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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:
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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 2014 Formularies
PDPsMAPDs
ACTIQ 400MCG LOZENGE
(Fentanyl Citrate)		30 BOT6345905043016
PDPs		49
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
ACTOPLUS MET 15MG/500MG TABLET
(Pioglitazone HCl-Metformin HCl)		60 BOT6476401556011
PDPs		49
MAPDs
ACTOS 15 MG TABLET
(Pioglitazone HCL)		   6476401510516
PDPs		59
MAPDs
ACTOS 15MG TABLET
(Pioglitazone HCl)		500 BOTPL647640151061
PDPs		2
MAPDs
Actos 30mg/90 Tablet Bottle
(Pioglitazone HCl)		90 EA Bottle6476403011518
PDPs		62
MAPDs
ACTOS 45MG TABLET
(Pioglitazone HCl)		90 BOTPL6476404512517
PDPs		61
MAPDs
ADDERALL XR 20MG CAPSULE SA
(Amphetamine-Dextroamphetamine)		100 BOT5409203870113
PDPs		40
MAPDs
ADVAIR DISKUS MIS 100/50
(Fluticasone-Salmeterol)		60 DOSE INHL0017306950070
PDPs		299
MAPDs
ADVAIR DISKUS MIS 250/50
(Fluticasone-Salmeterol)		60 DOSE BLPK0017306960070
PDPs		299
MAPDs
ADVAIR DISKUS MIS 500/50
(Fluticasone-Salmeterol)		60 BLPK0017306970070
PDPs		299
MAPDs
ALPHAGAN P 0.15% EYE DROPS
(Brimonidine Tartrate Ophth)		15 ML BOTDR0002391771529
PDPs		70
MAPDs
ALTACE 10MG CAPSULE (100 CT)
(Ramipril)		100 CAPS BOTPL6157001200110
PDPs		39
MAPDs
ANDROGEL 1%(50MG) GEL PACKET
(Testosterone)		3O X 5GM PKT CRTN0005184503067
PDPs		249
MAPDs
ARICEPT 10MG TABLET
(Donepezil HCL)		30 BOT6285602463011
PDPs		41
MAPDs
ARIMIDEX 1MG TABLET
(Anastrozole)		30 BLPK0031002013012
PDPs		55
MAPDs
ASTELIN 137MCG AEROSOL SPRAY W/PUMP
(Azelastine HCl Nasal)		30 ML BOTSPR0003702413013
PDPs		45
MAPDs
ATORVASTATIN 10 MG TABLET [Lipitor]
(Atorvastatin Calcium)		90 EA  6330408279077
PDPs		309
MAPDs
ATORVASTATIN 20 MG TABLET [Lipitor]
(Atorvastatin Calcium)		90 EA  6330408289077
PDPs		309
MAPDs
ATORVASTATIN 40 MG TABLET [Lipitor]
(Atorvastatin Calcium)		90 EA  6330408299077
PDPs		309
MAPDs
ATORVASTATIN 80 MG TABLET [Lipitor]
(Atorvastatin Calcium)		90 EA  6330408309077
PDPs		309
MAPDs
Atripla 600; 200; 300mg/1; mg/1; mg/1 30 FILM COATED TABLETS in BOTTLE, PLASTIC
(Efavirenz-Emtricitabine-Tenofovir DF)		30 TABLET, FILM COATED in  1558401010177
PDPs		309
MAPDs
AVINZA 30MG CAPSULE MULTIPHASIC RELEASE 24 HR
(Morphine Sulfate Beads)		100 BOTPL6079306050118
PDPs		114
MAPDs
AVODART 0.5MG SOFTGEL
(Dutasteride)		90 BOT0017307120464
PDPs		278
MAPDs
AVONEX ADMIN PACK 30MCG SYR
(Interferon Beta-1a)		1 X 4 PKGCOM5962700020568
PDPs		294
MAPDs
BUDEPRION SR 150MG TABLET SA
(Bupropion HCl)		100 BOT0009355020173
PDPs		298
MAPDs
CASODEX 50mg/1 30 TABLET BOTTLE, PLASTIC
(Bicalutamide)		30 TABLET in 1 BOTTLE, PL  0031007053015
PDPs		55
MAPDs
CLARINEX 5MG TABLET
(Desloratadine)		100 BOT0008512640111
PDPs		34
MAPDs
CLOPIDOGREL 300 MG tablet
(Clopidogrel)		   5511106713152
PDPs		223
MAPDs
CLOPIDOGREL TAB 75MG
(Clopidogrel)		   0037836277777
PDPs		309
MAPDs
COREG CR 10MG CAPSULE MULTIPHASIC RELEASE 24 HR
