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2012 Medicare Part D Formulary Search By Drug Letter

Select a Letter below:
Links to Summaries by State for LTC Drugs on LIS/SNP Plans:
AK  AL  AR  AZ  CA  CO  CT  DC  DE  FL  GA  HI  IA  ID  IL  IN  KS  KY  LA  MA  MD  ME  MI  MN  MO  MS  MT  NC  ND  NE  NH  NJ  NM  NV  NY  OH  OK  OR  PA  PR  RI  SC  SD  TN  TX  UT  VA  VT  WA  WI  WV  WY

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 2012 Formularies
PDPsMAPDs
ACTIMMUNE SOLUTION FOR INJECTION 100MCG
(Interferon Gamma-1B)
12 X 0.5 ML CRTN6411600111271
PDPs
245
MAPDs
IPRATROPIUM BROMIDE and ALBUTEROL SULFATE 2.5; 0.5mg/3mL; mg/3mL 12 POUCH in 1 CARTON / 5 VIAL, PLA
(Albuterol-Ipratropium Nebu)
12 POUCH in 1 CARTON / 5  0009367237455
PDPs
178
MAPDs
ALDARA 5% CREAM
(Imiquimod)
   9920702601223
PDPs
77
MAPDs
Amnesteem 10mg/1 3 BLISTER PACK in 1 CARTON / 10 CAPSULE in 1 BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0037866119362
PDPs
197
MAPDs
Amnesteem 20mg/1 3 BLISTER PACK in 1 CARTON / 10 CAPSULE in 1 BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0037866129362
PDPs
197
MAPDs
Amnesteem 40mg/1 3 BLISTER PACK in 1 CARTON / 10 CAPSULE in 1 BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0037866149362
PDPs
197
MAPDs
APIDRA 100UNITS/ML VIAL
(Insulin Glulisine Subcutaneous)
10 ML VIAL0008825003345
PDPs
154
MAPDs
Arcapta Neohaler 75ug/1 30 BLISTER PACK in 1 BOX / 1 CAPSULE in 1 BLISTER PACK
(INDACATEROL MALEATE)
30 BLISTER PACK in 1 BOX  0007806191527
PDPs
87
MAPDs
ATROVENT NASAL SPRAY 0.03%
(Ipratropium Bromide Nasal)
30 ML BOT0059700813020
PDPs
58
MAPDs
ATROVENT NASAL SPRAY 0.06%
(Ipratropium Bromide Nasal)
15 ML BOT0059700867620
PDPs
58
MAPDs
ATROVENT HFA AER 17MCG
(Ipratropium Bromide HFA)
12.9 GRAMS PER 200 ACT CAN0059700871770
PDPs
244
MAPDs
AVALIDE 12.5; 150mg/1; mg/1 90 TABLET, FILM COATED in 1 BOTTLE
(Irbesartan-Hydrochlorothiazide)
90 TABLET, FILM COATED in  0008728753230
PDPs
98
MAPDs
AVALIDE 12.5; 300mg/1; mg/1 30 TABLET, FILM COATED in 1 BOTTLE
(Irbesartan-Hydrochlorothiazide)
30 TABLET, FILM COATED in  0008728763130
PDPs
98
MAPDs
AVALIDE 300-25MG TABLET
(Irbesartan-Hydrochlorothiazide)
90 BOT0008727883236
PDPs
120
MAPDs
AVAPRO 150MG TABLET
(Irbesartan)
500 BOT0008727721530
PDPs
97
MAPDs
AVAPRO 300MG TABLET
(Irbesartan)
90 BOT0008727733230
PDPs
97
MAPDs
AVAPRO 75MG TABLET (30 CT)
(Irbesartan)
30 BOT0008727713130
PDPs
97
MAPDs
AVONEX ADMIN PACK 30MCG VL
(Interferon Beta-1a)
1 X 4 KITS PKGCOM5962700010371
PDPs
239
MAPDs
AVONEX ADMIN PACK 30MCG SYR
(Interferon Beta-1a)
1 X 4 PKGCOM5962700020570
PDPs
236
MAPDs
BETASERON KIT 0.3MG/VIAL 14 TRAY BOX PKGCOM
(Interferon Beta-1b For)
14 TRAY BOX PKGCOM5041905233562
PDPs
227
MAPDs
BIDIL TABLET 20MG/37.5MG
(Isosorbide Dinitrate-Hydralazine HCl)
180 BOT1294800011244
PDPs
137
MAPDs
BONIVA 150MG TABLET
(Ibandronate Sodium)
3 CRTN0000401868248
PDPs
132
MAPDs
BONIVA 3MG/3ML SYRINGE
(Ibandronate Sodium)
1 PREFIILED SYR SYRGL0000401880950
PDPs
160
MAPDs
Camptosar 20mg/mL 1 VIAL, SINGLE-DOSE in 1 CARTON / 5 mL in 1 VIAL, SINGLE-DOSE
