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2014 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 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 2014 Formularies
PDPsMAPDs
AMARYL 1MG TABLET
(Glimepiride)
100 BOT0003902211013
PDPs
38
MAPDs
AMARYL 2MG TABLET
(Glimepiride)
100 BOT0003902221013
PDPs
38
MAPDs
AMARYL 4MG TABLET
(Glimepiride)
100 BOT0003902231013
PDPs
38
MAPDs
COPAXONE 20MG/ML 30 BLISTER PACK IN 1 CRTN
(Glatiramer Acetate)
   6854603173077
PDPs
309
MAPDs
COPAXONE 40 MG/ML SYRINGE
(Glatiramer Acetate)
1 ML  6854603251262
PDPs
243
MAPDs
CUVPOSA 1 MG/5 ML SOLUTION
(Glycopyrrolate)
   0025905011624
PDPs
95
MAPDs
CYTOVENE IV INJECTION
(Ganciclovir Sodium For)
10ML X 1 X 25 VIALS CRTN 0000469400317
PDPs
58
MAPDs
DIABETA 1.25MG TABLET
(Glyburide)
50 BOT000390053058
PDPs
45
MAPDs
DIABETA TABLETS 2.5MG 100 BOT
(Glyburide)
100 BOT000390051108
PDPs
45
MAPDs
DiaBeta 5mg/1 100 TABLET BOTTLE
(Glyburide)
100 TABLET BOTTLE  000390052108
PDPs
45
MAPDs
FACTIVE 320 MG TABLET
(Gemifloxacin Mesylate)
   4400103210719
PDPs
77
MAPDs
GABAPENTIN 100mg/1
(Gabapentin)
   6275601370277
PDPs
309
MAPDs
Gabapentin 250mg/5mL 470 mL in 1 BOTTLE
(Gabapentin)
470 mL in 1 BOTTLE  5038303114777
PDPs
299
MAPDs
GABAPENTIN CAPSULES 300MG
(Gabapentin)
   6050501130177
PDPs
309
MAPDs
GABAPENTIN 400 MG CAPSULE
(Gabapentin)
100 EA  5374601030177
PDPs
309
MAPDs
GABAPENTIN 600MG TABLET
(Gabapentin)
100 BOT0022826361177
PDPs
309
MAPDs
GABAPENTIN TABLET 800MG
(Gabapentin)
   6050525520577
PDPs
309
MAPDs
GABITRIL 12 MG TABLET
(Tiagabine HCl)
30 EA  6345904123069
PDPs
286
MAPDs
GABITRIL 16mg/1
(Tiagabine HCl)
   6345904163069
PDPs
287
MAPDs
GABITRIL 2mg/1
(Tiagabine HCl)
   6345904023028
PDPs
86
MAPDs
GABITRIL 4mg/1
(Tiagabine HCl)
   6345904043028
PDPs
86
MAPDs
Gablofen 2000ug/mL 20 mL in 1 VIAL, GLASS
(Baclofen)
20 mL in 1 VIAL, GLASS  4594501570219
PDPs
45
MAPDs
Gablofen 50ug/mL 1 mL in 1 SYRINGE, PLASTIC
(Baclofen)
1 mL in 1 SYRINGE, PLASTI  4594501510120
PDPs
45
MAPDs
Gablofen 500ug/mL 20 mL in 1 VIAL, GLASS
(Baclofen)
20 mL in 1 VIAL, GLASS  4594501550218
PDPs
44
MAPDs
Galantamine 12mg/1 60 FILM COATED TABLETS in BOTTLE
(Galantamine Hydrobromide)
60 TABLET, FILM COATED in  0055501400976
PDPs
294
MAPDs
GALANTAMINE HYDROBROMIDE CAPSULES EXTENDED RELEASE 16MG 30 BOT
(Galantamine Hydrobromide)
30 BOT0055510210176
PDPs
287
MAPDs
GALANTAMINE HYDROBROMIDE CAPSULES EXTENDED RELEASE 24MG 30 BOT
(Galantamine Hydrobromide)
30 BOT0055510220176
PDPs
287
MAPDs
Galantamine Hydrobromide Oral Solution 4mg/mL 100 mL in 1 BOTTLE
