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2012 Medicare Part D Formulary Search By Drug Letter

This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
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

Top Medicare Drugs (170) in Alphabetical Order

Drug Name
PackagingNDCOn This Nbr of 2012 Formularies
PDPsMAPDs
ACTIQ 400MCG LOZENGE
(Fentanyl Citrate)
30 BOT6345905043017
PDPs
49
MAPDs
Actonel 150mg/1 36 DOSE PACK in 1 CASE / 1 TRAY in 1 DOSE PACK / 1 TABLET, FILM COATED in 1 TRAY
(Risedronate Sodium)
36 DOSE PACK in 1 CASE /  0043004780157
PDPs
186
MAPDs
Actonel 30mg/1 12 BOTTLE in 1 CASE / 30 TABLET, FILM COATED in 1 BOTTLE
(Risedronate Sodium)
12 BOTTLE in 1 CASE / 30  0043004701557
PDPs
186
MAPDs
Actonel 35mg/1 36 DOSE PACK in 1 CASE / 1 TRAY in 1 DOSE PACK / 4 TABLET, FILM COATED in 1 TRAY
(Risedronate Sodium)
36 DOSE PACK in 1 CASE /  0043004720357
PDPs
187
MAPDs
Actonel 5mg/1 12 BOTTLE in 1 CASE / 30 TABLET, FILM COATED in 1 BOTTLE
(Risedronate Sodium)
12 BOTTLE in 1 CASE / 30  0043004711557
PDPs
188
MAPDs
ACTOPLUS MET 15MG/500MG TABLET
(Pioglitazone HCl-Metformin HCl)
60 BOT6476401556063
PDPs
221
MAPDs
ACTOS 15MG TABLET
(Pioglitazone HCl)
500 BOTPL6476401510671
PDPs
245
MAPDs
ACTOS 30MG TABLET (500 CT)
(Pioglitazone HCl)
500 BOTPL6476403011671
PDPs
245
MAPDs
ACTOS 45MG TABLET
(Pioglitazone HCl)
90 BOTPL6476404512571
PDPs
244
MAPDs
ADDERALL XR 20MG CAPSULE SA
(Amphetamine-Dextroamphetamine)
100 BOT5409203870118
PDPs
67
MAPDs
ADVAIR DISKUS MIS 100/50
(Fluticasone-Salmeterol)
60 DOSE INHL0017306950069
PDPs
240
MAPDs
ADVAIR DISKUS MIS 250/50
(Fluticasone-Salmeterol)
60 DOSE BLPK0017306960069
PDPs
240
MAPDs
ADVAIR DISKUS MIS 500/50
(Fluticasone-Salmeterol)
60 BLPK0017306970069
PDPs
240
MAPDs
ALPHAGAN P 0.15% EYE DROPS
(Brimonidine Tartrate Ophth)
15 ML BOTDR0002391771537
PDPs
125
MAPDs
ALTACE 10MG CAPSULE (100 CT)
(Ramipril)
100 CAPS BOTPL6157001200115
PDPs
50
MAPDs
ANDROGEL 1%(50MG) GEL PACKET
(Testosterone)
3O X 5GM PKT CRTN0005184503059
PDPs
193
MAPDs
ARICEPT 10MG TABLET
(Donepezil HCL)
30 BOT6285602463018
PDPs
71
MAPDs
ARIMIDEX 1MG TABLET
(Anastrozole)
30 BLPK0031002013023
PDPs
81
MAPDs
ASTELIN 137MCG AEROSOL SPRAY W/PUMP
(Azelastine HCl Nasal)
30 ML BOTSPR0003702413022
PDPs
78
MAPDs
ATORVASTATIN 10 MG TABLET
(Atorvastatin Calcium)
90 EA  6330408279071
PDPs
242
MAPDs
ATORVASTATIN 20 MG TABLET
(Atorvastatin Calcium)
90 EA  6330408289071
PDPs
242
MAPDs
ATORVASTATIN 40 MG TABLET
(Atorvastatin Calcium)
90 EA  6330408299071
PDPs
242
MAPDs
ATORVASTATIN 80 MG TABLET
(Atorvastatin Calcium)
90 EA  6330408309071
PDPs
242
MAPDs
Atripla 600; 200; 300mg/1; mg/1; mg/1 30 TABLET, FILM COATED in 1 BOTTLE, PLASTIC
(Efavirenz-Emtricitabine-Tenofovir DF)
30 TABLET, FILM COATED in  1558401010171
PDPs
245
MAPDs
AVINZA 30MG CAPSULE MULTIPHASIC RELEASE 24 HR
(Morphine Sulfate Beads)
100 BOTPL6079306050133
PDPs
109