(Irinotecan HCl)
1 VIAL, SINGLE-DOSE in 1  0000975290319
PDPs
72
MAPDs
CARIMUNE NF 3GM VIAL
(Immune Globulin (Human) IV)
3 GM PKGCOM4420604160348
PDPs
184
MAPDs
CEREZYME INJ 200UNIT
(Imiglucerase For)
   5846819830171
PDPs
245
MAPDs
CLARAVIS 10MG CAPSULE
(Isotretinoin)
100 BLPK0055510545667
PDPs
213
MAPDs
CLARAVIS 20MG CAPSULE
(Isotretinoin)
100 BLPK0055510555667
PDPs
208
MAPDs
Claravis 30mg/1 3 BLISTER PACK in 1 CARTON / 10 CAPSULE in 1 BLISTER PACK
(Isotretinoin)
3 BLISTER PACK in 1 CARTO  0055510568666
PDPs
211
MAPDs
CLARAVIS 40MG CAPSULE
(Isotretinoin)
100 BLPK0055510575667
PDPs
213
MAPDs
CRIXIVAN 100MG CAPSULE
(Indinavir Sulfate)
180 BOT0000605706271
PDPs
245
MAPDs
CRIXIVAN 200MG CAPSULE
(Indinavir Sulfate)
360 BOT0000605714371
PDPs
245
MAPDs
CRIXIVAN 400mg/1 90 CAPSULE in 1 BOTTLE
(INDINAVIR SULFATE)
90 CAPSULE in 1 BOTTLE  0000605735471
PDPs
245
MAPDs
DILATRATE-SR 40 MG CAPSULE
(Isosorbide Dinitrate)
100 EA  5224409201024
PDPs
82
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)
   7598700100313
PDPs
48
MAPDs
DYNACIRC CR TABLETS 10 MG
(Isradipine)
30 BOT0017307850131
PDPs
95
MAPDs
DYNACIRC CR TABLETS 5 MG
(Isradipine)
30 BOT0017307840130
PDPs
94
MAPDs
ELAPRASE 6mg/3mL 1 VIAL, GLASS in 1 BOX / 3 mL in 1 VIAL, GLASS
(Idursulfase)
1 VIAL, GLASS in 1 BOX /  5409207000161
PDPs
205
MAPDs
EXTAVIA 15 BLISTER PACK in 1 CARTON / 1 KIT in 1 BLISTER PACK
(Interferon Beta-1b For)
15 BLISTER PACK in 1 CART  0007805691241
PDPs
150
MAPDs
Firazyr 30.0mg/3mL 1 SYRINGE, GLASS in 1 CARTON / 3 mL in 1 SYRINGE, GLASS
(ICATIBANT ACETATE)
1 SYRINGE, GLASS in 1 CAR  5409207020252
PDPs
137
MAPDs
GAMASTAN S/D INJECTION 16.5GM/2ML VIALGL
(Immune Globulin (Human))
2 ML VIALGL1353306350448
PDPs
190
MAPDs
GAMMAGARD LIQUID 100mg/mL 1 BOTTLE, GLASS in 1 CARTON / 25 mL in 1 BOTTLE, GLASS
(Immune Globulin (Human) IV)
1 BOTTLE, GLASS in 1 CART  0094427000358
PDPs
216
MAPDs
GAMMAPLEX INJECTION 5 GM/100 ML
(Immune Globulin)
   6420882340337
PDPs
131
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS  1353308001251
PDPs
190
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT0007804013471
PDPs
245
MAPDs
GLEEVEC 400MG TABLET
(Imatinib Mesylate)
30 BOT0007804381571
PDPs
245
MAPDs
HIZENTRA LIQUID
(Immune Globulin (Human) Subcutaneous)
5ML X 1 VIALSD CRTN 4420604510137
PDPs
117
MAPDs
HUMALOG 100U/ML VIAL
(Insulin Lispro (Human))
1 X 10 ML VIAL0000275100160
PDPs
217
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 0000287995959
PDPs
205
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL0000275120161
PDPs
220
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL0000275110160
PDPs
217
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 0000287985960
PDPs
207
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 0000287975959
PDPs
205
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL0000287150160
PDPs
210
MAPDs
HUMULIN 70/30 PEN INJECTION 100UNT 1 X 3.0ML(PEN) CTG
(Insulin Isophane & Regular (Human))
1 X 3.0 ML(PEN) CTG0000287700159
PDPs
199
MAPDs