(Galantamine Hydrobromide)
100 mL in 1 BOTTLE  0005401374975
PDPs
274
MAPDs
Galantamine 4mg/1 60 FILM COATED TABLETS in BOTTLE
(Galantamine Hydrobromide)
60 TABLET, FILM COATED in  0055501380976
PDPs
295
MAPDs
GALANTAMINE HYDROBROMIDE CAPSULES EXTENDED RELEASE 8MG 30 BOT
(Galantamine Hydrobromide)
30 BOT0055510200176
PDPs
287
MAPDs
Galantamine 8mg/1 60 FILM COATED TABLETS in BOTTLE
(Galantamine Hydrobromide)
60 TABLET, FILM COATED in  0055501390976
PDPs
295
MAPDs
GamaSTAN S/D 0.165g/mL
(Immune Globulin (Human))
   1353306351249
PDPs
214
MAPDs
GAMMAGARD LIQUID 100mg/mL 1 BOTTLE, GLASS per CARTON / 25 mL in 1 BOTTLE, GLASS
(Immune Globulin (Human) IV)
1 BOTTLE, GLASS in 1 CART  0094427000368
PDPs
276
MAPDs
GAMMAPLEX INJECTION 5 GM/100 ML
(Immune Globulin)
   6420882340340
PDPs
182
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS  1353308001253
PDPs
262
MAPDs
GANCICLOVIR 500MG VIAL FOR INJECTION
(Ganciclovir)
25 X 10 TRAY 6332303151077
PDPs
306
MAPDs
GARDASIL VIAL
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
1 X 0.5 ML VIAL0000640450077
PDPs
309
MAPDs
GASTROCROM 100MG/5ML CONC
(Cromolyn Sodium Oral)
96 X 5 ML AMP1886006787014
PDPs
71
MAPDs
GATIFLOXACIN 0.5% EYE DROPS [Zymar, Zymaxid]
(gatifloxacin ophthalmic)
2.5 ML  6818004350145
PDPs
201
MAPDs
GATTEX 5 MG ONE-VIAL KIT
(teduglutide)
   6887501030134
PDPs
111
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  4338600901975
PDPs
262
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  4338600601976
PDPs
274
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  4338600501976
PDPs
275
MAPDs
GELNIQUE 100mg/g 30 PACKET per CARTON / 1 g in 1 PACKET
(Oxybutynin Chloride)
30 PACKET in 1 CARTON / 1  5254400843030
PDPs
114
MAPDs
GELNIQUE 3% GEL
(Oxybutynin Chloride)
92 GM  5254400415428
PDPs
103
MAPDs
Gemcitabine Hydrochloride 1g/25mL 1 VIAL per CARTON / 25 mL in 1 VIAL
()
1 VIAL in 1 CARTON / 25 m  1672901171174
PDPs
271
MAPDs
GEMFIBROZIL TABLET 600MG (500 CT)
(Gemfibrozil)
500 BOT0014391300577
PDPs
309
MAPDs
GEMZAR 1GRAM VIAL
(Gemcitabine HCl For)
1 X 50 ML VIAL0000275020121
PDPs
83
MAPDs
GENERESS FE CHEWABLE TABLET
(norethindrone and ethinyl estradiol and ferrous fumarate)
28 EA  5254402043114
PDPs
59
MAPDs
GENERLAC 10 GM/15 ML SOLUTION
(Lactulose (Encephalopathy))
1892 ML  6043200386469
PDPs
273
MAPDs
GENGRAF 100MG CAPSULE U.D.
(Cyclosporine Modified)
30 BOXUD0007464793275
PDPs
289
MAPDs
GENGRAF 100MG/ML SOLUTION
(Cyclosporine Modified)
50 ML BOTGL0007472695075
PDPs
287
MAPDs
GENGRAF 25MG CAPSULE U.D.
