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2015 Medicare Part D Formulary Search By Drug Letter

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Top 10 Medicare Drugs in Alphabetical Order

Drug Name
PackagingNDCOn This Nbr of 2015 Formularies
PDPsMAPDs
Actonel 150mg 36 DOSE PACK CASE / 1 TRAY DOSE PACK / 1 FILM COATED TABLETS in TRAY
(Risedronate Sodium)
36 DOSE PACK in 1 CASE /  0043004780114
PDPs
86
MAPDs
Actonel 30mg 12 BOTTLE CASE / 30 FILM COATED TABLETS in BOTTLE
(Risedronate Sodium)
12 BOTTLE in 1 CASE / 30  0043004701523
PDPs
148
MAPDs
Actonel 35mg 36 DOSE PACK CASE / 1 TRAY DOSE PACK / 4 FILM COATED TABLETS in TRAY
(Risedronate Sodium)
36 DOSE PACK in 1 CASE /  0043004720317
PDPs
140
MAPDs
Actonel 5mg 12 BOTTLE CASE / 30 FILM COATED TABLETS in BOTTLE
(Risedronate Sodium)
12 BOTTLE in 1 CASE / 30  0043004711519
PDPs
149
MAPDs
ACTOS 15 MG TABLET
(Pioglitazone HCL)
   647640151058
PDPs
30
MAPDs
ACTOS 30 MG 90 TABLET BOTTLE
(Pioglitazone HCl)
90 EA Bottle647640301158
PDPs
30
MAPDs
ACTOS 45MG TABLET
(Pioglitazone HCl)
90 BOTPL647640451258
PDPs
30
MAPDs
ADVAIR DISKUS MIS 100/50
(Fluticasone-Salmeterol)
60 DOSE INHL0017306950057
PDPs
315
MAPDs
ADVAIR DISKUS MIS 250/50
(Fluticasone-Salmeterol)
60 DOSE BLPK0017306960057
PDPs
315
MAPDs
ADVAIR DISKUS MIS 500/50
(Fluticasone-Salmeterol)
60 BLPK0017306970057
PDPs
315
MAPDs
ATORVASTATIN 10 MG TABLET [Lipitor]
(Atorvastatin Calcium)
90 EA  6330408279067
PDPs
347
MAPDs
ATORVASTATIN 20 MG TABLET [Lipitor]
(Atorvastatin Calcium)
90 EA  6330408289067
PDPs
347
MAPDs
ATORVASTATIN 40 MG TABLET [Lipitor]
(Atorvastatin Calcium)
90 EA  6330408299067
PDPs
347
MAPDs
ATORVASTATIN 80 MG TABLET [Lipitor]
(Atorvastatin Calcium)
90 EA  6330408309067
PDPs
347
MAPDs
CLOPIDOGREL 300 MG TABLET [Plavix]
(Clopidogrel)
   5511106713141
PDPs
248
MAPDs
CLOPIDOGREL 75 MG TABLET [Plavix]
(Clopidogrel)
30 EA  5511101963067
PDPs
347
MAPDs
DIOVAN 160MG TABLET
(Valsartan)
90 BOT0007803593424
PDPs
149
MAPDs
DIOVAN 320MG TABLET
(Valsartan)
90 BOT0007803603424
PDPs
149
MAPDs
DIOVAN 40MG TABLET
(Valsartan)
30 BOT0007804231524
PDPs
149
MAPDs
DIOVAN 80MG TABLET
(Valsartan)
90 BOX0007803583424
PDPs
149
MAPDs
DIOVAN HCT 160/12.5MG TABLET
(Valsartan-Hydrochlorothiazide)
90 BOT0007803153411
PDPs
42
MAPDs
DIOVAN HCT 320/12.5MG TABLET
(Valsartan-Hydrochlorothiazide)
90 BOT0007804713411
PDPs
42
MAPDs
DIOVAN HCT 80/12.5MG TABLET
(Valsartan-Hydrochlorothiazide)
90 BOT0007803143411
PDPs
42
MAPDs
DIOVAN HCT 160/25MG TABLET
(Valsartan-Hydrochlorothiazide)
90 BOT0007803833411
PDPs
42
MAPDs
DIOVAN HCT 320/25MG TABLET
(Valsartan-Hydrochlorothiazide)
90 BOT0007804723411
PDPs
42
MAPDs
ESCITALOPRAM 10 MG TABLET [Lexapro]
(Escitalopram)
   0009358510167
PDPs
346
MAPDs
ESCITALOPRAM 20 MG TABLET [Lexapro]
(Escitalopram)
   0009358520167
PDPs
346
MAPDs
ESCITALOPRAM 5 MG TABLET [Lexapro]
(Escitalopram)
   0009358500167
PDPs
346
MAPDs
ESCITALOPRAM OXALATE 5 MG/5 ML [Lexapro]