HUMULIN N PEN INJECTION 100UNT 1 X 3.0ML (PEN) CTG
(Insulin Isophane (Human))
1 X 3.0 ML (PEN) CTG0000287300159
PDPs
201
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL0000283150160
PDPs
210
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL0000282150160
PDPs
211
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL0000285010165
PDPs
214
MAPDs
IBANDRONATE SODIUM 150 MG TAB
(Ibandronate Sodium)
   6050527950064
PDPs
202
MAPDs
Ibuprofen 100mg/5mL 473 mL in 1 BOTTLE
(Ibuprofen)
473 mL in 1 BOTTLE  4580209524363
PDPs
222
MAPDs
IBUPROFEN TABLETS
(Ibuprofen)
100 BOXUD 0090458536171
PDPs
245
MAPDs
IBUPROFEN 600mg/1 500 TABLET in 1 BOTTLE
(Ibuprofen)
500 TABLET BOTTLE  5374604650571
PDPs
245
MAPDs
IBUPROFEN 800 MG TABLET
(Ibuprofen)
500 EA  0090451874071
PDPs
245
MAPDs
IDAMYCIN PFS 1MG/ML VIAL
(Idarubicin HCl IV)
20 ML VIALPL0001325969123
PDPs
68
MAPDs
IDARUBICIN HCL 1MG/ML VIAL
(Idarubicin HCl IV)
1 X 10 ML PKG0070341551155
PDPs
181
MAPDs
IFEX INJECTION 3GM/ML 3GM VIALSD
(Ifosfamide For)
3GM VIALSD0033839930143
PDPs
122
MAPDs
IFOSFAMIDE FOR INFECTION 1 GM
(Ifosfamide For)
01 X 1 GM VIALSD6332301421056
PDPs
183
MAPDs
IFOSFAMIDE/MESNA KIT 1G/20ML / 1MG/
(Ifosfamide & Mesna)
2X60ML IFOSF+6X10ML MESNA PKGCOM0070341006854
PDPs
176
MAPDs
IFOSFAMIDE/MESNA KIT 1G/20ML / 1MG/
(Ifosfamide & Mesna)
5X20ML IFOSF+3X10ML MESNA PKGCOM0070341004854
PDPs
179
MAPDs
Ilaris 150mg/mL 1 VIAL, SINGLE-USE in 1 CARTON / 1 mL in 1 VIAL, SINGLE-USE
(CANAKINUMAB)
1 VIAL, SINGLE-USE in 1 C  0007805826133
PDPs
96
MAPDs
IMIPENEM-CILASTATIN 250 MG VL
(Imipenem-Cilastatin Intravenous For)
   0040935080165
PDPs
220
MAPDs
IMIPENEM-CILASTATIN 500 MG VL
(Imipenem-Cilastatin Intravenous For)
   0040935070165
PDPs
220
MAPDs
IMIPRAMINE HCL 10MG TABLET (100 CT)
(Imipramine HCl)
100 BOT4988400540171
PDPs
245
MAPDs
IMIPRAMINE HCL 25MG TABLET (100 CT)
(Imipramine HCl)
100 BOT4988400550171
PDPs
245
MAPDs
IMIPRAMINE HCL 50MG TABLET (100 CT)
(Imipramine HCl)
100 BOT5348903320171
PDPs
245
MAPDs
IMIPRAMINE PAMOATE CAPSULES
(Imipramine Pamoate)
30 BOT 0005402741353
PDPs
180
MAPDs
IMIPRAMINE PAMOATE CAPSULES
(Imipramine Pamoate)
30 BOT 0005402751353
PDPs
180
MAPDs
IMIPRAMINE PAMOATE CAPSULES
(Imipramine Pamoate)
30 BOT 0005402761353
PDPs
180
MAPDs
IMIPRAMINE PAMOATE CAPSULES
(Imipramine Pamoate)
30 BOT 0005402731353
PDPs
180
MAPDs
IMIQUIMOD 5% CREAM
(Imiquimod)
24 EA  0016804322470
PDPs
245
MAPDs
IMITREX 100MG TABLET
(Sumatriptan Succinate)
9 BLPK0017307370117
PDPs
67
MAPDs
IMITREX 20MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UD NASAL SPRAY CTR0017305230015
PDPs
83
MAPDs
IMITREX 25MG TABLET
(Sumatriptan Succinate)
1 BLPK0017307350017
PDPs
67
MAPDs
IMITREX 4MG/0.5ML KIT REFILL
(Sumatriptan Succinate)
2 SYR0017307390218
PDPs
76
MAPDs
IMITREX 5MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UNIT DOSE SPRAY CTR0017305240015
PDPs
83
MAPDs
IMITREX 50MG TABLET
(Sumatriptan Succinate)
9 BLPK0017307360117
PDPs
67
MAPDs
IMITREX 6MG/0.5ML SYRNG KIT
(Sumatriptan Succinate)
2 (STATDOSE) SYR0017304780018
PDPs
77
MAPDs
IMITREX 6MG/0.5ML VIAL
