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2014 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 R 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
ACIPHEX SPRINKLE DR 10 MG CAP
(Rabeprazole Sodium EC)
   628560241306
PDPs
40
MAPDs
ACIPHEX 20MG TABLET EC
(Rabeprazole Sodium EC)
30 BOT6285602433010
PDPs
42
MAPDs
ACIPHEX SPRINKLE DR 5 MG CAP
(Rabeprazole Sodium EC)
   628560240306
PDPs
40
MAPDs
Actonel 150mg/1 36 DOSE PACK CASE / 1 TRAY DOSE PACK / 1 FILM COATED TABLETS in TRAY
(Risedronate Sodium)
36 DOSE PACK in 1 CASE /  0043004780147
PDPs
217
MAPDs
Actonel 30mg/1 12 BOTTLE CASE / 30 FILM COATED TABLETS in BOTTLE
(Risedronate Sodium)
12 BOTTLE in 1 CASE / 30  0043004701551
PDPs
220
MAPDs
Actonel 35mg/1 36 DOSE PACK CASE / 1 TRAY DOSE PACK / 4 FILM COATED TABLETS in TRAY
(Risedronate Sodium)
36 DOSE PACK in 1 CASE /  0043004720346
PDPs
216
MAPDs
Actonel 5mg/1 12 BOTTLE CASE / 30 FILM COATED TABLETS in BOTTLE
(Risedronate Sodium)
12 BOTTLE in 1 CASE / 30  0043004711547
PDPs
218
MAPDs
ADEMPAS 0.5 MG TABLET
(Riociguat)
90 EA  5041902500146
PDPs
191
MAPDs
ADEMPAS 1 MG TABLET
(Riociguat)
90 EA  5041902510146
PDPs
191
MAPDs
ADEMPAS 1.5 MG TABLET
(Riociguat)
90 EA  5041902520146
PDPs
191
MAPDs
ADEMPAS 2 MG TABLET
(Riociguat)
90 EA  5041902530146
PDPs
191
MAPDs
ADEMPAS 2.5 MG TABLET
(Riociguat)
90 EA  5041902540146
PDPs
191
MAPDs
ALTABAX 10mg/g 30 g in 1 TUBE
(Retapamulin)
30 g in 1 TUBE  0000751802535
PDPs
108
MAPDs
ALTACE 1.25MG CAPSULE
(Ramipril)
100 CAPS BOTPL6157001100110
PDPs
37
MAPDs
ALTACE 10MG CAPSULE (100 CT)
(Ramipril)
100 CAPS BOTPL6157001200110
PDPs
39
MAPDs
ALTACE 2.5 MG CAPSULE
(Ramipril)
100 EA  6157001110110
PDPs
37
MAPDs
ALTACE 5MG CAPSULE
(Ramipril)
100 BOT6157001120110
PDPs
37
MAPDs
ARCALYST INJECTION 220MG/VIAL
(Rilonacept For)
4 VIALSD CRTN6175500010177
PDPs
309
MAPDs
Atelvia 35mg/1 36 DOSE PACK CASE / 4 TABLET, DELAYED RELEASE in 1 DOSE PACK
(RISEDRONATE SODIUM)
36 DOSE PACK in 1 CASE /  0043009790333
PDPs
130
MAPDs
AVANDAMET 1000; 2mg/1; mg/1 60 FILM COATED TABLETS in BOTTLE
(Rosiglitazone Maleate-Metformin HCl)
60 TABLET, FILM COATED in  0017308381822
PDPs
129
MAPDs
AVANDAMET 1000; 4mg/1; mg/1 60 FILM COATED TABLETS in BOTTLE
(Rosiglitazone Maleate-Metformin HCl)
60 TABLET, FILM COATED in  0017308401822
PDPs
129
MAPDs
AVANDAMET 500; 2mg/1; mg/1 60 FILM COATED TABLETS in BOTTLE
(Rosiglitazone Maleate-Metformin HCl)
60 TABLET, FILM COATED in  0017308371822
PDPs
129
MAPDs
AVANDAMET 500; 4mg/1; mg/1 60 FILM COATED TABLETS in BOTTLE
(Rosiglitazone Maleate-Metformin HCl)
60 TABLET, FILM COATED in  0017308391822
PDPs
129
MAPDs
AVANDARYL 1; 4mg/1; mg/1 30 FILM COATED TABLETS in BOTTLE
(Rosiglitazone Maleate-Glimepiride)
30 TABLET, FILM COATED in  0017308411322
PDPs
127
MAPDs
AVANDARYL 2; 4mg/1; mg/1 30 FILM COATED TABLETS in BOTTLE
(Rosiglitazone Maleate-Glimepiride)
30 TABLET, FILM COATED in  0017308421322
PDPs
127
MAPDs
AVANDARYL 2; 8mg/1; mg/1 30 FILM COATED TABLETS in BOTTLE
(Rosiglitazone Maleate-Glimepiride)
30 TABLET, FILM COATED in  0017308441322
PDPs
119
MAPDs
AVANDARYL 4; 4mg/1; mg/1 30 FILM COATED TABLETS in BOTTLE
(Rosiglitazone Maleate-Glimepiride)
30 TABLET, FILM COATED in  0017308431322
PDPs
127
MAPDs
AVANDARYL 4; 8mg/1; mg/1 30 FILM COATED TABLETS in BOTTLE
(Rosiglitazone Maleate-Glimepiride)
30 TABLET, FILM COATED in  0017308451322
PDPs
119
MAPDs
AVANDIA 2mg/1 60 FILM COATED TABLETS in BOTTLE
(Rosiglitazone Maleate)
60 TABLET, FILM COATED in  0017308341830
PDPs
160
MAPDs
AVANDIA 4mg/1 30 FILM COATED TABLETS in BOTTLE
(Rosiglitazone Maleate)
30 TABLET, FILM COATED in  0017308351330
PDPs
160
MAPDs
AVANDIA 8mg/1 30 FILM COATED TABLETS in BOTTLE
