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2013 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

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 2013 Formularies
PDPsMAPDs
AMARYL 1MG TABLET
(Glimepiride)
100 BOT0003902211010
PDPs
56
MAPDs
AMARYL 2MG TABLET
(Glimepiride)
100 BOT0003902221010
PDPs
56
MAPDs
AMARYL 4MG TABLET
(Glimepiride)
100 BOT0003902231010
PDPs
56
MAPDs
COPAXONE 20MG/ML 30 BLISTER PACK IN 1 CRTN
(Glatiramer Acetate)
   6854603173075
PDPs
260
MAPDs
Cuvposa 1mg/5mL
(Glycopyrrolate)
   596300206161
PDPs
0
MAPDs
CUVPOSA 1 MG/5 ML SOLUTION
(Glycopyrrolate)
   0025905011622
PDPs
93
MAPDs
CYTOVENE IV INJECTION
(Ganciclovir Sodium For)
10ML X 1 X 25 VIALS CRTN 0000469400321
PDPs
78
MAPDs
DIABETA 1.25MG TABLET
(Glyburide)
50 BOT0003900530511
PDPs
55
MAPDs
DIABETA TABLETS 2.5MG 100 BOT
(Glyburide)
100 BOT0003900511011
PDPs
55
MAPDs
DiaBeta 5mg/1 100 TABLET BOTTLE
(Glyburide)
100 TABLET BOTTLE  0003900521011
PDPs
55
MAPDs
FACTIVE 320mg/1 7 TABLET in 1 BLISTER PACK
(Gemifloxacin Mesylate)
7 TABLET in 1 BLISTER PAC  1012203210723
PDPs
107
MAPDs
GABAPENTIN 100mg/1
(Gabapentin)
   6275601370275
PDPs
260
MAPDs
Gabapentin 250mg/5mL 470 mL in 1 BOTTLE
(Gabapentin)
470 mL in 1 BOTTLE  5038303114775
PDPs
252
MAPDs
GABAPENTIN CAPSULES 300MG
(Gabapentin)
   6050501130175
PDPs
260
MAPDs
GABAPENTIN 400 MG CAPSULE
(Gabapentin)
100 EA  5374601030175
PDPs
260
MAPDs
GABAPENTIN 600MG TABLET
(Gabapentin)
100 BOT0022826361175
PDPs
260
MAPDs
GABAPENTIN TABLET 800MG
(Gabapentin)
   6050525520575
PDPs
260
MAPDs
GABITRIL 12 MG TABLET
(Tiagabine HCl)
30 EA  6345904123075
PDPs
259
MAPDs
GABITRIL 16mg/1
(Tiagabine HCl)
   6345904163075
PDPs
260
MAPDs
GABITRIL 2mg/1
(Tiagabine HCl)
   6345904023051
PDPs
174
MAPDs
GABITRIL 4mg/1
(Tiagabine HCl)
   6345904043052
PDPs
171
MAPDs
Gablofen 2000ug/mL 20 mL in 1 VIAL, GLASS
(Baclofen)
20 mL in 1 VIAL, GLASS  4594501570217
PDPs
43
MAPDs
Gablofen 50ug/mL 1 mL in 1 SYRINGE, PLASTIC
(Baclofen)
1 mL in 1 SYRINGE, PLASTI  4594501510117
PDPs
43
MAPDs
Gablofen 500ug/mL 20 mL in 1 VIAL, GLASS
(Baclofen)
20 mL in 1 VIAL, GLASS  4594501550216
PDPs
42
MAPDs
Galantamine 12mg/1 60 FILM COATED TABLETS in BOTTLE
(Galantamine Hydrobromide)
60 TABLET, FILM COATED in  0055501400974
PDPs
252
MAPDs
GALANTAMINE HYDROBROMIDE CAPSULES EXTENDED RELEASE 16MG 30 BOT
(Galantamine Hydrobromide)
30 BOT0055510210174
PDPs
244
MAPDs
GALANTAMINE HYDROBROMIDE CAPSULES EXTENDED RELEASE 24MG 30 BOT
(Galantamine Hydrobromide)
30 BOT0055510220174
PDPs
244
MAPDs
Galantamine Hydrobromide Oral Solution 4mg/mL 100 mL in 1 BOTTLE