(Sumatriptan Succinate)
5 X 0.5 ML VIAL0017304490219
PDPs
70
MAPDs
IMOVAX RABIES VACCINE 2.5UNT/ML
(Rabies Virus Vaccine, HDC)
1 ML VIAL4928102505171
PDPs
245
MAPDs
IMURAN 50MG TABLET
(Azathioprine)
100 BOT6548305901021
PDPs
70
MAPDs
Incivek 375mg/1 4 BOX in 1 CARTON / 7 BLISTER PACK in 1 BOX / 6 TABLET, FILM COATED in 1 BLISTER PA
(TELAPREVIR)
4 BOX in 1 CARTON / 7 BLI  5116701000168
PDPs
224
MAPDs
Increlex 40mg/4mL 1 VIAL, MULTI-DOSE in 1 CARTON / 4 mL in 1 VIAL, MULTI-DOSE
(Mecasermin)
1 VIAL, MULTI-DOSE in 1 C  1505410400571
PDPs
245
MAPDs
Indapamide 1.25mg/1 100 TABLET, FILM COATED in 1 BOTTLE, PLASTIC
(Indapamide)
100 TABLET, FILM COATED i  0037800690171
PDPs
243
MAPDs
INDAPAMIDE 2.5MG TABLET USP (1000 CT)
(Indapamide)
1000 BOT0037800801071
PDPs
243
MAPDs
INDERAL LA LONG ACTING CAPSULES 120MG 100 BOT
(Propranolol HCl)
100 BOT2409004738816
PDPs
64
MAPDs
INDERAL LA LONG ACTING CAPSULES 160MG 100 BOT
(Propranolol HCl)
100 BOT2409004798816
PDPs
64
MAPDs
INDERAL LA LONG ACTING CAPSULES 60MG 100 BOT
(Propranolol HCl)
100 BOT2409004708816
PDPs
64
MAPDs
INDERAL LA LONG ACTING CAPSULES 80MG 100 BOT
(Propranolol HCl)
100 BOT2409004718816
PDPs
64
MAPDs
INDOCIN ORAL SUSPENSION 25MG/5ML 237 ML BOT
(Indomethacin)
237 ML BOT4221101011136
PDPs
140
MAPDs
INDOMETHACIN CAPSULES
(Indomethacin)
1000 BOT 0009340291070
PDPs
239
MAPDs
INDOMETHACIN 50MG CAPSULE
(Indomethacin)
100 BOT0037801470170
PDPs
239
MAPDs
INDOMETHACIN 75MG CAPSULE SA
(Indomethacin)
60 BOTPL0018507206063
PDPs
226
MAPDs
INFERGEN INJECTION
(Interferon alfacon-1)
6 VIAL PKG 6643502011552
PDPs
187
MAPDs
INFUMORPH 10MG/ML AMPUL P/F
(Morphine Sulfate For Microinfusion)
1 X 20 ML AMP6097701140134
PDPs
108
MAPDs
INFUMORPH 25MG/ML AMPUL P/F
(Morphine Sulfate For Microinfusion)
20 ML AMP6097701150134
PDPs
89
MAPDs
INLYTA 1 MG TABLET
(axitinib)
   0006901450171
PDPs
245
MAPDs
INLYTA 5 MG TABLET
(axitinib)
   0006901511171
PDPs
245
MAPDs
INNOHEP 20000[iU]/mL 1 VIAL, MULTI-DOSE in 1 CARTON / 2 mL in 1 VIAL, MULTI-DOSE
(Tinzaparin Sodium)
1 VIAL, MULTI-DOSE in 1 C  5022203420829
PDPs
109
MAPDs
INNOPRAN CAPSULES EXTENDED RELEASE 120 MG
(Propranolol HCl Sustained-Release Beads)
100 BOT0017307910225
PDPs
89
MAPDs
INNOPRAN CAPSULES EXTENDED RELEASE 80 MG
(Propranolol HCl Sustained-Release Beads)
30 BOT0017307900125
PDPs
90
MAPDs
INSPRA 25MG TABLET
(Eplerenone)
90 TABLETS BOT0002517100216
PDPs
62
MAPDs
Inspra 50mg/1 30 TABLET, FILM COATED in 1 BOTTLE
(Eplerenone)
30 TABLET, FILM COATED in  0002517200316
PDPs
62
MAPDs
INSULIN, GLULISINE, HUMAN 100 UNT/ML PREFILLED SYRINGE [APIDRA] 3 ML
(Insulin Glulisine Subcutaneous)
   0008825020543
PDPs
146
MAPDs
INTELENCE 100MG TABLET
(Etravirine)
120 TABLETS BOT5967605700171
PDPs
245
MAPDs
Intelence 200mg/1
(Etravirine)
   5967605710171
PDPs
234
MAPDs
INTRALIPID PHARMACY BULK PACKAGE FAT EMULSION 1.7-1.2-30GM 500ML BAG
(Fat)
500 ML BAG0033805200360
PDPs
199
MAPDs
INTRALIPID 20% IV FAT EMUL
(Fat)
250 ML BAG0033805190268
PDPs
232
MAPDs
INTRON A 10MMU VIAL
(Interferon Alfa-2B)
2 ML KIT0008505710271
PDPs