(Rosiglitazone Maleate)
30 TABLET, FILM COATED in  0017308361330
PDPs
160
MAPDs
AZILECT 0.5MG TABLET
(Rasagiline Mesylate)
30 BOT6854601425677
PDPs
305
MAPDs
AZILECT 1MG TABLET
(Rasagiline Mesylate)
30 BOT6854602295677
PDPs
305
MAPDs
Banzel 200mg/1
(Rufinamide)
   6285605825277
PDPs
309
MAPDs
Banzel 40mg/mL
(Rufinamide)
   6285605844677
PDPs
309
MAPDs
BANZEL TABLET 400MG
(Rufinamide)
120 BOT6285605835277
PDPs
309
MAPDs
COPEGUS 200MG TABLET
(Ribavirin)
168 BOT0000400869416
PDPs
67
MAPDs
CRESTOR 10MG TABLET
(Rosuvastatin Calcium)
90 BOT0031007519064
PDPs
259
MAPDs
CRESTOR 20MG TABLET
(Rosuvastatin Calcium)
90 BOT0031007529064
PDPs
259
MAPDs
CRESTOR 40mg/1 30 FILM COATED TABLETS in BOTTLE, PLASTIC
(Rosuvastatin Calcium)
30 TABLET, FILM COATED in  0031007543064
PDPs
260
MAPDs
CRESTOR 5MG TABLET
(Rosuvastatin Calcium)
90 BOT0031007559064
PDPs
259
MAPDs
Daliresp 500ug/1 30 TABLET BOTTLE, PLASTIC
(ROFLUMILAST)
30 TABLET in 1 BOTTLE, PL  0045600953077
PDPs
309
MAPDs
EDURANT 27.5mg/1
(Rilpivirine)
   5967602780177
PDPs
309
MAPDs
Elitek 3 KIT per CARTON / 1 KIT in 1 KIT
(Rasburicase For IV)
3 KIT in 1 CARTON / 1 KIT  0002451501077
PDPs
298
MAPDs
Evista 60mg/1 100 TABLET BOTTLE
(Raloxifene HCl)
100 TABLET BOTTLE  0000241650273
PDPs
279
MAPDs
EXELON 1.5MG CAPSULE
(Rivastigmine Tartrate)
60 BOT0007803234412
PDPs
50
MAPDs
EXELON 2MG/ML ORAL SOLUTION
(Rivastigmine Tartrate)
120 ML BOT000780339311
PDPs
1
MAPDs
EXELON 3MG CAPSULE
(Rivastigmine Tartrate)
60 BOT0007803244412
PDPs
50
MAPDs
EXELON 4.5MG CAPSULE
(Rivastigmine Tartrate)
60 BOT0007803254412
PDPs
50
MAPDs
EXELON 6MG CAPSULE
(Rivastigmine Tartrate)
60 BOT0007803264412
PDPs
50
MAPDs
EXELON 13.3 MG/24HR PATCH
(Rivastigmine Tartrate)
30 EA  0007805031561
PDPs
258
MAPDs
EXELON 4.6MG/24HR PATCH TRANSDERMAL 24 HOURS
(Rivastigmine TD)
30 CRTN0007805011564
PDPs
285
MAPDs
EXELON 9.5MG/24HR PATCH TRANSDERMAL 24 HOURS
(Rivastigmine TD)
30 CRTN0007805021564
PDPs
285
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)
5 ML  6300487100147
PDPs
157
MAPDs
IMOVAX RABIES VACCINE
(Rabies Virus Vaccine, HDC)
   4928102505177
PDPs
309
MAPDs
ISENTRESS 100 MG TABLET CHEW
(Raltegravir Potassium)
   0000604776177
PDPs
309
MAPDs
ISENTRESS 25 MG TABLET CHEW
(Raltegravir Potassium)
   0000604736177
PDPs
309
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT0000602276177
PDPs
309
MAPDs
ISTODAX KIT 10MG/VIAL
(Romidepsin)
1 PKGCOM 5957209830166
PDPs
266
MAPDs
JAKAFI 10 MG TABLET
(ruxolitinib)
   5088100106077
PDPs
309
MAPDs
JAKAFI 15 MG TABLET
(ruxolitinib)
   5088100156077
PDPs
309
MAPDs
JAKAFI 20 MG TABLET
(ruxolitinib)
   5088100206077
PDPs
309
MAPDs
JAKAFI 25 MG TABLET
(ruxolitinib)
   5088100256077
PDPs
309
MAPDs
JAKAFI 5 MG TABLET
(ruxolitinib)
   5088100056077
PDPs
309
MAPDs
M-M-R II VACCINE W/DILUENT 1 DOSE/0.5ML
(Measles, Mumps, and Rubella Vaccine)
10 X 0.5 ML VIAL0000646810077
PDPs
309
MAPDs
MAXALT 10mg/1 18 POUCH per CARTON / 1 TABLET in 1 POUCH
(Rizatriptan Benzoate)
18 POUCH in 1 CARTON / 1  0000602671814
PDPs
47
MAPDs
MAXALT MLT 10MG TABLET 4X3 UNIT DOSE CASE
(Rizatriptan Benzoate)
4X3 UNIT DOSE CASE000063801121
PDPs
1
MAPDs
MAXALT 5mg/1 18 POUCH per CARTON / 1 TABLET in 1 POUCH
(Rizatriptan Benzoate)
18 POUCH in 1 CARTON / 1  0000602661814
PDPs
47
MAPDs
MAXALT MLT 5MG TABLET 4X3 UNIT CASE
(Rizatriptan Benzoate)
4X3 UNIT CASE000063800121
PDPs
1
MAPDs
MAXALT MLT 10 MG TABLET
(Rizatriptan Benzoate)
3 EA  0000638011813
PDPs
47
MAPDs
MAXALT MLT 5 MG TABLET
(Rizatriptan Benzoate)
3 EA  0000638001813
PDPs
47
MAPDs
Moderiba 200 mg tablet
(ribavirin)
   0007431971650
PDPs
167
MAPDs
Moderiba 400-400 mg dosepack
(ribavirin)