(Galantamine Hydrobromide)
100 mL in 1 BOTTLE  0005401374968
PDPs
233
MAPDs
Galantamine 4mg/1 60 FILM COATED TABLETS in BOTTLE
(Galantamine Hydrobromide)
60 TABLET, FILM COATED in  0055501380974
PDPs
253
MAPDs
GALANTAMINE HYDROBROMIDE CAPSULES EXTENDED RELEASE 8MG 30 BOT
(Galantamine Hydrobromide)
30 BOT0055510200174
PDPs
244
MAPDs
Galantamine 8mg/1 60 FILM COATED TABLETS in BOTTLE
(Galantamine Hydrobromide)
60 TABLET, FILM COATED in  0055501390974
PDPs
253
MAPDs
GamaSTAN S/D 0.165g/mL
(Immune Globulin (Human))
   1353306351242
PDPs
175
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  0094427000357
PDPs
229
MAPDs
GAMMAPLEX INJECTION 5 GM/100 ML
(Immune Globulin)
   6420882340345
PDPs
157
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS  1353308001248
PDPs
209
MAPDs
GANCICLOVIR 250MG CAPSULE
(Ganciclovir)
180 EA BOTTLE633040636281
PDPs
0
MAPDs
GANCICLOVIR 500 MG CAPSULE
(Ganciclovir)
180 EA BOTTLE633040637281
PDPs
0
MAPDs
GANCICLOVIR FOR INJECTION
(Ganciclovir)
25 X 10 TRAY 6332303151070
PDPs
230
MAPDs
GARDASIL VIAL
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
1 X 0.5 ML VIAL0000640450075
PDPs
260
MAPDs
GASTROCROM 100MG/5ML CONC
(Cromolyn Sodium Oral)
96 X 5 ML AMP1886006787031
PDPs
114
MAPDs
GATTEX 5 MG ONE-VIAL KIT
(teduglutide)
   6887501030124
PDPs
82
MAPDs
GaviLyte G TM 236; 2.97; 6.74; 5.86; 22.74g/274.31g; g/274.31g; g/274.31g; g/274.31g; g/274.31g 274.
(Polyethylene Glycol 3350 Oral)
274.31 g in 1 BOTTLE  4338600901962
PDPs
225
MAPDs
GaviLyte - C TM 240; 2.98; 6.72; 5.84; 22.72g/278.26g; g/278.26g; g/278.26g; g/278.26g; g/278.26g 27
(Polyethylene Glycol 3350 Oral)
278.26 g in 1 BOTTLE  4338600601964
PDPs
237
MAPDs
GaviLyte - N 420; 1.48; 5.72; 11.2g/438.4g; g/438.4g; g/438.4g; g/438.4g 438.4 g in 1 BOTTLE
(Polyethylene Glycol 3350 Oral)
438.4 g in 1 BOTTLE  4338600501961
PDPs
232
MAPDs
GELNIQUE 100mg/g 30 PACKET in 1 CARTON / 1 g in 1 PACKET
(Oxybutynin Chloride)
30 PACKET in 1 CARTON / 1  5254400843037
PDPs
118
MAPDs
GELNIQUE 3% GEL
(Oxybutynin Chloride)
92 GM  5254400415433
PDPs
109
MAPDs
Gemcitabine Hydrochloride 1g/25mL 1 VIAL in 1 CARTON / 25 mL in 1 VIAL
()
1 VIAL in 1 CARTON / 25 m  1672901171167
PDPs
214
MAPDs
GEMFIBROZIL TABLET 600MG (500 CT)
(Gemfibrozil)
500 BOT0014391300575
PDPs
260
MAPDs
GEMZAR 1GRAM VIAL
(Gemcitabine HCl For)
1 X 50 ML VIAL0000275020127
PDPs
92
MAPDs
GENERESS FE CHEWABLE TABLET
(norethindrone and ethinyl estradiol and ferrous fumarate)
28 EA  5254402043113
PDPs
48
MAPDs
GENERLAC 10 GM/15 ML SOLUTION
(Lactulose (Encephalopathy))
1892 ML  6043200386465
PDPs
219
MAPDs
GENGRAF 100MG CAPSULE U.D.