MAPDs
AVODART 0.5MG SOFTGEL
(Dutasteride)
90 BOT0017307120468
PDPs
232
MAPDs
AVONEX ADMIN PACK 30MCG SYR
(Interferon Beta-1a)
1 X 4 PKGCOM5962700020570
PDPs
236
MAPDs
BUDEPRION SR 150MG TABLET SA
(Bupropion HCl)
100 BOT0009355020170
PDPs
239
MAPDs
BUDEPRION XL 300MG TABLET SR 24HR
(Bupropion HCl)
30 BOT0009353515671
PDPs
244
MAPDs
CASODEX 50mg/1 30 TABLET in 1 BOTTLE, PLASTIC
(Bicalutamide)
30 TABLET in 1 BOTTLE, PL  0031007053018
PDPs
76
MAPDs
CLARINEX 5MG TABLET
(Desloratadine)
100 BOT0008512640126
PDPs
83
MAPDs
COMBIVENT INHALER
(Albuterol-Ipratropium Nebu)
200 CSTR0059700131466
PDPs
240
MAPDs
COREG CR 10MG CAPSULE MULTIPHASIC RELEASE 24 HR
(Carvedilol Phosphate)
30 BOT0000733701344
PDPs
155
MAPDs
COSOPT PLUS EYE DROPS 22.3 MG/ML 6.8 MG/M
(Dorzolamide-Timolol Ophth)
10 ML BOTPL0000636283620
PDPs
56
MAPDs
CRESTOR 10MG TABLET
(Rosuvastatin Calcium)
90 BOT0031007519065
PDPs
220
MAPDs
DEPAKOTE 500MG TABLET EC
(Divalproex Sodium)
500 BOT0007462155324
PDPs
81
MAPDs
DEPAKOTE ER 500MG TABLET
(Divalproex Sodium)
100 BOT0007471261324
PDPs
82
MAPDs
DETROL LA 4MG CAPSULE SA
(Tolterodine Tartrate)
90 BOT0000951910258
PDPs
209
MAPDs
DIFFERIN 0.1% GEL
(Adapalene)
45 GM TUBE0029959104512
PDPs
48
MAPDs
DIOVAN 160MG TABLET
(Valsartan)
90 BOT0007803593469
PDPs
238
MAPDs
DIOVAN 320MG TABLET
(Valsartan)
90 BOT0007803603469
PDPs
238
MAPDs
DIOVAN 40MG TABLET
(Valsartan)
30 BOT0007804231569
PDPs
238
MAPDs
DIOVAN 80MG TABLET
(Valsartan)
90 BOX0007803583469
PDPs
238
MAPDs
DIOVAN HCT 160/12.5MG TABLET
(Valsartan-Hydrochlorothiazide)
90 BOT0007803153469
PDPs
237
MAPDs
DIOVAN HCT 320/12.5MG TABLET
(Valsartan-Hydrochlorothiazide)
90 BOT0007804713469
PDPs
237
MAPDs
DIOVAN HCT 80/12.5MG TABLET
(Valsartan-Hydrochlorothiazide)
90 BOT0007803143469
PDPs
237
MAPDs
DIOVAN HCT 160/25MG TABLET
(Valsartan-Hydrochlorothiazide)
90 BOT0007803833469
PDPs
237
MAPDs
DIOVAN HCT 320/25MG TABLET
(Valsartan-Hydrochlorothiazide)
90 BOT0007804723469
PDPs
237
MAPDs
DORYX 75MG TABLET DR
(Doxycycline Hyclate)
60 BOT0043001112016
PDPs
49
MAPDs
EFFEXOR XR 75MG CAPSULE ER 15 CAPSULES BOT
(Venlafaxine HCl)
15 CAPSULES BOT0000808332023
PDPs
79
MAPDs
ENDOCET 5/325 TABLET
(Oxycodone w/ Acetaminophen)
500 BOT6095106028569
PDPs
232
MAPDs
ESCITALOPRAM 10 MG TABLET
(Escitalopram)
   0009358510167
PDPs
227
MAPDs
ESCITALOPRAM 20 MG TABLET
(Escitalopram)
   0009358520167
PDPs
227
MAPDs
ESCITALOPRAM 5 MG TABLET
(Escitalopram)
   0009358500167
PDPs
227
MAPDs
ESCITALOPRAM OXALATE 5 MG/5 ML
(Escitalopram)
   6516207058866
PDPs
225
MAPDs
FEMARA 2.5MG TABLET
(Letrozole)
30 BOT0007802491536
PDPs
105
MAPDs
FENTORA TABLET 100MCG
(Fentanyl Citrate)
28 BLPK6345905412822
PDPs
88
MAPDs
FLOMAX 0.4MG CAPSULE SA
(Tamsulosin HCl)
100 BOTPL0059700580116
PDPs
62
MAPDs
FLOVENT HFA 110ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone Propionate HFA)
120 AEROSOL, METERED in 1  0017307192068
PDPs