(Cyclosporine Modified)
30 BOXUD0007464633275
PDPs
292
MAPDs
GENOTROPIN 13.8MG CARTRIDGE
(Somatropin For)
1 X 13.8 MG CTG0001326468135
PDPs
176
MAPDs
GENOTROPIN 5 MG CARTRIDGE
(Somatropin For)
1 PKGCOM0001326268135
PDPs
168
MAPDs
GENOTROPIN MINIQUICK 0.2MG
(Somatropin For)
7 X 0.2 MG VIALPAT0001326490234
PDPs
176
MAPDs
GENOTROPIN MINIQUICK 0.4MG
(Somatropin For)
7 X 0.4 MG VIALPAT0001326500234
PDPs
168
MAPDs
GENOTROPIN MINIQUICK 0.6MG
(Somatropin For)
7 X 0.6 MG VIALPAT0001326510234
PDPs
168
MAPDs
GENOTROPIN MINIQUICK 0.8MG
(Somatropin For)
7 X 0.8 MG VIALPAT0001326520234
PDPs
168
MAPDs
GENOTROPIN MINIQUICK 1MG
(Somatropin For)
7 X 1.0 MG VIALPAT0001326530234
PDPs
168
MAPDs
GENOTROPIN MINIQUICK 1.2MG
(Somatropin For)
7 VIALPAT0001326540234
PDPs
168
MAPDs
GENOTROPIN MINIQUICK 1.4MG
(Somatropin For)
7 VIALPAT0001326550234
PDPs
168
MAPDs
GENOTROPIN MINIQUICK 1.6MG
(Somatropin For)
7 VIALPAT0001326560234
PDPs
168
MAPDs
GENOTROPIN MINIQUICK 1.8MG
(Somatropin For)
7 VIALPAT0001326570234
PDPs
168
MAPDs
GENOTROPIN MINIQUICK 2MG
(Somatropin For)
7 X 2.0 MG VIALPAT0001326580234
PDPs
168
MAPDs
GENTAK 3MG/GM EYE OINTMENT
(Gentamicin Sulfate Ophth)
3.5 GM TUBE1747802843574
PDPs
296
MAPDs
GENTAMICIN 90MG/NS 100ML PB
(Gentamicin)
24 X 100 ML CTR0040978862368
PDPs
252
MAPDs
GENTAMICIN 100MG/NS 100ML
(Gentamicin)
24 X 100 ML CTR0040978892370
PDPs
260
MAPDs
GENTAMICIN 70MG/NS 50ML PB
(Gentamicin)
24 X 50 ML CTR0040978811368
PDPs
260
MAPDs
GENTAMICIN 80MG/NS 50ML PB
(Gentamicin)
24 X 50 ML CTR0040978831370
PDPs
267
MAPDs
GENTAMICIN 10MG/ML VIAL
(Gentamicin)
25 X 8 ML VIAL0040934010177
PDPs
300
MAPDs
GENTAMICIN SULFATE OINTMENT USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE4580200463577
PDPs
307
MAPDs
GENTAMICIN SULFATE CREAM USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE4580200563577
PDPs
305
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  0040912070377
PDPs
288
MAPDs
Gentamicin Sulfate in Sodium Chloride 60mg/50mL 50 mL in 1 BAG
(Gentamicin Sulfate)
50 mL in 1 BAG  0033805074168
PDPs
259
MAPDs
GENTAMICIN SULFATE OPHTHALMIC SOLUTION 0.3% 5ML BOT
(Gentamicin Sulfate Ophth)
5 ML BOT2420805806077
PDPs
307
MAPDs
Gentamicin 3 mg/gm eye oint
(Gentamicin Sulfate Ophth)
   0057441023574
PDPs
264
MAPDs
GEODON 20MG VIAL
(Ziprasidone HCl)
1 VIAL VIALSD0004939208377
PDPs
309
MAPDs
GEODON 20MG CAPSULE
(Ziprasidone HCl)
60 BOT0004939606014
PDPs
46
MAPDs
GEODON 40MG CAPSULE
(Ziprasidone HCl)
60 BOT0004939706014
PDPs
46
MAPDs
GEODON 60MG CAPSULE
(Ziprasidone HCl)
60 BOT0004939806014
PDPs
46
MAPDs
GEODON 80MG CAPSULE
(Ziprasidone HCl)
60 BOT0004939906014
PDPs
46
MAPDs
Gianvi 3 BLISTER PACK in 1 PACKAGE / 1 KIT per BLISTER PACK
(Drospirenone-Ethinyl Estradiol)
3 BLISTER PACK in 1 PACKA  0009354235869
