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2015 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 B 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 2015 Formularies
PDPsMAPDs
ACANYA 25; 10mg/g; mg/g 1 BOTTLE, PUMP per CARTON / 50 g in 1 BOTTLE, PUMP
(Clindamycin Phosphate-Benzoyl Peroxide)
1 BOTTLE, PUMP in 1 CARTO  135480132506
PDPs
46
MAPDs
ALPHAGAN P 0.15% EYE DROPS
(Brimonidine Tartrate Ophth)
15 ML BOTDR0002391771518
PDPs
57
MAPDs
ALPHAGAN P 0.1% DROPS
(Brimonidine Tartrate Ophth)
15 ML BOTDR0002393211553
PDPs
312
MAPDs
APLENZIN ER 174 MG TABLET
(Bupropion Hydrobromide Extended-Release)
   0018758103012
PDPs
109
MAPDs
APLENZIN ER 348 MG TABLET
(Bupropion Hydrobromide Extended-Release)
   0018758113012
PDPs
109
MAPDs
APLENZIN ER 522 MG TABLET
(Bupropion Hydrobromide Extended-Release)
   0018758123010
PDPs
107
MAPDs
ASCOMP WITH CODEINE CAPSULE
(Butalbital-Aspirin-Caff w/ Codeine)
500 CAPSULE in 1 BOTTLE,  5199100740527
PDPs
169
MAPDs
ASPIRIN/BUTALBITAL/CAFFEINE/CODEINE
(Butalbital-Aspirin-Caff w/ Codeine)
   0059126410132
PDPs
126
MAPDs
AUGMENTED BETAMETHASONE DIPROPIONATE OINTMENT
(Augmented Betamethasone Dipropionate)
   5167213170362
PDPs
325
MAPDs
BETAMETHASONE DP AUG 0.05% GEL
(Augmented Betamethasone Dipropionate)
50 GM  5167213090361
PDPs
287
MAPDs
AVASTIN 100MG/4ML VIAL
(Bevacizumab IV)
1X VIAL5024200600167
PDPs
347
MAPDs
AZOPT SUSPENSION OPHTHALMIC 1% 15ML BOT
(Brinzolamide Ophth)
15 ML BOT0006502751557
PDPs
294
MAPDs
BACiiM 500001/1 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL
(Bacitracin Intramuscular For)
1 INJECTION, POWDER, LYOP  3982202770230
PDPs
189
MAPDs
BACITRACIN INJ 50000UNT
(Bacitracin Intramuscular For)
50000 UNTS VIALGL0000902330132
PDPs
188
MAPDs
Bacitracin 500 unit/gm Eye Ointment
(Bacitracin Ophth)
   0057440223567
PDPs
336
MAPDs
BACITRACIN/POLYMYXIN B OINT 500UNT/10000UNT
(Bacitracin-Polymyxin B Ophth)
0.125 OZ (3.5GM) TUBE2420805555563
PDPs
333
MAPDs
BACLOFEN 10MG TABLET
(Baclofen)
500 BOT0060324062867
PDPs
347
MAPDs
BACLOFEN 20 MG TABLET
(Baclofen)
500 EA  0037830240567
PDPs
347
MAPDs
BACTRIM 400-80MG TABLET
(Sulfamethoxazole-Trimethoprim)
100 BOT1331001450110
PDPs
29
MAPDs
BACTRIM DS TABLET 800-160
(Sulfamethoxazole-Trimethoprim)
100 BOT1331001460110
PDPs
29
MAPDs
BACTROBAN 2% CREAM
(Mupirocin Calcium)
30 TUBE0002915272510
PDPs
48
MAPDs
BACTROBAN NASAL 2% OINTMENT
(Mupirocin Calcium Nasal)
10 X 1 GM TUBES BOX0002915261127
PDPs
130
MAPDs
BACTROBAN 20mg/g 22 g in 1 TUBE
(Mupirocin)
22 g in 1 TUBE  0002915254410
PDPs
32
MAPDs
BALSALAZIDE DISODIUM 750MG CAPSULE (280 CT)