(Cyclosporine Modified)
30 BOXUD0007464793274
PDPs
243
MAPDs
GENGRAF 100MG/ML SOLUTION
(Cyclosporine Modified)
50 ML BOTGL0007472695074
PDPs
242
MAPDs
GENGRAF 25MG CAPSULE U.D.
(Cyclosporine Modified)
30 BOXUD0007464633275
PDPs
246
MAPDs
GENOTROPIN 13.8MG CARTRIDGE
(Somatropin For)
1 X 13.8 MG CTG0001326468126
PDPs
148
MAPDs
GENOTROPIN 5 MG CARTRIDGE
(Somatropin For)
1 PKGCOM0001326268126
PDPs
140
MAPDs
GENOTROPIN MINIQUICK 0.2MG
(Somatropin For)
7 X 0.2 MG VIALPAT0001326490224
PDPs
147
MAPDs
GENOTROPIN MINIQUICK 0.4MG
(Somatropin For)
7 X 0.4 MG VIALPAT0001326500224
PDPs
139
MAPDs
GENOTROPIN MINIQUICK 0.6MG
(Somatropin For)
7 X 0.6 MG VIALPAT0001326510224
PDPs
136
MAPDs
GENOTROPIN MINIQUICK 0.8MG
(Somatropin For)
7 X 0.8 MG VIALPAT0001326520223
PDPs
139
MAPDs
GENOTROPIN MINIQUICK 1MG
(Somatropin For)
7 X 1.0 MG VIALPAT0001326530224
PDPs
139
MAPDs
GENOTROPIN MINIQUICK 1.2MG
(Somatropin For)
7 VIALPAT0001326540224
PDPs
136
MAPDs
GENOTROPIN MINIQUICK 1.4MG
(Somatropin For)
7 VIALPAT0001326550224
PDPs
136
MAPDs
GENOTROPIN MINIQUICK 1.6MG
(Somatropin For)
7 VIALPAT0001326560224
PDPs
136
MAPDs
GENOTROPIN MINIQUICK 1.8MG
(Somatropin For)
7 VIALPAT0001326570224
PDPs
136
MAPDs
GENOTROPIN MINIQUICK 2MG
(Somatropin For)
7 X 2.0 MG VIALPAT0001326580224
PDPs
136
MAPDs
GENTAK 3MG/GM EYE OINTMENT
(Gentamicin Sulfate Ophth)
3.5 GM TUBE1747802843571
PDPs
249
MAPDs
GENTAMICIN 90MG/NS 100ML PB
(Gentamicin)
24 X 100 ML CTR0040978862367
PDPs
212
MAPDs
GENTAMICIN 100MG/NS 100ML
(Gentamicin)
24 X 100 ML CTR0040978892368
PDPs
221
MAPDs
GENTAMICIN 70MG/NS 50ML PB
(Gentamicin)
24 X 50 ML CTR0040978811366
PDPs
219
MAPDs
GENTAMICIN 80MG/NS 50ML PB
(Gentamicin)
24 X 50 ML CTR0040978831367
PDPs
227
MAPDs
GENTAMICIN 10MG/ML VIAL
(Gentamicin)
25 X 8 ML VIAL0040934010174
PDPs
241
MAPDs
GENTAMICIN SULFATE OINTMENT USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE4580200463575
PDPs
258
MAPDs
GENTAMICIN SULFATE CREAM USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE4580200563575
PDPs
258
MAPDs
GENTAMICIN SULFATE IN SODIUM CHLORIDE 1.2mg/mL 24 CONTAINER in 1 CARTON / 50 mL in 1 CONTAINER
(Gentamicin Sulfate)
24 CONTAINER in 1 CARTON  002645812381
PDPs
0
MAPDs
Gentamicin Sulfate 40mg/mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 2 mL in 1 VIAL, SINGLE-DOSE