PDPs
238
MAPDs
GIAZO 180 GM
(balsalazide disodium)
   6564901020212
PDPs
50
MAPDs
gildagia 0.4 mg-0.035 mg tab
(ethinyl estradiol / norethindrone)
   0060335901767
PDPs
240
MAPDs
Gilenya 0.5mg/1 28 CAPSULE per CARTON
(FINGOLIMOD HCL)
28 CAPSULE in 1 CARTON  0007806075159
PDPs
279
MAPDs
GILOTRIF 20 MG TABLET
(afatinib)
30 EA  0059701413077
PDPs
309
MAPDs
GILOTRIF 30 MG TABLET
(afatinib)
30 EA  0059701373077
PDPs
309
MAPDs
GILOTRIF 40 MG TABLET
(afatinib)
30 EA  0059701383077
PDPs
309
MAPDs
GLASSIA 1g/50mL 1 VIAL, GLASS per CARTON / 50 mL in 1 VIAL, GLASS
(ALPHA-1-PROTEINASE INHIBITOR (HUMAN))
1 VIAL, GLASS in 1 CARTON  0094428840132
PDPs
133
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT0007804013477
PDPs
309
MAPDs
GLEEVEC 400MG TABLET
(Imatinib Mesylate)
30 BOT0007804381577
PDPs
309
MAPDs
GLIMEPIRIDE 1MG TABLET (100 CT)
(Glimepiride)
100 BOT5511103200177
PDPs
309
MAPDs
GLIMEPIRIDE 2MG TABLET (100 CT)
(Glimepiride)
100 BOT5511103210177
PDPs
309
MAPDs
GLIMEPIRIDE 4MG TABLET (100 CT)
(Glimepiride)
100 BOT5511103220177
PDPs
309
MAPDs
GLIPIZIDE 10MG TABLET (100 CT)
(Glipizide)
100 BOT0037811100177
PDPs
309
MAPDs
GLIPIZIDE 10MG TABLETS EXTENDED RELEASE
(Glipizide)
100 BOT 0059108450177
PDPs
308
MAPDs
GLIPIZIDE ER 2.5MG TABLET SR OSMOTIC PUSH 24HR
(Glipizide)
30 BOTPL0059109003077
PDPs
308
MAPDs
GLIPIZIDE-METFORMIN 2.5-500MG TABLET
(Glipizide)
100 BOT0009374560174
PDPs
304
MAPDs
GLIPIZIDE 5MG TABLET
(Glipizide)
100 BOT001723649602
PDPs
3
MAPDs
GLIPIZIDE 5MG TABLETS EXTENDED RELEASE
(Glipizide)
100 BOT 0059108440177
PDPs
308
MAPDs
GLIPIZIDE 5 MG TABLET
(Glipizide)
100 EA  0037811050175
PDPs
306
MAPDs
GLIPIZIDE-METFORMIN 5-500 MG
(Glipizide)
100 EA  0009374570172
PDPs
301
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  0037831310174
PDPs
304
MAPDs
Glipizide and Metformin Hydrochloride 5; 500mg/1; mg/1 100 FILM COATED TABLETS in BOTTLE
(Glipizide-Metformin HCl)
100 TABLET, FILM COATED  005913973012
PDPs
3
MAPDs
GLUCAGEN 1MG HYPOKIT
(Glucagon HCl (rDNA) For)
1 X 1 MG PKGCOM0016970651575
PDPs
291
MAPDs
GLUCAGON 1MG EMERGENCY KIT
(Glucagon (rDNA) For)
1 KIT PKGCOM0000280310173
PDPs
304
MAPDs
GLUCOPHAGE 1000MG TABLET
(Metformin HCl)
100 BOT0008760711113
PDPs
39
MAPDs
GLUCOPHAGE 500MG TABLET
(Metformin HCl)
500 BOT0008760601013
PDPs
39
MAPDs
GLUCOPHAGE 850MG TABLET
(Metformin HCl)
100 BOT0008760700513
PDPs
39
MAPDs
GLUCOPHAGE XR 500MG TABLET SA
(Metformin HCl)
100 BOT0008760631313
PDPs
39
MAPDs
GLUCOPHAGE XR 750MG TABLET SA
(Metformin HCl)
100 BOT0008760641313
PDPs
39
MAPDs
GLUCOTROL 10MG TABLET
(Glipizide)
100 BOT0004941206614
PDPs
37
MAPDs
GLUCOTROL 5MG TABLET
(Glipizide)
100 BOT0004941106614
PDPs
37
MAPDs
GLUCOTROL XL 10MG TABLET SA
(Glipizide)
