramine Pamoate)
30 BOT0040699240318
PDPs
57
MAPDs
TOFRANIL-PM 125MG CAPSULE
(Imipramine Pamoate)
30 BOT0040699250318
PDPs
57
MAPDs
TOFRANIL-PM 150MG CAPSULE
(Imipramine Pamoate)
30 BOT0040699260318
PDPs
57
MAPDs
TOFRANIL-PM 75MG CAPSULE
(Imipramine Pamoate)
30 BOT0040699230318
PDPs
57
MAPDs
VENTAVIS ILOPROST INHALATION SOLUTION 10MCG/ML 1 ML AMP
(Iloprost)
1 ML AMP6621503020028
PDPs
85
MAPDs
VIVAGLOBIN SOL 160MG/ML 10ML VIAL
(Immune Globulin (Human) Subcutaneous)
10 ML VIAL0005375961042
PDPs
133
MAPDs
ZYCLARA CREAM
(Imiquimod)
250 MG X 28 PKT CRTN 2933607102834
PDPs
124
MAPDs



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




Tips & Disclaimers
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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.