(Gentamicin Sulfate)
25 VIAL, SINGLE-DOSE in 1  0040912070374
PDPs
233
MAPDs
Gentamicin Sulfate in Sodium Chloride 60mg/50mL 50 mL in 1 BAG
(Gentamicin Sulfate)
50 mL in 1 BAG  0033805074166
PDPs
224
MAPDs
GENTAMICIN SULFATE OPHTHALMIC SOLUTION 0.3% 5ML BOT
(Gentamicin Sulfate Ophth)
5 ML BOT2420805806075
PDPs
258
MAPDs
GEODON 20MG VIAL
(Ziprasidone HCl)
1 VIAL VIALSD0004939208375
PDPs
260
MAPDs
GEODON 20MG CAPSULE
(Ziprasidone HCl)
60 BOT0004939606022
PDPs
92
MAPDs
GEODON 40MG CAPSULE
(Ziprasidone HCl)
60 BOT0004939706022
PDPs
92
MAPDs
GEODON 60MG CAPSULE
(Ziprasidone HCl)
60 BOT0004939806022
PDPs
92
MAPDs
GEODON 80MG CAPSULE
(Ziprasidone HCl)
60 BOT0004939906022
PDPs
92
MAPDs
Gianvi 3 BLISTER PACK in 1 PACKAGE / 1 KIT in 1 BLISTER PACK
(Drospirenone-Ethinyl Estradiol)
3 BLISTER PACK in 1 PACKA  0009354235860
PDPs
208
MAPDs
GIAZO 180 GM
(balsalazide disodium)
   6564901020212
PDPs
58
MAPDs
gildagia 0.4 mg-0.035 mg tab
(ethinyl estradiol / norethindrone)
   0060335901761
PDPs
193
MAPDs
Gilenya 0.5mg/1 28 CAPSULE in 1 CARTON
(FINGOLIMOD HCL)
28 CAPSULE in 1 CARTON  0007806075151
PDPs
197
MAPDs
GLASSIA 1g/50mL 1 VIAL, GLASS in 1 CARTON / 50 mL in 1 VIAL, GLASS
(ALPHA-1-PROTEINASE INHIBITOR (HUMAN))
1 VIAL, GLASS in 1 CARTON  0094428840132
PDPs
118
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT0007804013475
PDPs
260
MAPDs
GLEEVEC 400MG TABLET
(Imatinib Mesylate)
30 BOT0007804381575
PDPs
260
MAPDs
GLIMEPIRIDE 1MG TABLET (100 CT)
(Glimepiride)
100 BOT5511103200175
PDPs
260
MAPDs
GLIMEPIRIDE 2MG TABLET (100 CT)
(Glimepiride)
100 BOT5511103210175
PDPs
260
MAPDs
GLIMEPIRIDE 4MG TABLET (100 CT)
(Glimepiride)
100 BOT5511103220175
PDPs
260
MAPDs
GLIPIZIDE 10MG TABLET (100 CT)
(Glipizide)
100 BOT0037811100175
PDPs
260
MAPDs
GLIPIZIDE TABLETS EXTENDED RELEASE
(Glipizide)
100 BOT 0059108450175
PDPs
259
MAPDs
GLIPIZIDE ER 2.5MG TABLET SR OSMOTIC PUSH 24HR
(Glipizide)
30 BOTPL0059109003075
PDPs
259
MAPDs
GLIPIZIDE-METFORMIN 2.5-500MG TABLET
(Glipizide)
100 BOT0009374560175
PDPs
257
MAPDs
GLIPIZIDE 5MG TABLET
(Glipizide)
100 BOT0017236496075
PDPs
260
MAPDs
GLIPIZIDE TABLETS EXTENDED RELEASE
(Glipizide)
100 BOT 0059108440175
PDPs
259
MAPDs