   0007432395632
PDPs
134
MAPDs
Moderiba 600-600 mg dosepack
(ribavirin)
   0007432825632
PDPs
134
MAPDs
MYCOBUTIN 150MG CAPSULE
(Rifabutin)
100 BOT0001353011774
PDPs
277
MAPDs
NEUPRO 1 MG/24 HR PATCH
(Rotigotine)
30 EA  5047408010339
PDPs
156
MAPDs
NEUPRO 2 MG/24 HR PATCH
(Rotigotine)
30 EA  5047408020339
PDPs
156
MAPDs
NEUPRO 3 MG/24 HR PATCH
(Rotigotine)
30 EA  5047408030339
PDPs
156
MAPDs
NEUPRO 4 MG/24 HR PATCH
(Rotigotine)
30 EA  5047408040339
PDPs
156
MAPDs
NEUPRO 6 MG/24 HR PATCH
(Rotigotine)
30 EA  5047408050339
PDPs
156
MAPDs
NEUPRO 8 MG/24 HR PATCH
(Rotigotine)
30 EA  5047408060339
PDPs
156
MAPDs
NORVIR 100mg/1 30 CAPSULE BOTTLE
(Ritonavir)
30 CAPSULE in 1 BOTTLE  0007466333077
PDPs
309
MAPDs
NORVIR 100 MG TABLET
(Ritonavir)
30 EA  0007433333077
PDPs
309
MAPDs
NORVIR 80MG/ML ORAL SOLUTION
(Ritonavir)
240 ML BOT0007419406377
PDPs
309
MAPDs
PRANDIMET 1MG/500MG TABLET
(Metformin and Repaglinide)
100 BOT0016900930124
PDPs
128
MAPDs
PRANDIMET 2MG/500MG TABLET
(Metformin and Repaglinide)
100 BOT0016900920124
PDPs
123
MAPDs
Prandin 0.5mg/1 100 TABLET BOTTLE, PLASTIC
(Repaglinide)
100 TABLET in 1 BOTTLE, P  0016900818150
PDPs
176
MAPDs
Prandin 1mg/1 100 TABLET BOTTLE, PLASTIC
(Repaglinide)
100 TABLET in 1 BOTTLE, P  0016900828150
PDPs
173
MAPDs
Prandin 2mg/1 100 TABLET BOTTLE, PLASTIC
(Repaglinide)
100 TABLET in 1 BOTTLE, P  0016900848150
PDPs
173
MAPDs
PRIFTIN 150MG TABLET
(Rifapentine)
4 X 8 TABLET POUCHES CRTN0008821000371
PDPs
292
MAPDs
RABIES VACCINE RABAVERT INJECTION 2.5UNT/ML 1 DOSE VIAL
(Rabies Vaccine, PCEC For)
1 DOSE VIAL6385105010177
PDPs
309
MAPDs
Rabeprazole Sodium DR 20 MG Tablet [AcipHex]
()
   0037867099340
PDPs
136
MAPDs
RAGWITEK SUBLINGUAL TABLET
(ragweed pollen allergen extract)
   0000654203013
PDPs
32
MAPDs
Raloxifene HCl 60 mg tablet [Evista]
(Raloxifene HCl)
   0009372900173
PDPs
286
MAPDs
RAMIPRIL 1.25MG CAPSULE
(Ramipril)
30 BOT1625205703076
PDPs
303
MAPDs
RAMIPRIL 10MG CAPSULE
(Ramipril)
100 BOT1625205730176
PDPs
305
MAPDs
RAMIPRIL 2.5MG CAPSULE
(Ramipril)
100 BOT1625205710176
PDPs
305
MAPDs
RAMIPRIL 5MG CAPSULE
(Ramipril)
100 BOT1625205720176
PDPs
305
MAPDs
RANEXA ER 1,000 MG TABLET
(Ranolazine)
60 EA  6195810040174
PDPs
305
MAPDs
RANEXA ER 500 MG TABLET
(Ranolazine)
60 EA  6195810030174
PDPs
305
MAPDs
RANITIDINE 150MG CAPSULE
(Ranitidine)
500 BOT0078128550556
PDPs
247
MAPDs
RANITIDINE TABLET USP 150MG (500 CT)
(Ranitidine)
500 BOT6467909060376
PDPs
308
MAPDs
Ranitidine 16.8mg/mL 473 mL in 1 BOTTLE
(Ranitidine)
473 mL in 1 BOTTLE  5038300511674
PDPs
305
MAPDs
Ranitidine 300mg/1 100 FILM COATED TABLETS in BOTTLE
(Ranitidine)
100 TABLET, FILM COATED i  0017243586077
PDPs
309
MAPDs
Ranitidine Hydrochloride 300mg/1 30 CAPSULE BOTTLE
(Ranitidine)
30 CAPSULE in 1 BOTTLE  0078128653157
PDPs
248
MAPDs
RANITIDINE HCL 150 MG/6 ML VL
(Ranitidine HCl)
6 ML  6838204230655
PDPs
261
MAPDs
RANITIDINE HCL 25MG/ML VIAL
(Ranitidine HCl)
6 ML VIALMD CRTN553900616012
PDPs
2
MAPDs
RAPAFLO CAPSULES 4MG 30 BOT
(Silodosin)
30 BOT5254401513045
PDPs
129
MAPDs
RAPAFLO CAPSULES 8MG 90 BOT
(Silodosin)
90 BOT5254401521945
PDPs
129
MAPDs
RAPAMUNE 0.5MG TABLETS
(Sirolimus)
100 BOT 0000810400567
PDPs
244
MAPDs
RAPAMUNE 1MG TABLET
(Sirolimus)
100 BOT0000810410577
PDPs
309
MAPDs
RAPAMUNE 1MG/ML ORAL TUBEX
(Sirolimus)
60 ML BOT0000810300677
PDPs
309
MAPDs
RAPAMUNE 2MG TABLET
(Sirolimus)
100 BOT0000810420577
PDPs
309
MAPDs
RAVICTI 1.1 GRAM/ML LIQUID
(glycerol phenylbutyrate)
25 ML  7632501000432
PDPs
103
MAPDs
RAYOS DR 1 MG TABLET
(prednisone)
   7598700200115
PDPs
81
MAPDs
RAYOS DR 2 MG TABLET
(prednisone)
   7598700210115
PDPs
81
MAPDs
RAYOS DR 5 MG TABLET
(prednisone)