(Balsalazide Disodium)
280 BOT0005400792867
PDPs
347
MAPDs
Balziva 6 POUCH per CARTON / 1 BLISTER PACK in 1 POUCH / 1 KIT per BLISTER PACK
(Norethindrone & Ethinyl Estradiol)
6 POUCH in 1 CARTON / 1 B  0055590345861
PDPs
299
MAPDs
Banzel 200mg/1
(Rufinamide)
   6285605825267
PDPs
347
MAPDs
Banzel 40mg/mL
(Rufinamide)
   6285605844667
PDPs
347
MAPDs
BANZEL TABLET 400MG
(Rufinamide)
120 BOT6285605835267
PDPs
347
MAPDs
BARACLUDE 0.05mg/mL 1 BOTTLE per CARTON / 210 mL in 1 BOTTLE
(Entecavir)
1 BOTTLE in 1 CARTON / 21  0000316141265
PDPs
324
MAPDs
BARACLUDE 0.5MG TABLET
(Entecavir)
30 BOT0000316111246
PDPs
214
MAPDs
BARACLUDE 1MG TABLET
(Entecavir)
30 BOT0000316121245
PDPs
210
MAPDs
BECONASE AQ 0.042% SPRAY
(Beclomethasone Dipropionate Monohyd Nasal)
180 METERED DOSE BOTGL0017303887912
PDPs
78
MAPDs
BELEODAQ 500 MG VIAL
(Belinostat)
   6815201080953
PDPs
294
MAPDs
BELSOMRA 10 MG TABLET
(Suvorexant)
   000060033307
PDPs
36
MAPDs
BELSOMRA 15 MG TABLET
(Suvorexant)
   000060325307
PDPs
36
MAPDs
BELSOMRA 20 MG TABLET
(Suvorexant)
   000060335307
PDPs
36
MAPDs
BELSOMRA 5 MG TABLET
(Suvorexant)
   000060005307
PDPs
36
MAPDs
BENAZEPRIL HCL 10MG TABLET
(Benazepril HCl)
100 BOT0037804430167
PDPs
346
MAPDs
BENAZEPRIL HCL 20mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(BENAZEPRIL HYDROCHLORIDE)
100 TABLET, FILM COATED i  0037804440167
PDPs
346
MAPDs
BENAZEPRIL HCL 40MG TABLET
(Benazepril HCl)
40 BOT0037804470167
PDPs
346
MAPDs
BENAZEPRIL HCL 5MG TABLET
(Benazepril HCl)
100 BOT0037804410167
PDPs
346
MAPDs
BENAZEPRIL HCL-HCTZ TABLET 10-12.5MG (100 CT)
(Benazepril & Hydrochlorothiazide)
100 BOT0037847350167
PDPs
345
MAPDs
BENAZEPRIL HCL-HCTZ TABLET 20-12.5MG (100 CT)
(Benazepril & Hydrochlorothiazide)
100 BOT0037847450167
PDPs
345
MAPDs
BENAZEPRIL HCL-HCTZ TABLET 20-25MG (100 CT)
(Benazepril & Hydrochlorothiazide)
100 BOT0037847750167
PDPs
345
MAPDs
BENAZEPRIL HCL-HCTZ TABLET 5-6.25MG (100 CT)
(Benazepril & Hydrochlorothiazide)
100 BOT0037847250167
PDPs
345
MAPDs
BENICAR 20MG TABLET
(Olmesartan Medoxomil)
90 BOT6559701039055
PDPs
270
MAPDs
BENICAR 40MG TABLET
(Olmesartan Medoxomil)
90 BOT6559701049055
PDPs
270
MAPDs
BENICAR 5MG TABLET
(Olmesartan Medoxomil)
30 BOT6559701013055
PDPs
270
MAPDs
BENICAR HCT 20-12.5MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)
90 BOT6559701059055
PDPs
268
MAPDs
BENICAR HCT TABLET 12.5-40MG (30 CT)
(Olmesartan Medoxomil-Hydrochlorothiazide)
30 BOT6559701063055
PDPs
268
MAPDs
BENICAR HCT 40-25MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)
90 BOT6559701079055
PDPs
268
MAPDs
BENLYSTA 120mg/1.5mL 1 VIAL per CARTON / 1.5 mL in 1 VIAL