(Carvedilol Phosphate)		30 BOT0000733701330
PDPs		172
MAPDs
COSOPT PLUS EYE DROPS 22.3 MG/ML 6.8 MG/M
(Dorzolamide-Timolol Ophth)		10 ML BOTPL0000636283615
PDPs		38
MAPDs
CRESTOR 10MG TABLET
(Rosuvastatin Calcium)		90 BOT0031007519064
PDPs		259
MAPDs
DEPAKOTE 500MG TABLET EC
(Divalproex Sodium)		500 BOT0007462155312
PDPs		56
MAPDs
DEPAKOTE ER 500MG TABLET
(Divalproex Sodium)		100 BOT0007471261314
PDPs		59
MAPDs
DETROL LA 4MG CAPSULE SA
(Tolterodine Tartrate)		90 BOT0000951910241
PDPs		162
MAPDs
DIFFERIN 0.1% GEL
(Adapalene)		45 GM TUBE002995910458
PDPs		34
MAPDs
DIOVAN 160MG TABLET
(Valsartan)		90 BOT0007803593443
PDPs		235
MAPDs
DIOVAN 320MG TABLET
(Valsartan)		90 BOT0007803603443
PDPs		235
MAPDs
DIOVAN 40MG TABLET
(Valsartan)		30 BOT0007804231543
PDPs		235
MAPDs
DIOVAN 80MG TABLET
(Valsartan)		90 BOX0007803583443
PDPs		235
MAPDs
DIOVAN HCT 160/12.5MG TABLET
(Valsartan-Hydrochlorothiazide)		90 BOT0007803153419
PDPs		65
MAPDs
DIOVAN HCT 320/12.5MG TABLET
(Valsartan-Hydrochlorothiazide)		90 BOT0007804713419
PDPs		65
MAPDs
DIOVAN HCT 80/12.5MG TABLET
(Valsartan-Hydrochlorothiazide)		90 BOT0007803143419
PDPs		65
MAPDs
DIOVAN HCT 160/25MG TABLET
(Valsartan-Hydrochlorothiazide)		90 BOT0007803833419
PDPs		65
MAPDs
DIOVAN HCT 320/25MG TABLET
(Valsartan-Hydrochlorothiazide)		90 BOT0007804723419
PDPs		65
MAPDs
EFFEXOR XR 75MG CAPSULE ER 15 CAPSULES BOT
(Venlafaxine HCl)		15 CAPSULES BOT0000808332010
PDPs		42
MAPDs
ENDOCET 5/325 TABLET
(Oxycodone w/ Acetaminophen)		500 BOT6095106028574
PDPs		297
MAPDs
ESCITALOPRAM 10 MG TABLET [Lexapro]
(Escitalopram)		   0009358510177
PDPs		308
MAPDs
ESCITALOPRAM 20 MG TABLET [Lexapro]
(Escitalopram)		   0009358520177
PDPs		308
MAPDs
ESCITALOPRAM 5 MG TABLET [Lexapro]
(Escitalopram)		   0009358500177
PDPs		308
MAPDs
ESCITALOPRAM OXALATE 5 MG/5 ML [Lexapro]
(Escitalopram)		   6516207058877
PDPs		308
MAPDs
ESOMEPRAZOLE SODIUM 20 MG VIAL [Nexium]
()		   4733505084462
PDPs		210
MAPDs
ESOMEPRAZOLE SODIUM 40 MG VIAL [Nexium]
()		   4733505094462
PDPs		210
MAPDs
ESOMEPRAZOLE DR 49.3 MG CAPSULE [Nexium]
()		30 EA  537460957037
PDPs		50
MAPDs
FEMARA 2.5MG TABLET
(Letrozole)		30 BOT0007802491513
PDPs		49
MAPDs
FENTORA TABLET 100MCG
(Fentanyl Citrate)		28 BLPK6345905412822
PDPs		108
MAPDs
FLOMAX 0.4MG CAPSULE SA
(Tamsulosin HCl)		100 BOTPL0059700580110
PDPs		35
MAPDs
FLOVENT HFA 110ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone Propionate HFA)		120 AEROSOL, METERED in 1  0017307192064
PDPs		284
MAPDs
FOCALIN XR 5MG CAPSULE
(Dexmethylphenidate HCl)		100 BOT0007804300521
PDPs		97
MAPDs
FOSAMAX 70MG TABLET
(Alendronate Sodium)		4 BLPK0000600314411
PDPs		41
MAPDs
FOSAMAX PLUS D 70; 5600mg/1; [iU]/1 4 TABLET per BLISTER PACK
(Alendronate Sodium-Cholecalciferol)		4 TABLET in 1 BLISTER PAC  0000602704417
PDPs		104
MAPDs
GLEEVEC 400MG TABLET
(Imatinib Mesylate)		30 BOT0007804381577
PDPs		309
MAPDs
Humira 2 KIT per CARTON / 1 KIT in 1 KIT
(Adalimumab)		2 KIT in 1 CARTON / 1 KIT  0007437990275
PDPs		309