239
MAPDs
Intron A 11.6ug/0.2mL 1 VIAL, MULTI-DOSE in 1 CARTON / 1.5 mL in 1 VIAL, MULTI-DOSE
(Interferon Alfa-2B)
1 VIAL, MULTI-DOSE in 1 C  0008512420171
PDPs
245
MAPDs
INTRON A 6MMU/ML VIAL
(Interferon Alfa-2B)
3 ML VIAL0008511680171
PDPs
240
MAPDs
Intron A 19.2ug/0.2mL 1 VIAL, MULTI-DOSE in 1 CARTON / 1.5 mL in 1 VIAL, MULTI-DOSE
(Interferon Alfa-2B)
1 VIAL, MULTI-DOSE in 1 C  0008512350171
PDPs
244
MAPDs
Intron A 38.4ug/0.2mL 1 VIAL, MULTI-DOSE in 1 CARTON / 1.5 mL in 1 VIAL, MULTI-DOSE
(Interferon Alfa-2B)
1 VIAL, MULTI-DOSE in 1 C  0008512540171
PDPs
245
MAPDs
Introvale 3 CARTON in 1 BOX / 1 KIT in 1 CARTON
(INTROVALE)
3 CARTON in 1 BOX / 1 KIT  0078155843655
PDPs
178
MAPDs
INVANZ 1GM VIAL
(Ertapenem Sodium For)
10X 1 GM VIAL0000638437161
PDPs
218
MAPDs
INVEGA ER 1.5mg/ 30 TABLET BOTTLE
(Paliperidone Palmitate IM Extended-Release)
30 TABLET, EXTENDED RELEA  5045805540171
PDPs
243
MAPDs
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805500171
PDPs
245
MAPDs
INVEGA 6MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805510171
PDPs
245
MAPDs
INVEGA 9MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT5045805520171
PDPs
245
MAPDs
Invega Sustenna 117 mg/0.75mL Prefilled Syringe
(Paliperidone Palmitate)
0.75 ML  5045805620171
PDPs
242
MAPDs
Invega Sustenna 156 mg/mL Prefilled Syringe
(Paliperidone Palmitate)
1 ML  5045805630171
PDPs
242
MAPDs
Invega Sustenna 234 mg/1.5mL Prefilled Syringe
(Paliperidone Palmitate)
1.5 ML  5045805640171
PDPs
242
MAPDs
Invega Sustenna 39 mg/0.25mL Prefilled Syringe
(Paliperidone Palmitate)
0.25 ML  5045805600171
PDPs
245
MAPDs
Invega Sustenna 78 mg/0.5mL Prefilled Syringe
(Paliperidone Palmitate)
0.5 ML  5045805610171
PDPs
243
MAPDs
INVIRASE 200MG CAPSULE
(Saquinavir Mesylate)
270 BOT0000402451571
PDPs
245
MAPDs
INVIRASE 500MG TABLET
(Saquinavir Mesylate)
120 BOT0000402445171
PDPs
245
MAPDs
IONOSOL B-D5W IV SOLUTION
(Electrolyte-B in D5W)
12 X 1000 ML BAG0040973710942
PDPs
151
MAPDs
IONOSOL MB-D5W IV SOLUTION
(Electrolyte-MB in D5W)
24 X 500 ML CTR0040973720342
PDPs
162
MAPDs
IONOSOL T-D5W IV SOLUTION
(Electrolyte-T in D5W)
12 X 1000 ML CTR0040973730942
PDPs
162
MAPDs
IOPIDINE 0.5% EYE DROPS
(Apraclonidine HCl Ophth)
10 ML BOTDR0006506651018
PDPs
75
MAPDs
IOPIDINE 1% EYE DROPS
(Apraclonidine HCl Ophth)
0.1 ML CTR0006506601031
PDPs
125
MAPDs
IPOL VIAL 40;8;32; UNT
(Poliovirus Vaccine, IPV)
10 DOSE VIAL4928108601071
PDPs
245
MAPDs
IPRATROPIUM BROMIDE NASAL SPRAY
(Ipratropium Bromide Nasal)
345 SPRAY CRTN 0005400454471
PDPs
244
MAPDs
Ipratropium Bromide 42ug/1 1 BOTTLE, SPRAY in 1 CARTON / 165 SPRAY, METERED in 1 BOTTLE, SPRAY
(Ipratropium Bromide)
1 BOTTLE, SPRAY in 1 CART  2420803991571
PDPs
244
MAPDs
Ipratropium Bromide 500ug/2.5mL 30 POUCH in 1 CARTON / 1 VIAL in 1 POUCH / 2.5 mL in 1 VIAL
(Ipratropium Bromide)
30 POUCH in 1 CARTON / 1  0037869896460
PDPs
192
MAPDs
IQUIX 1.5% DROPS
(Levofloxacin Ophth)
5 ML BOT6866901450522
PDPs
78
MAPDs
IRBESARTAN 150 MG TABLET
(Irbesartan)
   0009374650554
PDPs
186
MAPDs
IRBESARTAN 300 MG TABLET