(BELIMUMAB)
1 VIAL in 1 CARTON / 1.5  4940101010131
PDPs
198
MAPDs
BENTYL 10MG CAPSULE
(Dicyclomine HCl)
100 BOT589140012104
PDPs
25
MAPDs
BENTYL 20MG TABLET
(Dicyclomine HCl)
   589140013104
PDPs
25
MAPDs
BENTYL INJECTION 20MG/2ML AMP
(Dicyclomine HCl)
2 ML AMP589140080524
PDPs
50
MAPDs
BENZACLIN GEL
(Clindamycin Phosphate-Benzoyl Peroxide)
25 GM  001875190256
PDPs
27
MAPDs
BENZAMYCIN GEL
(Benzoyl Peroxide-Erythromycin)
   001875205468
PDPs
28
MAPDs
Clindamycin Phosphate and Benzoyl Peroxide 1 KIT
(clindamycin/benzoyl peroxide GEL)
1 KIT in 1 CARTON  0037886885443
PDPs
198
MAPDs
BENZTROPINE MESYLATE 0.5 MG TABLETS
(Benztropine Mesylate)
100 BOT 0060324332167
PDPs
346
MAPDs
Benztropine Mesylate 1mg 100 TABLET BOTTLE
(Benztropine Mesylate)
100 TABLET BOTTLE  0060324342167
PDPs
346
MAPDs
BENZTROPINE 2 MG/2 ML VIAL
(Benztropine Mesylate)
   1747800120243
PDPs
227
MAPDs
Benztropine mes 2 mg tablet
(Benztropine Mesylate)
   6412501381067
PDPs
346
MAPDs
BEPREVE 1.5% EYE DROPS
(Bepotastine Besilate Ophth)
   2420806290126
PDPs
152
MAPDs
BERINERT 500 UNIT KIT
(HUMAN C1-ESTERASE INHIBITOR 5001 in 10mL)
1 EA  6383308250213
PDPs
62
MAPDs
BESIVANCE BESIFLOACIN OPTHALMIC SUSPENSION 0.6% 5 ML BOTDR
(Besifloxacin HCl Ophth)
5 ML BOTDR2420804460543
PDPs
176
MAPDs
BETAGAN 0.5% EYE DROPS
(Levobunolol HCl Ophth)
15 ML BOTDR0002343851511
PDPs
46
MAPDs
Betamethasone DP 0.05% ointment
(Betamethasone Dipropionate)
   0047203814565
PDPs
342
MAPDs
Betamethasone Dipropionate 0.5mg/g 1 TUBE in 1 CARTON / 50 g in 1 TUBE
(Betamethasone Dipropionate)
1 TUBE in 1 CARTON / 50 g  4580203763262
PDPs
331
MAPDs
Betamethasone Dipropionate 0.60mg/mL 60 mL in 1 BOTTLE
(Betamethasone Dipropionate)
60 mL in 1 BOTTLE  0016800576063
PDPs
332
MAPDs
Betamethasone Dipropionate 0.64mg/g / 45 g TUBE
(Betamethasone Dipropionate)
1 TUBE in 1 CARTON / 45 g  5167212740665
PDPs
343
MAPDs
Betamethasone Dipropionate 0.64mg/mL 60 mL in 1 BOTTLE
(Betamethasone Dipropionate)
60 mL in 1 BOTTLE  0016802676065
PDPs
340
MAPDs
BETAMETHASONE VALERATE 0.1% LOTION
(Betamethasone Valerate)
 5487900046065
PDPs
343
MAPDs
BETAMETHASONE VALERATE CREAM
(Betamethasone Valerate)
   5167212690665
PDPs
343
MAPDs
BETAMETHASONE VALERATE OINTMENT USP
(Betamethasone Valerate)
45 GM TUBE 0047203714565
PDPs
343
MAPDs
BETAMETHASONE VALERATE 0.12% FOAM
(Betamethasone Valerate)
   4580200530231
PDPs
162
MAPDs
Betapace AF 120mg/1 1 PACKAGE in 1 PACKAGE / 1 BOTTLE in 1 PACKAGE / 60 BOTTLE, PLASTIC in 1 BOTTLE
(Sotalol HCl (AFIB/AFL))
1 PACKAGE in 1 PACKAGE /  504190119067
PDPs
28
MAPDs