237
MAPDs
FOCALIN XR 5MG CAPSULE
(Dexmethylphenidate HCl)
100 BOT0007804300522
PDPs
87
MAPDs
FOSAMAX 70MG TABLET
(Alendronate Sodium)
4 BLPK0000600314419
PDPs
47
MAPDs
FOSAMAX PLUS D 70; 5600mg/1; [iU]/1 4 TABLET in 1 BLISTER PACK
(Alendronate Sodium-Cholecalciferol)
4 TABLET in 1 BLISTER PAC  0000602704428
PDPs
101
MAPDs
GLEEVEC 400MG TABLET
(Imatinib Mesylate)
30 BOT0007804381571
PDPs
245
MAPDs
Humira 2 KIT in 1 CARTON / 1 KIT in 1 KIT
(Adalimumab)
2 KIT in 1 CARTON / 1 KIT  0007437990271
PDPs
244
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL0000287150160
PDPs
210
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL0000283150160
PDPs
210
MAPDs
HYZAAR 100-25MG TABLET (90 CT)
(Losartan Potassium & Hydrochlorothiazide)
90 BOT0000607475417
PDPs
59
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT0000602276171
PDPs
245
MAPDs
JANUMET 50MG-500MG TABLET
(Sitagliptin-Metformin HCl)
180 BOT0000605756271
PDPs
241
MAPDs
JANUVIA 25MG TABLET
(Sitagliptin Phosphate)
30 BOT0000602213171
PDPs
244
MAPDs
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)
120 BOT0007467992271
PDPs
245
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)
120 TABS BOT5047405954021
PDPs
79
MAPDs
LAMICTAL 100MG TABLET
(Lamotrigine)
100 BOT0017306425524
PDPs
81
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL0008822203370
PDPs
243
MAPDs
LEXAPRO 10MG TABLET
(Escitalopram Oxalate)
10 BOT0045620100143
PDPs
134
MAPDs
LEXAPRO 20MG TABLET
(Escitalopram Oxalate)
100 TABLETS BOT0045620200143
PDPs
134
MAPDs
LEXAPRO 5MG TABLET
(Escitalopram Oxalate)
100 BOT0045620050143
PDPs
134
MAPDs
LEXAPRO 5MG/5ML SOLUTION
(Escitalopram Oxalate)
8 FLO BOT0045621010847
PDPs
142
MAPDs
LIPITOR 10MG TABLET
(Atorvastatin Calcium)
90 BOT0007101552337
PDPs
119
MAPDs
LIPITOR 20MG TABLET (5000 CT)
(Atorvastatin Calcium)
5000 BOT0007101569437
PDPs
119
MAPDs
LIPITOR 40MG TABLET (500 CT)
(Atorvastatin Calcium)
500 BOT0007101577337
PDPs
120
MAPDs
LIPITOR 80MG TABLET
(Atorvastatin Calcium)
500 BOT0007101587337
PDPs
122
MAPDs
LOESTRIN 24 FE TABLET
(Norethindrone Ace & Ethinyl Estradiol-FE)
5 X 28 TABLETS BLPK0043005301427
PDPs
94
MAPDs
LYRICA 50MG CAPSULE
(Pregabalin)
90 BOT0007110136871
PDPs
245
MAPDs
MAXALT 10MG TABLET 12 CRTN
(Rizatriptan Benzoate)
12 CRTN0000602671259
PDPs
205
MAPDs
MICARDIS 80MG TABLET
(Telmisartan)
3 X 10 BLPK0059700413746
PDPs
157
MAPDs
MICARDIS HCT 80/12.5MG TABLET
(Telmisartan-Hydrochlorothiazide)
3 X 10 BLPK0059700443746
PDPs
156
MAPDs
MIRAPEX 0.25MG TABLET
(Pramipexole DiHCL)
90 BOT0059701849017
PDPs
68
MAPDs
NASACORT AQ AER 55MCG/AC
(Triamcinolone Acetonide Nasal)
16.5 GM BOTSPR0007515061625
PDPs
90
MAPDs
NEXIUM 10mg/1 30 GRANULE, DELAYED RELEASE in 1 CARTON
(Esomeprazole Magnesium)
30 GRANULE, DELAYED RELEA  0018640100150
PDPs
154
MAPDs
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET
(Esomeprazole Magnesium)
20 MG PKT X 30 PKT0018640200150