Glipizide and Metformin Hydrochloride 2.5; 250mg/1; mg/1 100 BOTTLE, PLASTIC in 1 BOTTLE, PLASTIC /
(Glipizide-Metformin HCl)
100 BOTTLE, PLASTIC in 1  0037831310175
PDPs
257
MAPDs
Glipizide and Metformin Hydrochloride 5; 500mg/1; mg/1 100 FILM COATED TABLETS in BOTTLE
(Glipizide-Metformin HCl)
100 TABLET, FILM COATED  0059139730175
PDPs
257
MAPDs
GLUCAGEN 1MG HYPOKIT
(Glucagon HCl (rDNA) For)
1 X 1 MG PKGCOM0016970651568
PDPs
232
MAPDs
GLUCAGON 1MG EMERGENCY KIT
(Glucagon (rDNA) For)
1 KIT PKGCOM0000280310173
PDPs
257
MAPDs
GLUCOPHAGE 1000MG TABLET
(Metformin HCl)
100 BOT0008760711110
PDPs
53
MAPDs
GLUCOPHAGE 500MG TABLET
(Metformin HCl)
500 BOT0008760601010
PDPs
53
MAPDs
GLUCOPHAGE 850MG TABLET
(Metformin HCl)
100 BOT0008760700510
PDPs
53
MAPDs
GLUCOPHAGE XR 500MG TABLET SA
(Metformin HCl)
100 BOT0008760631310
PDPs
53
MAPDs
GLUCOPHAGE XR 750MG TABLET SA
(Metformin HCl)
100 BOT0008760641310
PDPs
53
MAPDs
GLUCOTROL 10MG TABLET
(Glipizide)
100 BOT0004941206612
PDPs
69
MAPDs
GLUCOTROL 5MG TABLET
(Glipizide)
100 BOT0004941106612
PDPs
69
MAPDs
GLUCOTROL XL 10MG TABLET SA
(Glipizide)
500 BOT0004915607312
PDPs
69
MAPDs
GLUCOTROL XL 2.5MG TABLET SA
(Glipizide)
30 BOT0004916203012
PDPs
69
MAPDs
GLUCOTROL XL 5MG TABLET SA
(Glipizide)
500 BOT0004915507312
PDPs
69
MAPDs
GLUCOVANCE 2.5/500MG TABLET
(Glyburide-Metformin)
100 BOT0008760731111
PDPs
49
MAPDs
GLUCOVANCE 5/500MG TABLET
(Glyburide-Metformin)
100 BOT0008760741111
PDPs
49
MAPDs
GLUMETZA ER 1,000 MG TABLET
(Metformin HCl)
   6801200031614
PDPs
77
MAPDs
GLUMETZA ER 500 MG TABLET
(Metformin HCl)
   6801200021315
PDPs
86
MAPDs
GLYBURIDE TABLETS
(Glyburide)
100 TABLETS BOT 0009383420175
PDPs
257
MAPDs
GLYBURIDE AND METFORMIN HCL 1.25-250MG TABLET (100 CT)
(Glyburide)
100 BOT0009357100175
PDPs
256
MAPDs
GLYBURIDE 2.5MG TABLET (100 CT)
(Glyburide)
100 TABLETS BOT0009383430175
PDPs
257
MAPDs
GLYBURIDE TABLETS
(Glyburide)
500 TABLETS BOT 0009383440575
PDPs
257
MAPDs
Glyburide 6mg/1 500 TABLET BOTTLE, PLASTIC
(Glyburide)
500 TABLET BOTTLE  0014399200575
PDPs
254
MAPDs
GLYBURIDE MICRONIZED 1.5MG TABLET (100 CT)
(Glyburide Micronized)
100 BOT0037811130175
PDPs
254
MAPDs
GLYBURIDE MICRO 3MG TABLET (100 CT)
(Glyburide Micronized)
100 TABLETS BOT0009380350175
PDPs
255
MAPDs
GLYBURIDE-METFORMIN HCL 2.5-500MG TABLET