Betapace AF 160mg/1 1 PACKAGE in 1 PACKAGE / 1 BOTTLE in 1 PACKAGE / 60 BOTTLE, PLASTIC in 1 BOTTLE
(Sotalol HCl (AFIB/AFL))
1 PACKAGE in 1 PACKAGE /  504190116067
PDPs
28
MAPDs
BETAPACE AF 80MG TABLET
(Sotalol HCl (AFIB/AFL))
60 TABS BOT504190115067
PDPs
28
MAPDs
BETASERON KIT 0.3MG/VIAL 14 TRAY BOX PKGCOM
(Interferon Beta-1b For)
14 TRAY BOX PKGCOM5041905233546
PDPs
291
MAPDs
Betaxolol hcl 0.5% eye drop
(Betaxolol HCl)
   1747807051165
PDPs
332
MAPDs
Betaxolol 10mg/1
(Betaxolol HCl)
   4280600380145
PDPs
254
MAPDs
Betaxolol 20mg/1 100 FILM COATED TABLETS in BOTTLE
(Betaxolol HCl)
100 TABLET, FILM COATED i  4280600390149
PDPs
276
MAPDs
BETHANECHOL 10 MG TABLET
(Bethanechol)
100 BOT 0011595220167
PDPs
338
MAPDs
BETHANECHOL 5 MG TABLET
(Bethanechol)
100 BOT 0011595110167
PDPs
338
MAPDs
BETHANECHOL CHLORIDE 25MG TABLET
(Bethanechol Chloride)
100 BOT 0011595330167
PDPs
338
MAPDs
BETHANECHOL CHLORIDE 50MG TABLET (100 CT)
(Bethanechol Chloride)
100 BOT0011595440167
PDPs
338
MAPDs
BETHKIS 300 MG/4 ML AMPULE
(tobramycin)
4 ML  1012208205623
PDPs
135
MAPDs
BETIMOL 0.5% EYE DROPS
(Timolol Ophth)
   7647800021518
PDPs
80
MAPDs
BETOPTIC S OPHTHALMIC SUSPENSION 0.25% 10 ML BOT
(Betaxolol HCl Ophth)
10 ML BOT0006502461041
PDPs
213
MAPDs
BEXSERO PREFILLED SYRINGE
(Meningococcal group b vaccine)
   4602801140265
PDPs
304
MAPDs
Beyaz 3 BLISTER PACK in 1 PACKAGE / 1 KIT per BLISTER PACK
(DROSPIRENONE/ETHINYL ESTRADIOL/LEVOMEFOLATE CALCIUM AND LEVOMEFOLATE CALCIUM)
3 BLISTER PACK in 1 PACKA  504190407037
PDPs
54
MAPDs
BIAXIN 250MG/5ML SUSPENSION
(Clarithromycin)
100 ML BOT000743188138
PDPs
29
MAPDs
BIAXIN 250MG TABLET
(Clarithromycin)
60 BOT000743368608
PDPs
29
MAPDs
BIAXIN 500MG TABLET
(Clarithromycin)
60 BOT000742586608
PDPs
29
MAPDs
Bicalutamide 50mL/1 30 FILM COATED TABLETS in BOTTLE, PLASTIC
(Bicalutamide)
30 TABLET, FILM COATED in  0037870179367
PDPs
347
MAPDs
BICILLIN C-R 1.2MM UNITS SYR 2ML x 10
(Penicillin G Procaine & Benzathine)
   6079306001039
PDPs
241
MAPDs
BICILLIN C-R 900/300 SYRINGE 2ML x 10
(Penicillin G Procaine & Benzathine)
   6079306021039
PDPs
228
MAPDs
BICILLIN LA PFS 1200MU 2ML
(Penicillin G Benzathine Intramuscular)
TEN 2ML CTG6079307011067
PDPs
318
MAPDs
BICILL LA PFS 600MU 1ML PED
(Penicillin G Benzathine Intramuscular)
TEN 4ML CTG6079307021067
PDPs
318
MAPDs
BICILLIN LA. 600000UNIT/ML 1ML
(Penicillin G Benzathine Intramuscular)
TEN 1ML CTG6079307001067
PDPs
324
MAPDs
BICNU 100 MG VIAL
(Carmustine For Injection)
1 EA  2315502614160
PDPs
280
MAPDs
BIDIL TABLET
(Isosorbide Dinitrate-Hydralazine HCl)
180 EA  2433800101826
PDPs
100
MAPDs