(Irbesartan)
   0009374669854
PDPs
186
MAPDs
IRBESARTAN 75 MG TABLET
(Irbesartan)
   0009374645654
PDPs
186
MAPDs
IRBESARTAN-HCTZ 150-12.5 MG TB
(Irbesartan-Hydrochlorothiazide)
   0009372389854
PDPs
186
MAPDs
IRBESARTAN-HCTZ 300-12.5 MG TB
(Irbesartan-Hydrochlorothiazide)
   0009372399854
PDPs
186
MAPDs
IRESSA 250MG TABLET
(Gefitinib)
30 BOT0031004823057
PDPs
198
MAPDs
IRINOTECAN HCL INJECTION 20MG
(Irinotecan HCl)
1 X 5 ML VIAL6170303490955
PDPs
181
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT0000602276171
PDPs
245
MAPDs
ISOCHRON 40MG TABLET SA
(Isosorbide Dinitrate)
100 BOT0045606370137
PDPs
138
MAPDs
ISOLYTE H IN 5% DEXTROSE
(Electrolyte-H in D5W)
12 X 1000 ML BAG0026477190046
PDPs
176
MAPDs
ISOLYTE M IN 5% DEXTROSE INJECTION
(Electrolyte-M in D5W)
12 X 1000 ML BAG0026477200048
PDPs
172
MAPDs
ISOLYTE P IN 5% DEXTROSE INJECTION
(Electrolyte-P in D5W)
24 X 500 ML BAG0026477301046
PDPs
174
MAPDs
ISOLYTE S IV SOLUTION-EXCEL
(Electrolyte-S)
1000 ML X 12 CASE0026477030047
PDPs
179
MAPDs
ISOLYTE S IN 5% DEXTROSE INJECTION
(Electrolyte-S in D5W)
12 X 1000 ML BAG0026477040046
PDPs
174
MAPDs
ISONARIF 300-150MG CAPSULE
(Isoniazid & Rifampin)
60 CAPS BOT6174800176058
PDPs
188
MAPDs
ISONIAZID INJ 100MG/ML
(Isoniazid)
10 ML VIALMD0078130567053
PDPs
196
MAPDs
ISONIAZID 100MG TABLET
(Isoniazid)
1000 BOT0014312601071
PDPs
245
MAPDs
ISONIAZID TABLETS
(Isoniazid)
1000 BOT 0014312611071
PDPs
245
MAPDs
ISONIAZID 50MG/5ML SYRUP
(Isoniazid)
16 FLO BOT4628700090164
PDPs
231
MAPDs
ISOPTIN SR 120MG
(Verapamil HCl)
   1063104880118
PDPs
63
MAPDs
ISOPTIN SR 180MG
(Verapamil HCl)
   1063104890118
PDPs
64
MAPDs
ISOPTIN SR 240MG (500 Count)
(Verapamil HCl)
   1063104900518
PDPs
64
MAPDs
ISOPTO CARPINE 10mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE  0099802031521
PDPs
70
MAPDs
ISOPTO CARPINE 20mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE  0099802041521
PDPs
70
MAPDs
ISOPTO CARPINE 40mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE  0099802061521
PDPs
70
MAPDs
ISORDIL 40MG TABLET
(Isosorbide Dinitrate)
100 BOT6445501920130
PDPs
122
MAPDs
ISORDIL TABLETS 5MG 100 BOT
(Isosorbide Dinitrate)
   6445501520118
PDPs
66
MAPDs
ISOSORBIDE DN 10MG TABLET
(Isosorbide Dinitrate)
1000 BOT0014317711071
PDPs
245
MAPDs
ISOSORBIDE DN 20MG TABLET
(Isosorbide Dinitrate)
100 BOT0014317720171
PDPs
245
MAPDs
ISOSORBIDE DN 30MG TABLET
(Isosorbide Dinitrate)
1000 BOT4988400091071
PDPs
245
MAPDs
ISOSORBIDE DINITRATE TABLETS EXTENDED RELEASE
(Isosorbide Dinitrate)
100 BOT 5766406008869
PDPs
231
MAPDs
Isosorbide Dinitrate 5mg/1 100 TABLET in 1 BOTTLE
(Isosorbide Dinitrate)
100 TABLET BOTTLE  0014317670171
PDPs
242
MAPDs
ISOSORBIDE DINITRATE TABLETS
(Isosorbide Dinitrate)
1000 BOT 0014317691071
PDPs
245
MAPDs
ISOSORBIDE DN 2.5 MG TAB SL
(Isosorbide Dinitrate)
100 EA  0014317650171
PDPs
242
MAPDs
ISOSORBIDE MN 10MG TABLET
(Isosorbide Mononitrate)
100 BOTPL0022826311171
PDPs
244
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 120MG (100 CT)
(Isosorbide Mononitrate)
100 TABLETS BOT6217501293771