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))		1 X 10 ML VIAL0000287150165
PDPs		261
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))		10 ML VIAL0000283150165
PDPs		261
MAPDs
HYZAAR 100-25MG TABLET (90 CT)
(Losartan Potassium & Hydrochlorothiazide)		90 BOT0000607475410
PDPs		36
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)		60 BOT0000602276177
PDPs		309
MAPDs
JANUMET 50MG-500MG TABLET
(Sitagliptin-Metformin HCl)		180 BOT0000605756270
PDPs		297
MAPDs
JANUVIA 25MG TABLET
(Sitagliptin Phosphate)		30 BOT0000602213169
PDPs		301
MAPDs
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)		120 BOT0007467992277
PDPs		309
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)		120 TABS BOT5047405954013
PDPs		49
MAPDs
LAMICTAL 100MG TABLET
(Lamotrigine)		100 BOT0017306425517
PDPs		49
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)		10 ML VIAL0008822203369
PDPs		302
MAPDs
LEXAPRO 10MG TABLET
(Escitalopram Oxalate)		10 BOT0045620100114
PDPs		45
MAPDs
LEXAPRO 20MG TABLET
(Escitalopram Oxalate)		100 TABLETS BOT0045620200114
PDPs		45
MAPDs
LEXAPRO 5MG TABLET
(Escitalopram Oxalate)		100 BOT0045620050114
PDPs		45
MAPDs
LEXAPRO 5MG/5ML SOLUTION
(Escitalopram Oxalate)		8 FLO BOT0045621010814
PDPs		46
MAPDs
LIPITOR 10MG TABLET
(Atorvastatin Calcium)		90 BOT0007101552312
PDPs		36
MAPDs
LIPITOR 20MG TABLET (5000 CT)
(Atorvastatin Calcium)		5000 BOT0007101569412
PDPs		36
MAPDs
LIPITOR 40MG TABLET (500 CT)
(Atorvastatin Calcium)		500 BOT0007101577312
PDPs		36
MAPDs
LIPITOR 80MG TABLET
(Atorvastatin Calcium)		500 BOT0007101587312
PDPs		36
MAPDs
LOESTRIN 24 FE TABLET
(Norethindrone Ace & Ethinyl Estradiol-FE)		5 X 28 TABLETS BLPK0043005301421
PDPs		85
MAPDs
LYRICA 50MG CAPSULE
(Pregabalin)		90 BOT0007110136877
PDPs		309
MAPDs
MICARDIS 80MG TABLET
(Telmisartan)		3 X 10 BLPK0059700413742
PDPs		98
MAPDs
MICARDIS HCT 80/12.5MG TABLET
(Telmisartan-Hydrochlorothiazide)		3 X 10 BLPK0059700443744
PDPs		107
MAPDs
MIRAPEX 0.25MG TABLET
(Pramipexole DiHCL)		90 BOT0059701849012
PDPs		42
MAPDs
NASACORT AQ AER 55MCG/AC
(Triamcinolone Acetonide Nasal)		16.5 GM BOTSPR0007515061612
PDPs		50
MAPDs
NEXIUM 10mg/1 30 GRANULE, DELAYED RELEASE per CARTON
(Esomeprazole Magnesium)		30 GRANULE, DELAYED RELEA  0018640100153
PDPs		167
MAPDs
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET
(Esomeprazole Magnesium)		20 MG PKT X 30 PKT0018640200153
PDPs		169
MAPDs
NEXIUM 20MG CAPSULE
(Esomeprazole Magnesium)		90 BOT0018650205453
PDPs		172
MAPDs
NEXIUM DR 2.5 MG PACKET
(Esomeprazole Magnesium)		   0018640250153
PDPs		169
MAPDs
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET
(Esomeprazole Magnesium)		40 MG PKT X 30 PKT0018640400153
PDPs		169
MAPDs
NEXIUM 40MG CAPSULE
(Esomeprazole Magnesium)		90 BOT0018650405453
PDPs		171
MAPDs
NEXIUM DR 5 MG PACKET
(Esomeprazole Magnesium)		   0018640500153
PDPs		169
MAPDs
NEXIUM IV 20MG VIAL
(Esomeprazole Sodium For Intravenous)		10 VIALSD0018660200156
PDPs		176
MAPDs
NEXIUM IV 40MG VIAL