500 BOT000491560731
PDPs
1
MAPDs
GLUCOTROL XL 10 MG TABLET
(Glipizide)
500 EA  0004901780813
PDPs
36
MAPDs
GLUCOTROL XL 2.5 MG TABLET
(Glipizide)
30 EA 0004901700114
PDPs
37
MAPDs
GLUCOTROL XL 5MG TABLET SA
(Glipizide)
500 BOT0004915507314
PDPs
37
MAPDs
GLUCOVANCE 2.5/500MG TABLET
(Glyburide-Metformin)
100 BOT000876073118
PDPs
32
MAPDs
GLUCOVANCE 5/500MG TABLET
(Glyburide-Metformin)
100 BOT000876074118
PDPs
32
MAPDs
GLUMETZA ER 1,000 MG TABLET
(Metformin HCl)
   6801200031615
PDPs
77
MAPDs
GLUMETZA ER 500 MG TABLET
(Metformin HCl)
   6801200021316
PDPs
84
MAPDs
GLYBURIDE 1.25MG TABLETS
(Glyburide)
100 TABLETS BOT 0009383420166
PDPs
260
MAPDs
GLYBURIDE AND METFORMIN HCL 1.25-250MG TABLET (100 CT)
(Glyburide)
100 BOT0009357100163
PDPs
259
MAPDs
GLYBURIDE 2.5MG TABLET (100 CT)
(Glyburide)
100 TABLETS BOT0009383430166
PDPs
260
MAPDs
GLYBURIDE 5MG TABLETS
(Glyburide)
500 TABLETS BOT 0009383440566
PDPs
260
MAPDs
Glyburide 6mg/1 500 TABLET BOTTLE, PLASTIC
(Glyburide)
500 TABLET BOTTLE  0014399200566
PDPs
258
MAPDs
GLYBURIDE MICRONIZED 1.5MG TABLET (100 CT)
(Glyburide Micronized)
100 BOT0037811130166
PDPs
258
MAPDs
GLYBURIDE MICRO 3MG TABLET (100 CT)
(Glyburide Micronized)
100 TABLETS BOT0009380350166
PDPs
259
MAPDs
GLYBURIDE-METFORMIN HCL 2.5-500MG TABLET
(Glyburide-Metformin)
500 BOT0022827525063
PDPs
259
MAPDs
GLYBURIDE-METFORMIN HCL 5MG-500MG TABLET
(Glyburide-Metformin)
500 BOT0022827535063
PDPs
259
MAPDs
GLYCOPYRROLATE 0.2MG/ML VL
(Glycopyrrolate)
25 X 20 ML VIALMD0051746202555
PDPs
225
MAPDs
GLYCOPYRROLATE TABLET 1MG (100 CT)
(Glycopyrrolate)
100 BOT4988400650173
PDPs
291
MAPDs
GLYCOPYRROLATE TABLET 2MG (100 CT)
(Glycopyrrolate)
100 BOT4988400660173
PDPs
291
MAPDs
GLYNASE 1.5MG PRESTAB
(Glyburide Micronized)
100 BOT000090341018
PDPs
30
MAPDs
GLYNASE PRESTAB TABLET 3MG (100 CT)
(Glyburide Micronized)
100 BOT000090352018
PDPs
30
MAPDs
GLYNASE PRESTAB TABLET 6MG (100 CT)
(Glyburide Micronized)
100 BOT000093449018
PDPs
30
MAPDs
GLYSET 100MG TABLET
(Miglitol)
100 BOTPL0000950140134
PDPs
171
MAPDs
GLYSET 25MG TABLET
(Miglitol)
100 BOT0000950120134
PDPs
171
MAPDs
GLYSET 50MG TABLET
(Miglitol)
100 BOTPL0000950130134
PDPs
171
MAPDs
GOLYTELY PACKET 227.1 GM/2.82 GM
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
263 GM PKT5226807000131
PDPs
133
MAPDs
GOLYTELY SOLUTION 236 GM/2.97 GM/6 GM
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
4 L BOT5226801000126
PDPs
114
MAPDs
Gralise Starter Pack 1 KIT per BLISTER PACK
(Gabapentin)
1 KIT in 1 BLISTER PACK  1391300061617
PDPs
79
MAPDs
Gralise 300mg/1 30 FILM COATED TABLETS in BOTTLE
(Gabapentin)
30 TABLET, FILM COATED in  1391300041317
PDPs
85
MAPDs
Gralise 600mg/1 90 FILM COATED TABLETS in BOTTLE
(Gabapentin)
90 TABLET, FILM COATED in  1391300051917