   7598700220115
PDPs
81
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
REBETOL 200 MG CAPSULE
(Ribavirin)
70 EA  0008513850719
PDPs
70
MAPDs
REBETOL 40MG/ML SOLUTION
(Ribavirin)
100 ML BOT0008513180157
PDPs
204
MAPDs
REBIF 22ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS in 1 CA  4408700220353
PDPs
222
MAPDs
REBIF 44ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS in 1 CA  4408700440353
PDPs
222
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)
   4408788220152
PDPs
219
MAPDs
RECLAST 5MG/100ML INJECTION
(Zoledronic Acid IV)
100 ML BOT 0007804356135
PDPs
110
MAPDs
RECLIPSEN 0.15-0.03 TABLET
(Desogestrel & Ethinyl Estradiol)
6 X 28 BLPK5254409542874
PDPs
266
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
1 ML VIALSD0000649920077
PDPs
309
MAPDs
RECTIV 0.4% OINTMENT
(Nitroglycerin)
30 GM  5891403018028
PDPs
100
MAPDs
REGRANEX 0.01% GEL
(Becaplermin)
15 GM  0006408101550
PDPs
213
MAPDs
RELENZA 5MG DISKHALER
(Zanamivir Aero)
5 X 4 BLPK0017306810159
PDPs
254
MAPDs
RELISTOR 12 MG/0.6 ML KIT
(Methylnaltrexone)
7 EA  6564905530577
PDPs
309
MAPDs
RELPAX 20MG TABLET
(Eletriptan Hydrobromide)
6 BLPK0004923304529
PDPs
142
MAPDs
RELPAX 40MG TABLET 6X2 BLPK
(Eletriptan Hydrobromide)
6 X 2 BLPK0004923400529
PDPs
142
MAPDs
REMERON 15MG TABLET
(Mirtazapine)
30 BLPK0005201053012
PDPs
41
MAPDs
REMERON SLTABLET 15MG TABLET 30 BLPK CRTN
(Mirtazapine)
30 BLPK CRTN0005201063012
PDPs
41
MAPDs
REMERON 30MG TABLET
(Mirtazapine)
30 BOT0005201073012
PDPs
41
MAPDs
REMERON SLTABLET 30MG TABLET 30 TABLET S CRTN
(Mirtazapine)
30 TABS CRTN0005201083012
PDPs
41
MAPDs
REMERON 45MG TABLET
(Mirtazapine)
30 TABLETS BOT0005201093012
PDPs
41
MAPDs
REMERON SLTABLET 45MG TABLET
(Mirtazapine)
30 TABS CRTN0005201103012
PDPs
41
MAPDs
REMICADE 100MG VIAL
(Infliximab For IV)
20 ML VIALSU5789400300177
PDPs
309
MAPDs
REMODULIN 1MG/ML VIAL
(Treprostinil Sodium)
20 VIALMD6630201010163
PDPs
241
MAPDs
REMODULIN 10MG/ML VIAL
(Treprostinil Sodium)
20 VIALMD6630201100163
PDPs
241
MAPDs
REMODULIN 2.5MG/ML VIAL
(Treprostinil Sodium)
20 VIALMD6630201020163
PDPs
242
MAPDs
REMODULIN 5MG/ML VIAL
(Treprostinil Sodium)
20 VIALMD6630201050163
PDPs
241
MAPDs
RENAGEL 400MG TABLET
(Sevelamer HCl)
   5846800200127
PDPs
152
MAPDs
RENAGEL 800MG TABLET
(Sevelamer HCl)
   5846800210128
PDPs
152
MAPDs
RENVELA 800MG TABLET
(Sevelamer Carbonate)
   5846801300177
PDPs
302
MAPDs
Repaglinide 0.5 MG Tablet [Prandin]
()
   0057402400172
PDPs
286
MAPDs
Repaglinide 1 MG Tablet [Prandin]
()
   5766407451372
PDPs
288
MAPDs
Repaglinide 2 MG Tablet [Prandin]
()
   5766407471372
PDPs
288
MAPDs
reprexain 10-200 mg tablet
(Hydrocodone-Ibuprofen)
   237100902011
PDPs
2
MAPDs
Reprexain 10-200 mg tablet
(Hydrocodone-Ibuprofen)
   6084609020142
PDPs
152
MAPDs
reprexain 2.5-200 mg tablet
(Hydrocodone-Ibuprofen)
   237100900011
PDPs
2
MAPDs
Reprexain 2.5-200 mg tablet
(Hydrocodone-Ibuprofen)
   6084609000121
PDPs
97
MAPDs
reprexain 5-200 mg tablet
(Hydrocodone-Ibuprofen)
   237100901011
PDPs
1
MAPDs
Reprexain 5-200 mg tablet
(Hydrocodone-Ibuprofen)
   6084609010122
PDPs
100
MAPDs
REQUIP 0.25MG TABLET
(Ropinirole HCL)
100 BOT0000748902012
PDPs
40
MAPDs
REQUIP 0.5MG TABLET
(Ropinirole HCL)
100 BOT0000748912012
PDPs
40
MAPDs
REQUIP 1MG TABLET
(Ropinirole HCL)
100 BOT0000748922012
PDPs
40
MAPDs
REQUIP XL TABLET 12 MG
(Ropinirole HCL)
30 BOT0000748821311
PDPs
36
MAPDs
REQUIP 2MG TABLET
(Ropinirole HCL)
100 BOT0000748932012
PDPs
40
MAPDs
REQUIP XL 2mg/1 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE
(Ropinirole HCL)
30 TABLET, FILM COATED, E  0000748851311
PDPs
36
MAPDs
REQUIP 3MG TABLET
(Ropinirole HCL)
100 BOT0000748952012
PDPs