(Glyburide-Metformin)
500 BOT0022827525075
PDPs
256
MAPDs
GLYBURIDE-METFORMIN HCL 5MG-500MG TABLET
(Glyburide-Metformin)
500 BOT0022827535075
PDPs
256
MAPDs
GLYCOPYRROLATE 0.2MG/ML VL
(Glycopyrrolate)
25 X 20 ML VIALMD0051746202560
PDPs
210
MAPDs
GLYCOPYRROLATE TABLET 1MG (100 CT)
(Glycopyrrolate)
100 BOT4988400650169
PDPs
251
MAPDs
GLYCOPYRROLATE TABLET 2MG (100 CT)
(Glycopyrrolate)
100 BOT4988400660169
PDPs
251
MAPDs
GLYNASE 1.5MG PRESTAB
(Glyburide Micronized)
100 BOT0000903410110
PDPs
50
MAPDs
GLYNASE PRESTAB TABLET 3MG (100 CT)
(Glyburide Micronized)
100 BOT0000903520110
PDPs
50
MAPDs
GLYNASE PRESTAB TABLET 6MG (100 CT)
(Glyburide Micronized)
100 BOT0000934490110
PDPs
50
MAPDs
GLYSET 100MG TABLET
(Miglitol)
100 BOTPL0000950140133
PDPs
166
MAPDs
GLYSET 25MG TABLET
(Miglitol)
100 BOT0000950120133
PDPs
166
MAPDs
GLYSET 50MG TABLET
(Miglitol)
100 BOTPL0000950130133
PDPs
166
MAPDs
GOLYTELY PACKET 227.1 GM/2.82 GM
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
263 GM PKT5226807000126
PDPs
114
MAPDs
GOLYTELY SOLUTION 236 GM/2.97 GM/6 GM
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
4 L BOT5226801000125
PDPs
100
MAPDs
Gralise Starter Pack 1 KIT in 1 BLISTER PACK
(Gabapentin)
1 KIT in 1 BLISTER PACK  1391300061615
PDPs
83
MAPDs
Gralise 300mg/1 30 FILM COATED TABLETS in BOTTLE
(Gabapentin)
30 TABLET, FILM COATED in  1391300041315
PDPs
86
MAPDs
Gralise 600mg/1 90 FILM COATED TABLETS in BOTTLE
(Gabapentin)
90 TABLET, FILM COATED in  1391300051915
PDPs
86
MAPDs
granisetron hydrochloride 0.1mg/mL 1 VIAL, SINGLE-USE in 1 CARTON / 1 mL in 1 VIAL, SINGLE-USE
(Granisetron HCl)
1 VIAL, SINGLE-USE in 1 C  0070378910160
PDPs
213
MAPDs
Granisetron Hydrochloride 1mg/mL 10 VIAL, SINGLE-USE in 1 PACKAGE / 1 mL in 1 VIAL, SINGLE-USE
(Granisetron HCl)
10 VIAL, SINGLE-USE in 1  001439744101
PDPs
0
MAPDs
Granisetron Hydrochloride 1mg/mL 10 VIAL, SINGLE-USE in 1 TRAY / 1 mL in 1 VIAL, SINGLE-USE
(Granisetron HCl)
10 VIAL, SINGLE-USE in 1  0070379710359
PDPs
215
MAPDs
GRANISETRON HCL 1MG TABLET (20 CT)
(Granisetron HCl)
20 BOT6472001980272
PDPs
248
MAPDs
Granisol 2mg/10mL 1 BOTTLE, GLASS in 1 CARTON / 30 mL in 1 BOTTLE, GLASS
(Granisetron HCl)
1 BOTTLE, GLASS in 1 CART  5254708013028
PDPs
164
MAPDs