PDPs
85
MAPDs
Granisetron HCl 0.1 mg/ml vial
(Granisetron HCl)
   6332303170156
PDPs
243
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  0014397441056
PDPs
240
MAPDs
GRANISETRON HCL 1MG TABLET (20 CT)
(Granisetron HCl)
20 BOT6472001980269
PDPs
285
MAPDs
Granisol 2mg/10mL 1 BOTTLE, GLASS per CARTON / 30 mL in 1 BOTTLE, GLASS
(Granisetron HCl)
1 BOTTLE, GLASS in 1 CART  5254708013031
PDPs
161
MAPDs
GRANIX 300 MCG/0.5 ML SYRINGE
(tbo-filgrastim)
   6345909101149
PDPs
181
MAPDs
GRANIX 480 MCG/0.8 ML SYRINGE
(tbo-filgrastim)
   6345909121149
PDPs
181
MAPDs
GRASTEK 2;800 BAU SL TABLET
(timothy grass pollen allergen extract)
   000064229309
PDPs
15
MAPDs
GRIS-PEG 125MG TABLET
(Griseofulvin Ultramicrosize)
100 BOT0088407630422
PDPs
79
MAPDs
GRIS-PEG 250 MG TABLET
(Griseofulvin Ultramicrosize)
100 EA  0088407730422
PDPs
79
MAPDs
Griseofulvin 125mg/5mL 120 mL in 1 BOTTLE
(Griseofulvin Microsize)
120 mL in 1 BOTTLE  0009371021277
PDPs
301
MAPDs
griseofulvin micro 500 mg tab
(Griseofulvin Microsize)
   6498001860164
PDPs
246
MAPDs
griseofulvin ultra 125 mg tab
(Griseofulvin Ultra)
   6498001840170
PDPs
261
MAPDs
griseofulvin ultra 250 mg tab
(Griseofulvin Ultra)
   6498001850170
PDPs
261
MAPDs
GUANFACINE 1MG TABLET
(Guanfacine HCl)
100 BOT0059104440145
PDPs
200
MAPDs
GUANFACINE 2MG TABLET (100 CT)
(Guanfacine HCl)
100 BOT0037811900145
PDPs
201
MAPDs
guanidine hcl 125 mg tablet
(Guanidine HCl)
   0008504920167
PDPs
256
MAPDs
GYNAZOLE-1 2% CREAM
(Butoconazole Nitrate (One Dose) Vaginal)
   6401102460114
PDPs
52
MAPDs
HORIZANT ER 300 MG TABLET
(GABAPENTIN ENACARBIL)
   5345101030121
PDPs
80
MAPDs
HORIZANT 600mg/1 30 TABLET BOTTLE
(GABAPENTIN ENACARBIL)
30 TABLET in 1 BOTTLE  0017308060123
PDPs
85
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG0033805034867
PDPs
252
MAPDs
LOPID 600MG TABLET (500 CT)
(Gemfibrozil)
500 BOT0007107373010
PDPs
34
MAPDs
NAGLAZYME 5MG/5ML VIAL
(Galsulfase)
5ML VIALSU6813500200177
PDPs
309
MAPDs
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M
(Neomycin-Polymyxin B-Gramicidin Ophth)
10 ML BOT2420807906275
PDPs
295
MAPDs
NEURONTIN 100MG CAPSULE
(Gabapentin)
100 BOT0007108032413
PDPs
49
MAPDs
NEURONTIN 250MG/5ML TUBEX
(Gabapentin)
470 ML BOT0007120122321
PDPs
75
MAPDs
NEURONTIN 300MG CAPSULE
(Gabapentin)
100 BOT0007108052413
PDPs
49
MAPDs
NEURONTIN 400MG CAPSULE
(Gabapentin)
100 BOT0007108062413
PDPs
49
MAPDs
NEURONTIN 600MG TABLET
(Gabapentin)
100 BOT0007105132413
PDPs
49
MAPDs
NEURONTIN 800MG TABLET
(Gabapentin)
100 BOT0007104012413
PDPs
49
MAPDs
POLYETHYLENE GLYCOL 3350 105 MG/ML / POTASSIUM CHLORIDE 0.00497 MEQ/ML / SODIUM BICARBONATE 1.43 MG/
(Polyethylene Glycol 3350 Oral)
   682200131041
PDPs
2
MAPDs