40
MAPDs
REQUIP 4MG TABLET
(Ropinirole HCL)
100 BOT0000748962012
PDPs
40
MAPDs
REQUIP XL 4mg/1 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE
(Ropinirole HCL)
30 TABLET, FILM COATED, E  0000748871311
PDPs
36
MAPDs
REQUIP 5MG TABLET
(Ropinirole HCL)
100 BOT0000748942012
PDPs
40
MAPDs
REQUIP XL 6mg/1 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE
(Ropinirole Hydrochloride)
30 TABLET, FILM COATED, E  0000748831311
PDPs
36
MAPDs
REQUIP XL 8mg/1 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE
(Ropinirole HCL)
30 TABLET, FILM COATED, E  0000748881311
PDPs
36
MAPDs
RESCRIPTOR 100mg/1 360 TABLET BOTTLE
(Delavirdine Mesylate)
360 TABLET in 1 BOTTLE  4970202092477
PDPs
309
MAPDs
RESCRIPTOR 200 MG TABLET
(Delavirdine Mesylate)
180 EA  4970202251777
PDPs
309
MAPDs
RESCULA 0.15% EYE DROPS
(unoprostone isopropyl)
   1735000150515
PDPs
42
MAPDs
RESERPINE 0.1MG TABLET
(Reserpine)
1000 BOTPL0018500321045
PDPs
154
MAPDs
Reserpine 0.25mg/1 100 TABLET BOTTLE
(Reserpine)
100 TABLET in 1 BOTTLE  0018501340138
PDPs
144
MAPDs
RESTASIS CYCLOSPORINE OPTHALMIC EMULSION .05% 30 X 0.4 ML VIALSU
(Cyclosporine (Ophth))
30 X 0.4 ML VIALSU0002391633071
PDPs
303
MAPDs
RESTORIL 15mg/1 100 CAPSULE BOTTLE
(Temazepam)
100 CAPSULE in 1 BOTTLE  004069916016
PDPs
28
MAPDs
RESTORIL 22.5mg/1 30 CAPSULE BOTTLE
(Temazepam)
30 CAPSULE in 1 BOTTLE  004069914036
PDPs
21
MAPDs
RESTORIL 30mg/1 100 CAPSULE BOTTLE
(Temazepam)
100 CAPSULE in 1 BOTTLE  004069917016
PDPs
21
MAPDs
RESTORIL 7.5mg/1 30 CAPSULE BOTTLE
(Temazepam)
30 CAPSULE in 1 BOTTLE  004069915036
PDPs
28
MAPDs
RETIN-A 0.01% GEL
(Tretinoin)
45 GM TUBE0006205754614
PDPs
43
MAPDs
RETIN-A 0.025% GEL
(Tretinoin)
45 GM TUBE0006204754514
PDPs
43
MAPDs
RETIN-A 0.025% CREAM
(Tretinoin)
45 GRAMS TUBE0006201650214
PDPs
43
MAPDs
RETIN-A 0.05% CREAM
(Tretinoin)
45 GM TUBE0006201751314
PDPs
43
MAPDs
RETIN A CREAM
(Tretinoin)
20 GM TUBE 0006202752314
PDPs
43
MAPDs
RETIN-A MICRO 0.04% GEL
(Tretinoin Microsphere)
45 GM TUBE0006202040310
PDPs
76
MAPDs
RETIN-A MICRO 0.1% GEL
(Tretinoin Microsphere)
45 GM TUBE0006201900310
PDPs
76
MAPDs
RETROVIR 10mg/mL 10 VIAL, SINGLE-USE in 1 TRAY / 20 mL in 1 VIAL, SINGLE-USE
(Zidovudine)
10 VIAL, SINGLE-USE in 1  4970202130577
PDPs
309
MAPDs
RETROVIR 100mg/1 100 CAPSULE BOTTLE
(Zidovudine)
100 CAPSULE BOTTLE  4970202112018
PDPs
60
MAPDs
RETROVIR 50mg/5mL 240 mL in 1 BOTTLE
(Zidovudine)
240 mL in 1 BOTTLE  4970202124818
PDPs
62
MAPDs
Revatio 0.8mg/mL 12.5 mL in 1 VIAL, SINGLE-USE
(Sildenafil Citrate)
12.5 mL in 1 VIAL, SINGLE  0006903380132
PDPs
125
MAPDs
REVATIO 20MG TABLET
(Sildenafil Citrate)
90 BOT0006941906815
PDPs
52
MAPDs
REVIA 50MG TABLET
(Naltrexone HCl)
30 BOT5128502750112
PDPs
56
MAPDs
REVLIMID 10MG CAPSULE (100 CT)
(Lenalidomide)
100 BOT5957204100077
PDPs
309
MAPDs
REVLIMID 15MG CAPSULE 21 BOT
(Lenalidomide)
21 BOT5957204152177
PDPs
309
MAPDs
REVLIMID 2.5 MG CAPSULE
(Lenalidomide)
100 EA  5957204020077
PDPs
309
MAPDs
REVLIMID 20 MG CAPSULE
(Lenalidomide)
100 EA  5957204200077
PDPs
309
MAPDs
REVLIMID 25MG CAPSULE (100 CT)
(Lenalidomide)
100 BOT5957204250077
PDPs
309
MAPDs
REVLIMID 5MG CAPSULE
(Lenalidomide)
100 BOT5957204050077
PDPs
309
MAPDs
REYATAZ 100MG CAPSULE
(Atazanavir Sulfate)
60 BOT0000336231277
PDPs
309
MAPDs
REYATAZ 150MG CAPSULE
(Atazanavir Sulfate)
100 BOT0000336241277
PDPs
309
MAPDs
REYATAZ 200MG CAPSULE
(Atazanavir Sulfate)
100 BOT0000336311277
PDPs
309
MAPDs
REYATAZ 300MG CAPSULE
(Atazanavir Sulfate)
30 BOT0000336221277
PDPs
309
MAPDs
RHEUMATREX 2.5MG TABLET DOSE PACK
(Methotrexate Sodium)
   6725305804629
PDPs
117
MAPDs
RHINOCORT AQUA NASAL SPRAY 32 MCG/SPRAY
(Budesonide Nasal)