(Escitalopram)
   6516207058867
PDPs
346
MAPDs
ESOMEPRAZOLE MAG DR 20 MG CAPSULE [Nexium]
()
   0009364509818
PDPs
95
MAPDs
ESOMEPRAZOLE SODIUM 20 MG VIAL [Nexium]
()
1 EA  6275605084459
PDPs
246
MAPDs
ESOMEPRAZOLE SODIUM 40 MG VIAL [Nexium]
()
1 EA  6275605094459
PDPs
245
MAPDs
ESOMEPRAZOLE DR 49.3 MG CAPSULE [Nexium]
()
   0009364519812
PDPs
76
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL0008822203363
PDPs
338
MAPDs
LEXAPRO 10MG TABLET
(Escitalopram Oxalate)
10 BOT0045620100110
PDPs
38
MAPDs
LEXAPRO 20MG TABLET
(Escitalopram Oxalate)
100 TABLETS BOT0045620200110
PDPs
38
MAPDs
LEXAPRO 5MG TABLET
(Escitalopram Oxalate)
100 BOT0045620050110
PDPs
38
MAPDs
LEXAPRO 5MG/5ML SOLUTION
(Escitalopram Oxalate)
8 FLO BOT0045621010810
PDPs
39
MAPDs
LIPITOR 10MG TABLET
(Atorvastatin Calcium)
90 BOT000710155238
PDPs
26
MAPDs
LIPITOR 20MG TABLET (5000 CT)
(Atorvastatin Calcium)
5000 BOT000710156948
PDPs
26
MAPDs
LIPITOR 40MG TABLET (500 CT)
(Atorvastatin Calcium)
500 BOT000710157738
PDPs
26
MAPDs
LIPITOR 80MG TABLET
(Atorvastatin Calcium)
500 BOT000710158738
PDPs
26
MAPDs
NEXIUM 10mg/1 30 GRANULE, DELAYED RELEASE per CARTON
(Esomeprazole Magnesium)
30 GRANULE, DELAYED RELEA  0018640100144
PDPs
161
MAPDs
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET
(Esomeprazole Magnesium)
20 MG PKT X 30 PKT0018640200144
PDPs
164
MAPDs
NEXIUM 20MG CAPSULE
(Esomeprazole Magnesium)
90 BOT0018650205446
PDPs
167
MAPDs
NEXIUM DR 2.5 MG PACKET
(Esomeprazole Magnesium)
   0018640250144
PDPs
166
MAPDs
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET
(Esomeprazole Magnesium)
40 MG PKT X 30 PKT0018640400144
PDPs
164
MAPDs
NEXIUM 40MG CAPSULE
(Esomeprazole Magnesium)
90 BOT0018650405446
PDPs
172
MAPDs
NEXIUM DR 5 MG PACKET
(Esomeprazole Magnesium)
   0018640500144
PDPs
166
MAPDs
NEXIUM IV 40MG VIAL
(Esomeprazole Sodium For Intravenous)
10 VIALSD0018660400118
PDPs
67
MAPDs
pioglitazone hcl 15 mg tablet [Actos]
(Pioglitazone HCL)
   0037800487767
PDPs
347
MAPDs
pioglitazone hcl 30 mg tablet [Actos]
(Pioglitazone HCL)
   0037802289367
PDPs
347
MAPDs
pioglitazone hcl 45 mg tablet [Actos]
(Pioglitazone HCL)
   0037803187767
PDPs
347
MAPDs
PLAVIX TABLETS 300MG
(Clopidogrel Bisulfate)
   636531332025
PDPs
24
MAPDs
PLAVIX 75MG TABLET
(Clopidogrel Bisulfate)
   636531171058
PDPs
29
MAPDs
QUETIAPINE FUMARATE 100 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100 EA  4733509048867
PDPs
347
MAPDs
QUETIAPINE FUMARATE 200 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100 EA  4733509058867
PDPs
347
MAPDs
QUETIAPINE FUMARATE 25 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100 EA  4733509028867
PDPs
347
MAPDs
QUETIAPINE FUMARATE 300 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100 EA  4733509068867
PDPs
347
MAPDs
QUETIAPINE FUMARATE 400 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100 EA  4733509078867
PDPs
347
MAPDs
QUETIAPINE FUMARATE 50 MG TABLET [Seroquel]
(Quetiapine Fumarate)