Grifulvin V 500mg/1 100 TABLET BOTTLE
(Griseofulvin Microsize)
100 TABLET in 1 BOTTLE  0006202146027
PDPs
89
MAPDs
GRIS-PEG 125MG TABLET
(Griseofulvin Ultramicrosize)
100 BOT0088407630451
PDPs
153
MAPDs
GRIS-PEG 250 MG TABLET
(Griseofulvin Ultramicrosize)
100 EA  0088407730451
PDPs
153
MAPDs
Griseofulvin 125mg/5mL 120 mL in 1 BOTTLE
(Griseofulvin Microsize)
120 mL in 1 BOTTLE  0009371021275
PDPs
256
MAPDs
griseofulvin micro 500 mg tab
(Griseofulvin Microsize)
   6498001860152
PDPs
197
MAPDs
griseofulvin ultra 125 mg tab
(Griseofulvin Ultra)
   6498001840164
PDPs
213
MAPDs
griseofulvin ultra 250 mg tab
(Griseofulvin Ultra)
   6498001850164
PDPs
213
MAPDs
GUANFACINE 1MG TABLET
(Guanfacine HCl)
100 BOT0059104440161
PDPs
238
MAPDs
GUANFACINE 2MG TABLET (100 CT)
(Guanfacine HCl)
100 BOT0037811900161
PDPs
238
MAPDs
guanidine hcl 125 mg tablet
(Guanidine HCl)
   0008504920144
PDPs
149
MAPDs
HORIZANT 600mg/1 30 TABLET BOTTLE
(GABAPENTIN ENACARBIL)
30 TABLET in 1 BOTTLE  0017308060128
PDPs
95
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG0033805034859
PDPs
206
MAPDs
LOPID 600MG TABLET (500 CT)
(Gemfibrozil)
500 BOT0007107373010
PDPs
54
MAPDs
NAGLAZYME 5MG/5ML VIAL
(Galsulfase)
5ML VIALSU6813500200175
PDPs
260
MAPDs
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M
(Neomycin-Polymyxin B-Gramicidin Ophth)
10 ML BOT2420807906272
PDPs
244
MAPDs
NEURONTIN 100MG CAPSULE
(Gabapentin)
100 BOT0007108032411
PDPs
59
MAPDs
NEURONTIN 250MG/5ML TUBEX
(Gabapentin)
470 ML BOT0007120122318
PDPs
99
MAPDs
NEURONTIN 300MG CAPSULE
(Gabapentin)
100 BOT0007108052411
PDPs
59
MAPDs
NEURONTIN 400MG CAPSULE
(Gabapentin)
100 BOT0007108062411
PDPs
59
MAPDs
NEURONTIN 600MG TABLET
(Gabapentin)
100 BOT0007105132411
PDPs
59
MAPDs
NEURONTIN 800MG TABLET
(Gabapentin)
100 BOT0007104012411
PDPs
59
MAPDs
POLYETHYLENE GLYCOL 3350 105 MG/ML / POTASSIUM CHLORIDE 0.00497 MEQ/ML / SODIUM BICARBONATE 1.43 MG/
(Polyethylene Glycol 3350 Oral)
   6822001310461
PDPs
239
MAPDs
POLYETH GLYC NF POWDER FOR ORAL SOLUTION 17GM (527 CT)
(Polyethylene Glycol 3350 Powder)
527 BOT0057404120573
PDPs
257
MAPDs
PRED G OPHTHALMIC SUSPENSION 1;0.3%;% 5 ML BOTDR
(Gentamicin-Prednisolone Ace Ophth)
5 ML BOTDR0002301060531
PDPs
127
MAPDs
PRED-G S.O.P. EYE OINTMENT