1 X 8.6 GM CTR0018610700817
PDPs
112
MAPDs
RIBASPHERE RibaPak 600mg/1
(Ribavirin)
   6643501079953
PDPs
215
MAPDs
RIBASPHERE RibaPak
(Ribavirin)
   6643501069949
PDPs
223
MAPDs
RIBASPHERE 200MG TABLET
(Ribavirin)
168 BOT6643501021671
PDPs
278
MAPDs
RIBASPHERE CAPSULES 200MG 42 BOT
(Ribavirin)
42 BOT6643501014268
PDPs
276
MAPDs
RIBASPHERE RibaPak 400mg/1
(Ribavirin)
   6643501059958
PDPs
245
MAPDs
RIBASPHERE 400MG TABLET
(Ribavirin)
56 BOT6643501035658
PDPs
259
MAPDs
RIBASPHERE 600MG TABLET
(Ribavirin)
56 BOT6643501045657
PDPs
254
MAPDs
RIBAVIRIN 200MG TABLET 168 BOT
(Ribavirin)
168 BOT6838200460377
PDPs
308
MAPDs
RIBAVIRIN 200MG CAPSULE
(Ribavirin)
70 CAPSULES BOT000937227772
PDPs
3
MAPDs
RIBAVIRIN 200 MG CAPSULE
(Ribavirin)
84 EA  0078120430473
PDPs
304
MAPDs
RIDAURA 3MG CAPSULE
(Auranofin)
60 BOT6548300930660
PDPs
235
MAPDs
RIFABUTIN 150 MG CAPSULE [Mycobutin]
(Rifabutin)
100 EA  6818002850172
PDPs
281
MAPDs
RIFADIN 150MG CAPSULE
(Rifampin)
30 BOT0006805103014
PDPs
48
MAPDs
RIFADIN 300MG CAPSULE
(Rifampin)
100 BOT000680508611
PDPs
1
MAPDs
RIFADIN 300 MG CAPSULE
(Rifampin)
60 EA  0006805086013
PDPs
47
MAPDs
RIFADIN IV 600MG VIAL
(Rifampin)
600 MG VIAL0006805970114
PDPs
51
MAPDs
RIFAMATE 150/300 CAPSULE
(Isoniazid & Rifampin)
60 BOT0006805096016
PDPs
75
MAPDs
RIFAMPIN 150MG CAPSULE (30 CT)
(Rifampin)
30 BOTPL0018508013077
PDPs
309
MAPDs
RIFAMPIN 300MG CAPSULE
(Rifampin)
60 CAPSULES BOTPL0018507996077
PDPs
309
MAPDs
RIFAMPIN 600MG VIAL
(Rifampin)
1 VIL CRTN5539001230177
PDPs
309
MAPDs
RIFATER 50/300/120 TABLET
(Isoniazid-Rifampin w/ Pyrazinamide)
60 BOT0008805764164
PDPs
279
MAPDs
RILUTEK 50MG TABLET
(Riluzole)
60 BOTPL000757700602
PDPs
3
MAPDs
RILUTEK 50 MG TABLET
(Riluzole)
60 EA  2498707006031
PDPs
162
MAPDs
riluzole 50 mg tablet [Rilutek]
(Riluzole)
   6275605388674
PDPs
285
MAPDs
Rimantadine 100mg/1 100 TABLET BOTTLE
(Rimantadine)
100 TABLET in 1 BOTTLE  0011519110177
PDPs
308
MAPDs
RINGERS 33/30/860 INJECTION
(Ringer's)
1000 ML BAG 0033801050461
PDPs
244
MAPDs
RINGERS IRRIGATION 860-30 12X1000ML BAG
(Ringers)
12 X 1000 ML BAG0040961400942
PDPs
185
MAPDs
RIOMET 500MG/5ML SOLUTION ORAL
(Metformin HCl)
473 ML BOT1063102060247
PDPs
164
MAPDs
RISPERDAL M TABLET 0.5MG
(Risperidone)
7 CARDS OF 4 BLPK5045803952812
PDPs
62
MAPDs
RISPERDAL 0.25MG TABLET
(Risperidone)
500 BOT5045803015011
PDPs
41
MAPDs
RISPERDAL 0.5MG TABLET
(Risperidone)
500 BOT5045803025011
PDPs
41
MAPDs
RISPERDAL 1MG/ML SOLUTION
(Risperidone)
30 ML BOT5045803050312
PDPs
42
MAPDs
RISPERDAL 1MG TABLET
(Risperidone)
500 BOT5045803005011
PDPs
41
MAPDs
RISPERDAL 1MG M-TAB
(Risperidone)
7 CARDS OF 4 TABLETS BLPK5045803152812
PDPs
62
MAPDs
RISPERDAL 2MG TABLET
(Risperidone)
500 BOT5045803205011
PDPs
41
MAPDs
RISPERDAL M-TAB 2mg/1 7 BLISTER PACK in 1 BOX / 4 TABLET, ORALLY DISINTEGRATING per BLISTER PACK
(Risperidone)
7 BLISTER PACK in 1 BOX /  5045803252812
PDPs
62
MAPDs
RISPERDAL 3MG TABLET
(Risperidone)
500 BOT5045803305011
PDPs
41
MAPDs
RISPERDAL M-TAB 3mg/1 7 BLISTER PACK in 1 BOX / 4 TABLET, ORALLY DISINTEGRATING per BLISTER PACK
(Risperidone)
7 BLISTER PACK in 1 BOX /  5045803352812
PDPs
62
MAPDs
RISPERDAL 4MG TABLET
(Risperidone)
60 BOT5045803500611
PDPs
41
MAPDs
RISPERDAL M-TAB 4mg/1 7 BLISTER PACK in 1 BOX / 4 TABLET, ORALLY DISINTEGRATING per BLISTER PACK
(Risperidone)
7 BLISTER PACK in 1 BOX /  5045803552812
PDPs
62
MAPDs
RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL
(Risperidone Microspheres For)
12.5 MG VIAL DSPK5045803091177
PDPs
301
MAPDs
RISPERDAL CONSTA 25MG SYR
(Risperidone Microspheres For)
25 MG VIAL DSPK5045803061177
PDPs
309
MAPDs
RISPERDAL CONSTA 37.5MG SYR
(Risperidone Microspheres For)