PDPs
162
MAPDs
NEXIUM 20MG CAPSULE
(Esomeprazole Magnesium)
90 BOT0018650205450
PDPs
167
MAPDs
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET
(Esomeprazole Magnesium)
40 MG PKT X 30 PKT0018640400150
PDPs
162
MAPDs
NEXIUM 40MG CAPSULE
(Esomeprazole Magnesium)
90 BOT0018650405450
PDPs
167
MAPDs
NEXIUM IV 20MG VIAL
(Esomeprazole Sodium For Intravenous)
10 VIALSD0018660200154
PDPs
177
MAPDs
NEXIUM IV 40MG VIAL
(Esomeprazole Sodium For Intravenous)
10 VIALSD0018660400154
PDPs
176
MAPDs
NIASPAN ER 500MG TABLET (90 CT)
(Niacin)
90 BOTPL0007430749071
PDPs
245
MAPDs
NORVIR 100mg/1 30 CAPSULE in 1 BOTTLE
(Ritonavir)
30 CAPSULE in 1 BOTTLE  0007466333071
PDPs
245
MAPDs
NUVARING 0.12-0.015 RING VAGINAL
(Etonogestrel-Ethinyl Estradiol VA)
3 POU0005202730342
PDPs
176
MAPDs
OCELLA TABLET
(Drospirenone-Ethinyl Estradiol)
3 X 28 PKG0055591316759
PDPs
206
MAPDs
PATANOL 0.1% EYE DROPS
(Olopatadine HCl Ophth)
5 ML BOT0006502710563
PDPs
215
MAPDs
PEGASYS 180MCG/0.5ML CONV.PK
(Peginterferon alfa-2a)
1 X 4 PKGCOM0000403523967
PDPs
240
MAPDs
PLAVIX 75MG TABLET
(Clopidogrel Bisulfate)
   6365311710566
PDPs
223
MAPDs
PLAVIX TABLETS 300MG
(Clopidogrel Bisulfate)
   6365313320254
PDPs
186
MAPDs
PROAIR HFA 90MCG HFA AEROSOL WITH ADAPTER
(Albuterol Sulfate)
8.5 G CSTR5931005792066
PDPs
228
MAPDs
PROVENTIL HFA INHALER 90MCG AE
(Albuterol Sulfate)
6.7 GM (200 INHALATIONS) CSTR0008511320131
PDPs
134
MAPDs
QUETIAPINE FUMARATE 100 MG TAB
(Quetiapine Fumarate)
100 EA  4733509048868
PDPs
240
MAPDs
QUETIAPINE FUMARATE 200 MG TAB
(Quetiapine Fumarate)
100 EA  4733509058868
PDPs
240
MAPDs
QUETIAPINE FUMARATE 25 MG TAB
(Quetiapine Fumarate)
100 EA  4733509028868
PDPs
235
MAPDs
QUETIAPINE FUMARATE 300 MG TAB
(Quetiapine Fumarate)
100 EA  4733509068868
PDPs
240
MAPDs
QUETIAPINE FUMARATE 400 MG TAB
(Quetiapine Fumarate)
100 EA  4733509078868
PDPs
240
MAPDs
QUETIAPINE FUMARATE 50 MG TAB
(Quetiapine Fumarate)
100 EA  4733509038868
PDPs
235
MAPDs
RELPAX 40MG TABLET 6X2 BLPK
(Eletriptan Hydrobromide)
6 X 2 BLPK0004923400542
PDPs
162
MAPDs
REVLIMID 5MG CAPSULE
(Lenalidomide)
100 BOT5957204050071
PDPs
245
MAPDs
REYATAZ 150MG CAPSULE
(Atazanavir Sulfate)
100 BOT0000336241271
PDPs
245
MAPDs
RISPERDAL 1MG TABLET
(Risperidone)
500 BOT5045803005015
PDPs
61
MAPDs
SENSIPAR 30MG TABLET
(Cinacalcet HCl)
30 BOT5551300733071
PDPs
245
MAPDs
SEROQUEL 100MG TABLET
(Quetiapine Fumarate)
100 BOT0031002711054
PDPs
175
MAPDs
SEROQUEL 200MG TABLET
(Quetiapine Fumarate)
100 BOT0031002721054
PDPs
175
MAPDs
SEROQUEL 25MG TABLET
(Quetiapine Fumarate)
100 BOT0031002751054
PDPs
170
MAPDs
SEROQUEL 300MG TABLET
(Quetiapine Fumarate)
60 BOT0031002746054
PDPs
175
MAPDs
SEROQUEL 400MG TABLET
(Quetiapine Fumarate)
100 BOT0031002791054
PDPs
175
MAPDs
SEROQUEL 50MG TABLET (100 CT)
(Quetiapine Fumarate)
100 BOT0031002781054
PDPs
170
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 150MG 100 CRTN