PDPs
245
MAPDs
ISOSORBIDE MONONITRATE 20 MG ORAL TABLET [MONOKET]
(Isosorbide Mononitrate)
   0009136200119
PDPs
67
MAPDs
ISOSORBIDE MONONITRATE 20MG TABLET
(Isosorbide Mononitrate)
100 BOT0014313330171
PDPs
244
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 30MG (100 CT)
(Isosorbide Mononitrate)
100 BOT0014322300171
PDPs
245
MAPDs
ISOSORBIDE MONONITRATE TABLETS EXTENDED RELEASE 60MG 100 TABLETS BOT
(Isosorbide Mononitrate)
100 TABLETS BOT6217501193771
PDPs
245
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG0033805034856
PDPs
196
MAPDs
ISOTON GENTAMICIN 60MG/100ML
(Gentamicin in Saline)
100 BAG0033805014857
PDPs
194
MAPDs
ISRADIPINE CAPSULES 2.5MG (100 CT)
(Isradipine)
100 BOT1625205390165
PDPs
217
MAPDs
ISRADIPINE CAPSULES 5MG (100 CT)
(Isradipine)
100 BOT1625205400165
PDPs
217
MAPDs
ISTALOL 0.5% EYE DROPS
(Timolol Maleate Ophth)
5 ML BOTDR6742500035039
PDPs
128
MAPDs
ISTODAX KIT
(Romidepsin)
1 PKGCOM 5957209830156
PDPs
197
MAPDs
ITRACONAZOLE 100MG CAPSULE
(Itraconazole)
30 CAPS BOT0018505503071
PDPs
245
MAPDs
IXEMPRA 45 MG KIT
(IXABEPILONE)
1 KIT in 1 PACKAGE, COMBI  0001519111351
PDPs
154
MAPDs
IXIARO JAPANESE ENCEPHALITIS VACCINE 6MCG/.5ML
(Japanese Encephalitis Vaccine Inactivated Adsorbed)
0.5ML SYR4251500010171
PDPs
245
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
60 EA  5116702000247
PDPs
150
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL0008822203370
PDPs
243
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)
3 ML X 5 CRTG CRTN 0008822190564
PDPs
224
MAPDs
LEVEMIR 100UNITS/ML VIAL
(Insulin Detemir)
1 X 10 ML VIAL0016936871265
PDPs
232
MAPDs
Levemir 14.2mg/mL 5 SYRINGE, PLASTIC in 1 CARTON / 3 mL in 1 SYRINGE, PLASTIC
(Insulin Detemir)
5 SYRINGE, PLASTIC in 1 C  0016964391061
PDPs
215
MAPDs
MARPLAN 10MG TABLET (100 CT)
(Isocarboxazid)
100 BOT3069800320171
PDPs
245
MAPDs
MONOKET 10MG TABLET
(Isosorbide Mononitrate)
100 BOT0009136100119
PDPs
69
MAPDs
Novolin 100[USP'U]/mL 1 VIAL in 1 CARTON / 10 mL in 1 VIAL
(Insulin Isophane & Regular (Human))
1 VIAL in 1 CARTON / 10 m  0016918371160
PDPs
222
MAPDs
Novolin 100[iU]/mL 1 VIAL in 1 CARTON / 10 mL in 1 VIAL
(Insulin Isophane (Human))
1 VIAL in 1 CARTON / 10 m  0016918341160
PDPs
222
MAPDs
Novolin R 100[iU]/mL 1 VIAL in 1 CARTON / 10 mL in 1 VIAL
(Insulin Regular (Human))
1 VIAL in 1 CARTON / 10 m  0016918331160
PDPs
222
MAPDs
NOVOLOG 100U/ML VIAL
(Insulin Aspart)
1 X 10ML VIALGL0016975011165
PDPs
232
MAPDs
NOVOLOG FLEXPEN SYRINGE
(Insulin Aspart)
5 X 3ML SYR0016963391061
PDPs
221
MAPDs
NOVOLOG MIX 70/30 VIAL
(Insulin Aspart Prot & Aspart (Human))
1 VIAL0016936851265
PDPs
232
MAPDs
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML
(Insulin Aspart Prot & Aspart (Human))
5 X 3 ML SYR0016936961961
PDPs
221
MAPDs
PHYSIOLYTE SOLUTION FOR IRRIGATION
(Irrigation Solution, Physiological)
1000 ML X 16 CASE0026422050037
PDPs
99
MAPDs
PHYSIOSOL IRRIGATION SOL
(Irrigation Solution, Physiological)
24 X 500 ML CTR0040961410334
PDPs
93
MAPDs
PICATO 0.015% GEL
(ingenol mebutate)
   5022205024731
PDPs