37.5 MG VIAL DSPK5045803071177
PDPs
308
MAPDs
RISPERDAL CONSTA 50MG SYR
(Risperidone Microspheres For)
50 MG VIAL DSPK5045803081177
PDPs
309
MAPDs
RISPERIDONE TABLET 0.25MG 4 IN 1 BLPK
(Risperidone)
4 IN 1 BLPK4988402125577
PDPs
298
MAPDs
RISPERIDONE 0.25 MG TABLET
(Risperidone)
60 EA  1366800356075
PDPs
306
MAPDs
RISPERIDONE 0.25MG TABLET
(Risperidone)
60 TABS BOT000930221062
PDPs
3
MAPDs
RISPERIDONE TABLETS ORALLY DISINTEGRATING 0.5MG 30 BLPK
(Risperidone)
30 BLPK5511102078177
PDPs
301
MAPDs
RISPERIDONE 0.5 MG TABLET
(Risperidone)
60 EA  0060356842075
PDPs
306
MAPDs
Risperidone 1mg/mL 30 mL in 1 BOTTLE
(Risperidone)
30 mL in 1 BOTTLE  5511105793077
PDPs
309
MAPDs
RISPERIDONE 1 MG TABLET
(Risperidone)
60 EA  0060356852075
PDPs
306
MAPDs
RISPERIDONE TABLET 1 MG
(Risperidone)
60 TABS BOT000937240062
PDPs
3
MAPDs
Risperidone 1mg/1 7 BLISTER PACK per CARTON / 4 TABLET, ORALLY DISINTEGRATING per BLISTER PACK
(Risperidone)
7 BLISTER PACK in 1 CARTO  4988403159177
PDPs
300
MAPDs
RISPERIDONE TABLETS ORALLY DISINTEGRATING 2MG 30 BLPK
(Risperidone)
30 BLPK5511102098177
PDPs
301
MAPDs
RISPERIDONE 2 MG TABLET
(Risperidone)
60 EA  0060356862075
PDPs
306
MAPDs
RISPERIDONE TABLET 2 MG
(Risperidone)
60 TAB BOT000937241062
PDPs
3
MAPDs
RISPERIDONE TABLETS 3MG 4 IN 1 BLPK
(Risperidone)
4 IN 1 BLPK4988404029177
PDPs
300
MAPDs
RISPERIDONE 3 MG TABLET
(Risperidone)
60 EA  0060356892075
PDPs
306
MAPDs
RISPERIDONE TABLET 3 MG
(Risperidone)
60 TAB BOT000937242062
PDPs
3
MAPDs
RISPERIDONE TABLETS 4MG 4 IN 1 BLPK
(Risperidone)
4 IN 1 BLPK4988404039177
PDPs
300
MAPDs
RISPERIDONE 4 MG TABLET
(Risperidone)
60 EA  0060356882075
PDPs
306
MAPDs
RISPERIDONE TABLET 4 MG
(Risperidone)
60 TAB BOT000937243062
PDPs
3
MAPDs
RISPERIODONE 0.5MG TABLET
(RISPERIODONE)
60 TAB BOT000930225062
PDPs
3
MAPDs
RITALIN 10MG TABLET
(Methylphenidate HCl)
100 BOT0007804400513
PDPs
39
MAPDs
RITALIN 20MG TABLET
(Methylphenidate HCl)
100 BOT0007804410512
PDPs
37
MAPDs
RITALIN-SR 20MG TABLET SA
(Methylphenidate HCl)
100 BOT0007804420512
PDPs
35
MAPDs
RITALIN 5MG TABLET
(Methylphenidate HCl)
100 BOT0007804390512
PDPs
37
MAPDs
RITALIN LA 10MG CAPSULE
(Methylphenidate HCl)
100 BOT0007804240518
PDPs
57
MAPDs
RITALIN LA 20MG CAPSULE
(Methylphenidate HCl)
100 BOT0007803700513
PDPs
40
MAPDs
RITALIN LA 30MG CAPSULE
(Methylphenidate HCl)
100 BOT0007803710513
PDPs
40
MAPDs
RITALIN LA 40MG CAPSULE
(Methylphenidate HCl)
100 BOT0007803720513
PDPs
41
MAPDs
RITUXAN 10MG/ML VIAL
(Rituximab For IV)
1 X 50 ML VIAL CRTN5024200530677
PDPs
309
MAPDs
RIVASTIGMINE TARTRATE1.5MG CAPSULES
(Rivastigmine Tartrate)
60 BOT 0059132086077
PDPs
297
MAPDs
RIVASTIGMINE TARTRATE 3MG CAPSULES
(Rivastigmine Tartrate)
60 BOT 0059132096077
PDPs
297
MAPDs
RIVASTIGMINE TARTRATE 4.5MG CAPSULES
(Rivastigmine Tartrate)
60 BOT 0059132106077
PDPs
297
MAPDs
RIVASTIGMINE TARTRATE 6MG CAPSULES
(Rivastigmine Tartrate)
60 BOT 0059132116077
PDPs
297
MAPDs
rizatriptan 10 mg odt
(rizatriptan benzoate)
   0037837025967
PDPs
262
MAPDs
rizatriptan 10 mg tablet
(rizatriptan benzoate)
   5199103557867
PDPs
268
MAPDs
rizatriptan 5 mg odt
(rizatriptan benzoate)
   0037837015967
PDPs
262
MAPDs
rizatriptan 5 mg tablet
(rizatriptan benzoate)
   6586205991267
PDPs
268
MAPDs
ROBINUL 1MG TABLET
(Glycopyrrolate)
100 TABS BOTPL5963002001012
PDPs
49
MAPDs
ROBINUL FORTE 2MG TABLET
(Glycopyrrolate)
100 TABS BOTPL5963002051012
PDPs
49
MAPDs
Rocaltrol 0.25ug GELATIN COATED 100 CAPSULE BOTTLE
(Calcitriol)
100 CAPSULE BOTTLE  3069801430112
PDPs
47
MAPDs
Rocaltrol 0.5ug GELATIN COATED 100 CAPSULE BOTTLE
(Calcitriol)
100 CAPSULE BOTTLE  3069801440112
PDPs
47
MAPDs
Rocaltrol 1ug/mL 15 mL in 1 BOTTLE