(Quetiapine Fumarate)
100 CRTN0031002813967
PDPs
228
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 200MG 100 X 200 MG CRTN
(Quetiapine Fumarate)
100 X 200 MG CRTN0031002823967
PDPs
229
MAPDs
SEROQUEL XR 300MG TABLET 60X300MG BOT
(Quetiapine Fumarate)
60 X 300 MG BOT0031002836067
PDPs
229
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 400MG 100 X 400 MG CRTN
(Quetiapine Fumarate)
100 X 400 MG CRTN0031002843967
PDPs
229
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 50MG 100 TABS CRTN
(Quetiapine Fumarate)
100 TABS CRTN0031002803967
PDPs
228
MAPDs
SINGULAIR 10MG TABLET
(Montelukast Sodium)
90 BOT0000601175471
PDPs
244
MAPDs
SOLODYN 45MG TABLET SR 24HR (100 CT)
(Minocycline HCl)
100 BOT9920704601014
PDPs
52
MAPDs
SOTRET 40MG CAPSULE
(Isotretinoin)
100 BOXUD1063105867759
PDPs
187
MAPDs
STRATTERA 40MG CAPSULE
(Atomoxetine HCl)
30 BOT0000232293059
PDPs
226
MAPDs
SUBOXONE 8MG-2MG TABLET
(Buprenorphine HCl-Naloxone HCl SL)
   1249613060252
PDPs
183
MAPDs
SUSTIVA 600MG TABLET
(Efavirenz)
30 BOT0005605103071
PDPs
245
MAPDs
SYMBICORT 80-4.5MCG HFA AEROSOL WITH ADAPTER 60 INHL
(Budesonide-Formoterol Fumarate Dihyd)
60 INHL0018603722868
PDPs
227
MAPDs
SYNTHROID 100MCG TABLET
(Levothyroxine Sodium)
1000 BOT0007466241963
PDPs
205
MAPDs
TARCEVA 150MG TABLET
(Erlotinib)
30 BOT5024200640171
PDPs
245
MAPDs
THALOMID 100MG CAPSULE 140 BOX
(Thalidomide)
140 BOX5957202109571
PDPs
245
MAPDs
TOBRADEX SUSPENSION OPHTHALMIC 0.1%/0.3% 5ML BOT
(Tobramycin Sulfate)
5 ML BOT0006506470521
PDPs
68
MAPDs
TRILEPTAL 300MG TABLET
(Oxcarbazepine)
100 BOT0007803370522
PDPs
76
MAPDs
TRUVADA TABLET
(Emtricitabine-Tenofovir Disoproxil Fumarate)
   6195807010171
PDPs
245
MAPDs
VALCYTE 450MG TABLET
(Valganciclovir HCl)
60 TABLETS BOT0000400382271
PDPs
245
MAPDs
VALTREX 500MG TABLET
(Valacyclovir HCl)
90 BOT0017309331016
PDPs
60
MAPDs
VERAMYST 27.5MCG SPRAY SUSPENSION
(Fluticasone Furoate Nasal)
120 BOTGL0017307530034
PDPs
98
MAPDs
VESICARE 5MG TABLET (90 CT)
(Solifenacin Succinate)
90 BOT5124801500363
PDPs
207
MAPDs
VIGAMOX 0.5% EYE DROPS
(Moxifloxacin HCl Ophth)
3 ML BOTPL0006540130368
PDPs
219
MAPDs
VIREAD 300MG TABLET
(Tenofovir Disoproxil Fumarate)
   6195804010171
PDPs
245
MAPDs
VYVANSE 30MG CAPSULE
(Lisdexamfetamine Dimesylate)
100 BOT5941701031023
PDPs
76
MAPDs
WELCHOL 625MG TABLET
(Colesevelam HCl)
180 BOTPL6559707011863
PDPs
202
MAPDs
XALATAN EYE DROPS 125MCG 2.5ML BOTPL
(Latanoprost Ophth)
2.5 ML BOTPL0001383030418
PDPs
70
MAPDs
YASMIN 28 3-0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)
21 YELLOW + 7 WHITE X 3 BOX5041904020319
PDPs
59
MAPDs
YAZ 3-0.02MG TABLET
(Drospirenone-Ethinyl Estradiol)
24 X 3 BOX5041904050320
PDPs
61
MAPDs



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





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  • 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.