119
MAPDs
PICATO 0.05% GEL
(ingenol mebutate)
   5022205034731
PDPs
119
MAPDs
PRIMAXIN I.M. 500MG VIAL
(Imipenem-Cilastatin Intravenous For)
1 X 10 VIALS VIAL0000635827565
PDPs
215
MAPDs
PRIMAXIN IV 250MG VIAL
(Imipenem-Cilastatin Intravenous For)
25 X 10 ML VIAL0000635145852
PDPs
153
MAPDs
PRIMAXIN IV 500; 500mg/100mL; mg/100mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 100 mL in 1 VIAL, SINGLE-DOS
(Imipenem-Cilastatin Intravenous For)
25 VIAL, SINGLE-DOSE in 1  0000635165954
PDPs
153
MAPDs
PRIVIGEN 10% VIAL
(Immune Globulin (Human) IV)
200 ML  4420604382044
PDPs
167
MAPDs
REBIF 22ug/0.5mL 12 SYRINGE, GLASS in 1 CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS in 1 CA  4408700220357
PDPs
215
MAPDs
REBIF 44ug/0.5mL 12 SYRINGE, GLASS in 1 CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS in 1 CA  4408700440357
PDPs
204
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)
   4408788220156
PDPs
213
MAPDs
REMICADE 100MG VIAL
(Infliximab For IV)
20 ML VIALSU5789400300171
PDPs
245
MAPDs
RIFAMATE CAPSULE
(Isoniazid & Rifampin)
60 BOT0006805096020
PDPs
63
MAPDs
RIFATER TABLET
(Isoniazid-Rifampin w/ Pyrazinamide)
60 BOT0008805764135
PDPs
128
MAPDs
SOTRET 10MG CAPSULE
(Isotretinoin)
100 BOXUD1063105847759
PDPs
187
MAPDs
SOTRET 20MG CAPSULE
(Isotretinoin)
100 BOXUD1063105857763
PDPs
213
MAPDs
SOTRET 30MG CAPSULE
(Isotretinoin)
30 BOXUD1063104473159
PDPs
186
MAPDs
SOTRET 40MG CAPSULE
(Isotretinoin)
100 BOXUD1063105867759
PDPs
187
MAPDs
SPORANOX 10MG/ML SOLUTION
(Itraconazole)
150 ML BOT5045802951544
PDPs
164
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
28 (PULSE PACK) BLPK5045802902816
PDPs
53
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
30 BOT5045802900421
PDPs
62
MAPDs
STROMECTOL 3MG TABLET
(Ivermectin)
20 X 1 TABLET BOXUD0000600322056
PDPs
195
MAPDs
TOFRANIL TABLETS 10MG 30 BOT
(Imipramine HCl)
30 BOT0040699200316
PDPs
61
MAPDs
TOFRANIL TABLETS 25MG 30 BOT
(Imipramine HCl)
30 BOT0040699210316
PDPs
61
MAPDs
TOFRANIL 50MG TABLET (30 CT)
(Imipramine HCl)
30 BOT0040699220316
PDPs
61
MAPDs
TOFRANIL-PM 100MG CAPSULE
(Imipramine Pamoate)
30 BOT0040699240317
PDPs
65
MAPDs
TOFRANIL-PM 125MG CAPSULE
(Imipramine Pamoate)
30 BOT0040699250317
PDPs
65
MAPDs
TOFRANIL-PM 150MG CAPSULE
(Imipramine Pamoate)
30 BOT0040699260317
PDPs
65
MAPDs
TOFRANIL-PM 75MG CAPSULE
(Imipramine Pamoate)
30 BOT0040699230317
PDPs
65
MAPDs
Ventavis 0.01mg/mL
(Iloprost)
   6621503023041
PDPs
146
MAPDs
VIVAGLOBIN SOL 160MG/ML 10ML VIAL
(Immune Globulin (Human) Subcutaneous)
10 ML VIAL0005375961045
PDPs
164
MAPDs
YERVOY 5mg/mL 1 VIAL, SINGLE-USE in 1 CARTON / 50 mL in 1 VIAL, SINGLE-USE
(IPILIMUMAB)
1 VIAL, SINGLE-USE in 1 C  0000323271154
PDPs
176
MAPDs
ZYCLARA 3.75% CREAM
(Imiquimod)
   9920702702841
PDPs
139
MAPDs



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


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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
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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.