(Calcitriol)
15 mL in 1 BOTTLE  3069809111512
PDPs
48
MAPDs
ROCEPHIN 500MG/VIAL FOR INJECTION
(Ceftriaxone Sodium For)
1 VIALGL BOX 0000419630212
PDPs
45
MAPDs
ROPINIROLE TAB 12MG ER
(Ropinirole)
   0022836610344
PDPs
173
MAPDs
ROPINIROLE TAB 2MG ER
(Ropinirole)
   0022836580944
PDPs
173
MAPDs
ROPINIROLE TAB 4MG ER
(Ropinirole)
   0022836590344
PDPs
173
MAPDs
ROPINIROLE TAB 6MG ER
(Ropinirole)
   0022836400344
PDPs
173
MAPDs
ROPINIROLE TAB 8MG ER
(Ropinirole)
   0022836600344
PDPs
173
MAPDs
ROPINIROLE HYDROCLORIDE 0.25MG TABLET
(Ropinirole HCL)
100 BOT0037855250177
PDPs
309
MAPDs
ROPINIROLE HCL 0.5MG TABLET
(Ropinirole HCL)
100 BOT0037855500177
PDPs
309
MAPDs
ROPINIROLE HCL TABLET 1 MG
(Ropinirole HCL)
100 BOT0037855010177
PDPs
309
MAPDs
ROPINIROLE HCL TABLET 2 MG
(Ropinirole HCL)
100 BOT0037855020177
PDPs
309
MAPDs
ROPINIROLE HCL TABLET 3 MG
(Ropinirole HCL)
100 BOT0037855030177
PDPs
309
MAPDs
ROPINIROLE HCL TABLET 4 MG
(Ropinirole HCL)
100 BOT0037855040177
PDPs
309
MAPDs
ROPINIROLE HCL TABLET 5 MG
(Ropinirole HCL)
100 BOT0037855050177
PDPs
309
MAPDs
ROTATEQ VACCINE
(Rotavirus Vaccine, Live Oral Pentavalent)
10 X 2 ML TUBE0000640474177
PDPs
309
MAPDs
sF Rowasa 4g/60mL
(Mesalamine)
   6822000222813
PDPs
63
MAPDs
ROXICET 5-325/5ML SOLUTION ORAL
(Oxycodone w/ Acetaminophen)
500 ML BOT0005436866343
PDPs
205
MAPDs
ROXICODONE 15 MG TABLET
(Oxycodone HCl)
100 EA  2363505811013
PDPs
37
MAPDs
ROXICODONE 30 MG TABLET
(Oxycodone HCl)
   2363505821013
PDPs
35
MAPDs
ROXICODONE 5 MG TABLET
(Oxycodone HCl)
100 EA  2363505801011
PDPs
35
MAPDs
ROZEREM 8MG TABLET (100 CT)
(Ramelteon)
100 BOT6476408051039
PDPs
174
MAPDs
RYTHMOL 150MG TABLETS
(Propafenone HCl)
100 BOT 0017307922011
PDPs
35
MAPDs
RYTHMOL FILM COATED TABLETS 225 MG
(Propafenone HCl)
100 BOT0017307942011
PDPs
35
MAPDs
RYTHMOL SR 325mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE
(Propafenone HCl)
60 CAPSULE, EXTENDED RELE  0017308241810
PDPs
43
MAPDs
RYTHMOL SR 225mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE
(Propafenone HCl)
60 CAPSULE, EXTENDED RELE  0017308231810
PDPs
43
MAPDs
RYTHMOL SR 425mg/1 60 CAPSULE, EXTENDED RELEASE in 1 BOTTLE
(Propafenone HCl)
60 CAPSULE, EXTENDED RELE  0017308261810
PDPs
43
MAPDs
SEVELAMER CARBONATE 40 MG/ML ORAL SUSPENSION [RENVELA]
(Sevelamer Carbonate)
   5846801310276
PDPs
282
MAPDs
SEVELAMER CARBONATE 26.7 MG/ML ORAL SUSPENSION [RENVELA]
(Sevelamer Carbonate)
   5846801320273
PDPs
276
MAPDs
Sirolimus 0.5 MG Tablet [Rapamune]
()
   6838205200177
PDPs
294
MAPDs
VEXOL 1% EYE DROPS
(Rimexolone Ophth)
10 ML BOTPL0006506270324
PDPs
126
MAPDs
VIRAZOLE 6 GM VIAL
(Ribavirin For)
   0018700071436
PDPs
101
MAPDs
Xarelto 10mg/1 10 BLISTER PACK per CARTON / 10 TABLET per BLISTER PACK
(rivaroxaban)
10 BLISTER PACK in 1 CART  5045805801077
PDPs
309
MAPDs
XARELTO 15 MG TABLET
(rivaroxaban)
100 EA  5045805781075
PDPs
304
MAPDs
XARELTO 20 MG TABLET
(rivaroxaban)
100 EA  5045805791075
PDPs
304
MAPDs
XIFAXAN 200MG TABLET
(Rifaximin)
30 BOT6564903010342
PDPs
200
MAPDs
XIFAXAN 550MG TABLETS
(Rifaximin)
10 X 6 BLPK CRTN 6564903030361
PDPs
252
MAPDs
ZANTAC 15MG/ML SYRUP
(Ranitidine HCl)
16 FLO BOT0017303835411
PDPs
35
MAPDs
ZANTAC 150MG TABLET
(Ranitidine HCl)
500 BOT0017303441410
PDPs
35
MAPDs
ZANTAC 25 MG/ML VIAL
(Ranitidine HCl)
   249870364017
PDPs
33
MAPDs
ZANTAC 300MG TABLET
(Ranitidine HCl)
30 BOT0017303934011
PDPs
35
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.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.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.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • 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.