POLYETH GLYC NF POWDER FOR ORAL SOLUTION 17GM (527 CT)
(Polyethylene Glycol 3350 Powder)
527 BOT0057404120576
PDPs
303
MAPDs
PRED G OPHTHALMIC SUSPENSION 1;0.3%;% 5 ML BOTDR
(Gentamicin-Prednisolone Ace Ophth)
5 ML BOTDR0002301060533
PDPs
128
MAPDs
PRED-G S.O.P. EYE OINTMENT
(Gentamicin-Prednisolone Ace Ophth)
3.5 GM TUBE0002300660432
PDPs
118
MAPDs
RAVICTI 1.1 GRAM/ML LIQUID
(glycerol phenylbutyrate)
25 ML  7632501000432
PDPs
103
MAPDs
RAZADYNE 12MG TABLET
(Galantamine Hydrobromide)
TABLETS BOT5045803986012
PDPs
40
MAPDs
RAZADYNE SOL 4MG/ML
(Galantamine Hydrobromide)
100 ML BOT5045804901012
PDPs
49
MAPDs
RAZADYNE 4MG TABLET
(Galantamine Hydrobromide)
60 TABLETS BOT5045803966012
PDPs
40
MAPDs
RAZADYNE 8MG TABLET
(Galantamine Hydrobromide)
60 TABLETS BOT5045803976012
PDPs
40
MAPDs
RAZADYNE ER 16MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT5045803883012
PDPs
48
MAPDs
RAZADYNE ER 24MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT5045803893012
PDPs
48
MAPDs
RAZADYNE ER 8MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT5045803873012
PDPs
48
MAPDs
ROBINUL 1MG TABLET
(Glycopyrrolate)
100 TABS BOTPL5963002001012
PDPs
49
MAPDs
ROBINUL FORTE 2MG TABLET
(Glycopyrrolate)
100 TABS BOTPL5963002051012
PDPs
49
MAPDs
SANCUSO TRANSDERMAL SYSTEM 3.1MG/24HRS 1 PATCH CRTN
(Granisetron Transdermal)
1 PATCH CRTN4274707260151
PDPs
134
MAPDs
SIMPONI GOLIMUMAB INJECTION 50MG/0.5ML 1 50 MG SINGLE DOSE SYR SYR
(Golimumab Subcutaneous)
1 50 MG SINGLE DOSE SYR SYR5789400700132
PDPs
152
MAPDs
SIMPONI ARIA 50 MG/4 ML VIAL
(golimumab)
4 ML  5789403500122
PDPs
117
MAPDs
TENEX 1MG TABLET
(Guanfacine HCl)
500 TABS BOTPL678570705058
PDPs
25
MAPDs
TENEX 2MG TABLET
(Guanfacine HCl)
100 TABS BOTPL678570706018
PDPs
26
MAPDs
tiagabine hcl 2 mg tablet [Gabitril]
(Tiagabine HCl)
   6275602008377
PDPs
298
MAPDs
tiagabine hcl 4 mg tablet [Gabitril]
(Tiagabine HCl)
   6275602248377
PDPs
298
MAPDs
ZIPRASIDONE HCL 20 MG CAPSULE [Geodon]
(Ziprasidone HCl)
   6818003310777
PDPs
309
MAPDs
ZIPRASIDONE HCL 40 MG CAPSULE [Geodon]
(Ziprasidone HCl)
   6818003320777
PDPs
309
MAPDs
ZIPRASIDONE HCL 60 MG CAPSULE [Geodon]
(Ziprasidone HCl)
   5511102586077
PDPs
309
MAPDs
ZIPRASIDONE HCL 80 MG CAPSULE [Geodon]
(Ziprasidone HCl)
   0090462720877
PDPs
309
MAPDs
ZIRGAN 1.5mg/g 1 TUBE, WITH APPLICATOR per CARTON / 5 g in 1 TUBE, WITH APPLICATOR
(Ganciclovir Ophth)
1 TUBE, WITH APPLICATOR i  2420805353547
PDPs
197
MAPDs
ZYMAXID 5mg/mL 1 BOTTLE, DROPPER per CARTON / 2.5 mL in 1 BOTTLE, DROPPER
(Gatifloxacin Ophth)
1 BOTTLE, DROPPER in 1 CA  0002336152524
PDPs
119
MAPDs



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


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  • 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.