(Gentamicin-Prednisolone Ace Ophth)
3.5 GM TUBE0002300660430
PDPs
118
MAPDs
RAZADYNE 12MG TABLET
(Galantamine Hydrobromide)
TABLETS BOT5045803986011
PDPs
53
MAPDs
RAZADYNE SOL 4MG/ML
(Galantamine Hydrobromide)
100 ML BOT5045804901013
PDPs
66
MAPDs
RAZADYNE 4MG TABLET
(Galantamine Hydrobromide)
60 TABLETS BOT5045803966011
PDPs
53
MAPDs
RAZADYNE 8MG TABLET
(Galantamine Hydrobromide)
60 TABLETS BOT5045803976011
PDPs
53
MAPDs
RAZADYNE ER 16MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT5045803883011
PDPs
61
MAPDs
RAZADYNE ER 24MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT5045803893011
PDPs
61
MAPDs
RAZADYNE ER 8MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT5045803873011
PDPs
61
MAPDs
ROBINUL 1MG TABLET
(Glycopyrrolate)
100 TABS BOTPL5963002001012
PDPs
69
MAPDs
ROBINUL FORTE 2MG TABLET
(Glycopyrrolate)
100 TABS BOTPL5963002051012
PDPs
69
MAPDs
SANCUSO TRANSDERMAL SYSTEM 3.1MG/24HRS 1 PATCH CRTN
(Granisetron Transdermal)
1 PATCH CRTN4274707260142
PDPs
123
MAPDs
SIMPONI GOLIMUMAB INJECTION 50MG/0.5ML 1 50 MG SINGLE DOSE SYR SYR
(Golimumab Subcutaneous)
1 50 MG SINGLE DOSE SYR SYR5789400700134
PDPs
147
MAPDs
TENEX 1MG TABLET
(Guanfacine HCl)
500 TABS BOTPL678570705058
PDPs
45
MAPDs
TENEX 2MG TABLET
(Guanfacine HCl)
100 TABS BOTPL678570706018
PDPs
47
MAPDs
tiagabine hcl 2 mg tablet
(Tiagabine HCl)
   6275602008372
PDPs
245
MAPDs
tiagabine hcl 4 mg tablet
(Tiagabine HCl)
   6275602248372
PDPs
245
MAPDs
VORAXAZE 1,000 UNIT VIAL
(glucarpidase)
   5063302101130
PDPs
112
MAPDs
ZIPRASIDONE HCL 20 MG CAPSULE
(Ziprasidone HCl)
   6818003310775
PDPs
260
MAPDs
ZIPRASIDONE HCL 40 MG CAPSULE
(Ziprasidone HCl)
   6818003320775
PDPs
260
MAPDs
ZIPRASIDONE HCL 60 MG CAPSULE
(Ziprasidone HCl)
   5511102586075
PDPs
260
MAPDs
ZIPRASIDONE HCL 80 MG CAPSULE
(Ziprasidone HCl)
   0090462720875
PDPs
260
MAPDs
ZIRGAN 1.5mg/g 1 TUBE, WITH APPLICATOR in 1 CARTON / 5 g in 1 TUBE, WITH APPLICATOR
(Ganciclovir Ophth)
1 TUBE, WITH APPLICATOR i  2420805353555
PDPs
175
MAPDs
ZYMAXID 5mg/mL 1 BOTTLE, DROPPER in 1 CARTON / 2.5 mL in 1 BOTTLE, DROPPER
(Gatifloxacin Ophth)
1 BOTTLE, DROPPER in 1 CA  0002336152541
PDPs
180
MAPDs



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





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