Biltricide 600mg/1 6 FILM COATED TABLETS in BOTTLE
(Praziquantel)
6 TABLET, FILM COATED in  5041907470149
PDPs
270
MAPDs
BIMATOPROST 0.03% EYE DROPS [Lumigan]
(Bimatoprost Ophth)
5 ML  6818004290231
PDPs
175
MAPDs
BINOSTO 70 MG TABLET EFF
(alendronate sodium)
4 EA  0017801010212
PDPs
59
MAPDs
BISOPROLOL FUMARATE 10MG TABLET (100 CT)
(Bisoprolol Fumarate)
100 BOT6586200870160
PDPs
336
MAPDs
BISOPROLOL FUMARATE 5MG TABLET (100 CT)
(Bisoprolol Fumarate)
100 BOT6586200860160
PDPs
336
MAPDs
BISOPROLOL FUMARATE-HCTZ TABLET 10-6.25MG (500 CT)
(Bisoprolol & Hydrochlorothiazide)
500 BOT0037805050564
PDPs
340
MAPDs
BISOPROLOL FUMARATE-HCTZ TABLET 2.5-6.25MG (100 CT)
(Bisoprolol & Hydrochlorothiazide)
100 BOT0037805010164
PDPs
340
MAPDs
BISOPROLOL FUMARATE-HCTZ TABLET 5-6.25MG (100 CT)
(Bisoprolol & Hydrochlorothiazide)
100 BOT0037805030164
PDPs
340
MAPDs
BIVIGAM LIQUID 10% VIAL
(immune globulin intravenous)
   5973065030137
PDPs
182
MAPDs
BLEOMYCIN SULFATE 30UNITS VIA
(Bleomycin Sulfate For)
1 X 20ML PKG0070331550167
PDPs
336
MAPDs
BLEPH-10 10% EYE DROPS
(Sulfacetamide Sodium Ophth)
5 ML BOT1198000110516
PDPs
106
MAPDs
BLEPHAMIDE 10-0.2% EYE OINT
(Sulfacetamide Sodium-Prednisolone Ophth)
3.5 GM TUBE0002303130447
PDPs
243
MAPDs
BLEPHAMIDE 0.2% EYE DROPS
(Sulfacetamide Sodium-Prednisolone Ophth)
10 ML BOT1198000221032
PDPs
190
MAPDs
BONIVA 150MG TABLET
(Ibandronate Sodium)
3 CRTN000040186825
PDPs
28
MAPDs
BONIVA 3mg/3mL SYRINGE
(Ibandronate Sodium)
1 SYRINGE, GLASS in 1 CAR  0000401910917
PDPs
89
MAPDs
BOOSTRIX TDAP VACCINE VIAL
(Tet Tox-Diph-Acell Pertuss Ad)
   5816008421167
PDPs
347
MAPDs
BOOSTRIX TDAP VACCINE SYRINGE
(Tet Tox-Diph-Acell Pertuss Ad)
   5816008425267
PDPs
347
MAPDs
BOSULIF 100 MG TABLET
(bosutinib monohydrate)
30 EA  0006901350167
PDPs
347
MAPDs
BOSULIF 500 MG TABLET
(bosutinib monohydrate)
30 EA  0006901360167
PDPs
347
MAPDs
BOTOX 100UNITS VIAL
(Botulinum Toxin Type A For)
100 UNITS VIAL0002311450119
PDPs
155
MAPDs
BOTOX 200[USP'U]/1 1 VIAL in 1 CARTON / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL
(Botulinum Toxin Type A For Injection)
1 VIAL in 1 CARTON / 1 IN  0002339210217
PDPs
132
MAPDs
BREO ELLIPTA 100-25 MCG INH
(fluticasone and vilanterol)
60 EA  0017308591055
PDPs
266
MAPDs
BREO ELLIPTA 200-25 MCG INH
(fluticasone and vilanterol)
60 EA  0017308821055
PDPs
260
MAPDs
BREVICON TABLET 0.5/35
(Norethindrone & Ethinyl Estradiol)
3 X 28 BLPK5254402542811
PDPs
58
MAPDs
BRIELLYN TABLET
(NORETHINDRONE AND ETHINYL ESTRADIOL)
28 EA  6846203162961
PDPs
277
MAPDs
BRILINTA 90mg/1 60 TABLET BOTTLE
(TICAGRELOR)