100 EA  4733509038867
PDPs
347
MAPDs
RISEDRONATE SODIUM 5 MG TABLET [Actonel]
(Risedronate Sodium)
30 EA  0009330995636
PDPs
211
MAPDs
RISEDRONATE SODIUM 150 MG TABLET [Actonel]
(Risedronate Sodium)
   0037841503238
PDPs
258
MAPDs
RISEDRONATE SODIUM 30 MG TABLET [Actonel]
(Risedronate Sodium)
   0009331005638
PDPs
210
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
   0009330982934
PDPs
196
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
   0009330984434
PDPs
202
MAPDs
RISEDRONATE SODIUM DR 35 MG TABLET [Actonel]
(Risedronate Sodium)
4 EA  0009355094434
PDPs
163
MAPDs
SEROQUEL 100MG TABLET
(Quetiapine Fumarate)
100 BOT003100271109
PDPs
37
MAPDs
SEROQUEL 200MG TABLET
(Quetiapine Fumarate)
100 BOT003100272109
PDPs
37
MAPDs
SEROQUEL 25MG TABLET
(Quetiapine Fumarate)
100 BOT003100275109
PDPs
37
MAPDs
SEROQUEL 300MG TABLET
(Quetiapine Fumarate)
60 BOT003100274609
PDPs
39
MAPDs
SEROQUEL 400MG TABLET
(Quetiapine Fumarate)
100 BOT003100279109
PDPs
39
MAPDs
SEROQUEL 50MG TABLET (100 CT)
(Quetiapine Fumarate)
100 BOT003100278109
PDPs
37
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 150MG 100 CRTN
(Quetiapine Fumarate)
100 CRTN0031002813965
PDPs
318
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 200MG 100 X 200 MG CRTN
(Quetiapine Fumarate)
100 X 200 MG CRTN0031002823965
PDPs
318
MAPDs
SEROQUEL XR 300MG TABLET 60X300MG BOT
(Quetiapine Fumarate)
60 X 300 MG BOT0031002836065
PDPs
318
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 400MG 100 X 400 MG CRTN
(Quetiapine Fumarate)
100 X 400 MG CRTN0031002843965
PDPs
318
MAPDs
SEROQUEL TABLETS EXTENDED RELEASE 50MG 100 TABS CRTN
(Quetiapine Fumarate)
100 TABS CRTN0031002803965
PDPs
318
MAPDs
VALSARTAN 160 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
90 EA  5166001429064
PDPs
326
MAPDs
VALSARTAN 320 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
90 EA  5166001439064
PDPs
326
MAPDs
VALSARTAN 40 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
30 EA  5166001403064
PDPs
326
MAPDs
VALSARTAN 80 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
90 EA  5166001419064
PDPs
326
MAPDs
VALSARTAN-HCTZ 160-12.5 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
500 EA  0037863220564
PDPs
343
MAPDs
VALSARTAN-HCTZ 160-25 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
90 EA  0037863237764
PDPs
343
MAPDs
VALSARTAN-HCTZ 320-12.5 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
500 EA  0037863240564
PDPs
343
MAPDs
VALSARTAN-HCTZ 320-25 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
500 EA  0037863250564
PDPs
343
MAPDs
VALSARTAN-HCTZ 80-12.5 MG TABLET [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
90 EA  0037863217764
PDPs
343
MAPDs



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


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Tips & Disclaimers
  • 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 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.