(Esomeprazole Sodium For Intravenous)		10 VIALSD0018660400156
PDPs		177
MAPDs
NIASPAN ER 500MG TABLET (90 CT)
(Niacin)		90 BOTPL0007430749050
PDPs		196
MAPDs
NORVIR 100mg/1 30 CAPSULE BOTTLE
(Ritonavir)		30 CAPSULE in 1 BOTTLE  0007466333077
PDPs		309
MAPDs
NUVARING 0.12-0.015 RING VAGINAL
(Etonogestrel-Ethinyl Estradiol VA)		3 POU0005202730334
PDPs		195
MAPDs
OCELLA 3MG/0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)		3 X 28 PKG0055591316771
PDPs		250
MAPDs
PATANOL 0.1% EYE DROPS
(Olopatadine HCl Ophth)		5 ML BOT0006502710554
PDPs		237
MAPDs
pioglitazone hcl 15 mg tablet [Actos]
(Pioglitazone HCL)		   0037800487777
PDPs		309
MAPDs
pioglitazone hcl 30 mg tablet [Actos]
(Pioglitazone HCL)		   0037802289377
PDPs		309
MAPDs
pioglitazone hcl 45 mg tablet [Actos]
(Pioglitazone HCL)		   0037803187777
PDPs		309
MAPDs
PLAVIX TABLETS 300MG
(Clopidogrel Bisulfate)		   636531332028
PDPs		33
MAPDs
PLAVIX 75MG TABLET
(Clopidogrel Bisulfate)		   6365311710513
PDPs		39
MAPDs
PROVENTIL HFA INHALER 90MCG AE
(Albuterol Sulfate)		6.7 GM (200 INHALATIONS) CSTR0008511320126
PDPs		155
MAPDs
QUETIAPINE FUMARATE 100 MG TABLET [Seroquel]
(Quetiapine Fumarate)		100 EA  4733509048877
PDPs		309
MAPDs
QUETIAPINE FUMARATE 200 MG TABLET [Seroquel]
(Quetiapine Fumarate)		100 EA  4733509058877
PDPs		309
MAPDs
QUETIAPINE FUMARATE 25 MG TABLET [Seroquel]
(Quetiapine Fumarate)		100 EA  4733509028877
PDPs		309
MAPDs
QUETIAPINE FUMARATE 300 MG TABLET [Seroquel]
(Quetiapine Fumarate)		100 EA  4733509068877
PDPs		309
MAPDs
QUETIAPINE FUMARATE 400 MG TABLET [Seroquel]
(Quetiapine Fumarate)		100 EA  4733509078877
PDPs		309
MAPDs
QUETIAPINE FUMARATE 50 MG TABLET [Seroquel]
(Quetiapine Fumarate)		100 EA  4733509038877
PDPs		309
MAPDs
RELPAX 40MG TABLET 6X2 BLPK
(Eletriptan Hydrobromide)		6 X 2 BLPK0004923400529
PDPs		142
MAPDs
REVLIMID 5MG CAPSULE
(Lenalidomide)		100 BOT5957204050077
PDPs		309
MAPDs
REYATAZ 150MG CAPSULE
(Atazanavir Sulfate)		100 BOT0000336241277
PDPs		309
MAPDs
RISPERDAL 1MG TABLET
(Risperidone)		500 BOT5045803005011
PDPs		41
MAPDs
SENSIPAR 30MG TABLET
(Cinacalcet HCl)		30 BOT5551300733077
PDPs		309
MAPDs
SEROQUEL 100MG TABLET
(Quetiapine Fumarate)		100 BOT0031002711012
PDPs		45
MAPDs
SEROQUEL 200MG TABLET
(Quetiapine Fumarate)		100 BOT0031002721012
PDPs		45
MAPDs
SEROQUEL 25MG TABLET
(Quetiapine Fumarate)		100 BOT0031002751012
PDPs		46
MAPDs
SEROQUEL 300MG TABLET
(Quetiapine Fumarate)		60 BOT0031002746012
PDPs		45
MAPDs
SEROQUEL 400MG TABLET
(Quetiapine Fumarate)		100 BOT0031002791012
PDPs		45
MAPDs
SEROQUEL 50MG TABLET (100 CT)
(Quetiapine Fumarate)		100 BOT0031002781012
PDPs		45
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 150MG 100 CRTN
(Quetiapine Fumarate)		100 CRTN0031002813974
PDPs		286
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 200MG 100 X 200 MG CRTN
(Quetiapine Fumarate)		100 X 200 MG CRTN0031002823974
PDPs		286
MAPDs
SEROQUEL XR 300MG TABLET 60X300MG BOT
(Quetiapine Fumarate)		60 X 300 MG BOT0031002836074
PDPs		286
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 400MG 100 X 400 MG CRTN
(Quetiapine Fumarate)		100 X 400 MG CRTN0031002843974
PDPs		286
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 50MG 100 TABS CRTN
(Quetiapine Fumarate)		100 TABS CRTN0031002803974
PDPs		286
MAPDs
STRATTERA 40MG CAPSULE
(Atomoxetine HCl)		30 BOT0000232293071
PDPs		302
MAPDs
SUSTIVA 600MG TABLET
(Efavirenz)		30 BOT0005605103077
PDPs		309
MAPDs
SYMBICORT 80-4.5MCG HFA AEROSOL WITH ADAPTER 60 INHL
(Budesonide-Formoterol Fumarate Dihyd)		60 INHL0018603722868
PDPs		273
MAPDs
SYNTHROID 100MCG TABLET
(Levothyroxine Sodium)		1000 BOT0007466241964
PDPs		252
MAPDs
TARCEVA 150MG TABLET
(Erlotinib)		30 BOT5024200640177
PDPs		309
MAPDs
THALOMID 100MG CAPSULE 140 BOX
(Thalidomide)		140 BOX5957202109577
PDPs		309
MAPDs
TOBRADEX SUSPENSION OPHTHALMIC 0.1%/0.3% 5ML BOT
(Tobramycin Sulfate)		5 ML BOT0006506470514
PDPs		51
MAPDs
TRILEPTAL 300MG TABLET
(Oxcarbazepine)		100 BOT0007803370514
PDPs		50
MAPDs
TRUVADA 200/300MG TABLET
(Emtricitabine-Tenofovir Disoproxil Fumarate)		   6195807010177
PDPs		309
MAPDs
VALCYTE 450MG TABLET
(Valganciclovir HCl)		60 TABLETS BOT0000400382274
PDPs		305
MAPDs
VALSARTAN-HCTZ 160-12.5 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)		500 EA  0037863220572
PDPs		293
MAPDs
VALSARTAN-HCTZ 160-25 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)		90 EA  0037863237772
PDPs		293
MAPDs
VALSARTAN-HCTZ 320-12.5 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)		500 EA  0037863240572
PDPs		293
MAPDs
VALSARTAN-HCTZ 320-25 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)		500 EA  0037863250572
PDPs		293
MAPDs
VALSARTAN-HCTZ 80-12.5 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)		90 EA  0037863217772
PDPs		293
MAPDs
VALTREX 500MG TABLET
(Valacyclovir HCl)		90 BOT0017309331012
PDPs		40
MAPDs
VERAMYST 27.5MCG SPRAY SUSPENSION
(Fluticasone Furoate Nasal)		120 BOTGL0017307530019
PDPs		102
MAPDs
VESICARE 5MG TABLET (90 CT)
(Solifenacin Succinate)		90 BOT5124801500358
PDPs		241
MAPDs
VIGAMOX 0.5% EYE DROPS
(Moxifloxacin HCl Ophth)		3 ML BOTPL0006540130365
PDPs		273
MAPDs
VIREAD 300MG TABLET
(Tenofovir Disoproxil Fumarate)		   6195804010177
PDPs		309
MAPDs
VYVANSE 30MG CAPSULE
(Lisdexamfetamine Dimesylate)		100 BOT5941701031016
PDPs		85
MAPDs
WELCHOL 625MG TABLET
(Colesevelam HCl)		180 BOTPL6559707011876
PDPs		305
MAPDs
XALATAN EYE DROPS 125MCG 2.5ML BOTPL
(Latanoprost Ophth)		2.5 ML BOTPL000138303048
PDPs		37
MAPDs
YASMIN 28 3-0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)		21 YELLOW + 7 WHITE X 3 BOX5041904020314
PDPs		51
MAPDs
YAZ 3-0.02MG TABLET
(Drospirenone-Ethinyl Estradiol)		24 X 3 BOX5041904050316
PDPs		57
MAPDs



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




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  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • 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.
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