60 TABLET in 1 BOTTLE  0018607776067
PDPs
347
MAPDs
BRIMONIDINE TARTRATE OPHTHALMIC SOLUTION 0.2% 10ML BOTPL
(Brimonidine Tartrate Ophth)
10 ML BOTPL2420804111067
PDPs
347
MAPDs
Brimonidine Tartrate 1.5mg/mL
(Brimonidine Tartrate Ophth)
   6131401441063
PDPs
341
MAPDs
BRINTELLIX 10 MG TABLET
(vortioxetine)
30 EA  6476405603067
PDPs
347
MAPDs
BRINTELLIX 20 MG TABLET
(vortioxetine)
30 EA  6476405803067
PDPs
347
MAPDs
BRINTELLIX 5 MG TABLET
(vortioxetine)
30 EA  6476405503067
PDPs
347
MAPDs
BRISDELLE 7.5 MG CAPSULE
(paroxetine mesylate)
   6896890750312
PDPs
92
MAPDs
Bromfenac 1.035mg/mL 1 BOTTLE, DROPPER per CARTON / 2.5 mL in 1 BOTTLE, DROPPER
(BROMFENAC SODIUM)
1 BOTTLE, DROPPER in 1 CA  0037871103541
PDPs
225
MAPDs
Bromocriptine mesylate 2.5mg/1 24 BOTTLE per CARTON / 100 TABLET BOTTLE
(Bromocriptine Mesylate)
24 BOTTLE in 1 CARTON / 1  0057401060164
PDPs
344
MAPDs
BROMOCRIPTINE MESYLATE 5MG CAPSULE
(Bromocriptine Mesylate)
30 BOT0037870969364
PDPs
343
MAPDs
BROVANA 15MCG/2ML VIAL NEBULIZER
(Arformoterol Tartrate)
30 X 1 VIAL POUCH CRTN6340209113018
PDPs
97
MAPDs
Budesonide 3mg 100 CAPSULE BOTTLE
(Budesonide)
100 CAPSULE BOTTLE  0037871550167
PDPs
339
MAPDs
Budesonide 32 mcg nasal spray
(Budesonide)
   6050508390222
PDPs
144
MAPDs
BUDESONIDE 0.25 MG/2 ML SUSP
(Budesonide)
2MLX30 ML  0009368157345
PDPs
250
MAPDs
BUDESONIDE 0.5 MG/2 ML SUSP
(Budesonide)
2MLX30 ML  0009368167345
PDPs
250
MAPDs
BUMETANIDE 0.25MG/ML VIAL
(Bumetanide)
10 X 4 ML VIAL0040914120463
PDPs
305
MAPDs
Bumetanide 0.5mg/1 100 TABLET BOTTLE
(Bumetanide)
100 TABLET in 1 BOTTLE  0009342320167
PDPs
347
MAPDs
Bumetanide 1mg/1 100 BLISTER PACK in 1 BOX, UNIT-DOSE / 1 TABLET in 1 BLISTER PACK
(Bumetanide)
100 BLISTER PACK in 1 BOX  5107908922067
PDPs
347
MAPDs
Bumetanide 2mg/1 100 TABLET BOTTLE
(Bumetanide)
100 TABLET in 1 BOTTLE  0009342340167
PDPs
347
MAPDs
BUNAVAIL 2.1-0.3 MG FILM
(Buprenorphine and Naloxone)
   593850012305
PDPs
32
MAPDs
BUNAVAIL 4.2-0.7 MG FILM
(Buprenorphine and Naloxone)
   593850014305
PDPs
32
MAPDs
BUNAVAIL 6.3-1 MG FILM
(Buprenorphine and Naloxone)
   593850016305
PDPs
32
MAPDs
BUPAP 50 MG-300 MG TABLET
(Butalbital-Acetaminophen)
100 EA  000953000012
PDPs
10
MAPDs
BUPRENEX 0.3 MG/ML AMPUL
(Buprenorphine HCl)
   1249607570511
PDPs
50
MAPDs
buprenorphin-naloxon 2-0.5 mg tb
(Buprenorphine HCl-Naloxone HCl SL)
   0022831540353
PDPs
288
MAPDs
buprenorphin-naloxon 8-2 mg tb
(Buprenorphine HCl-Naloxone HCl SL)
   0022831550353
PDPs
288
MAPDs
BUPRENORPHINE 0.3MG/ML SYRN
(Buprenorphine HCl)
10 X 1 ML CTG0040920123234
PDPs
216
MAPDs
Buprenorphine HCl 2mg/1 30 TABLET BOTTLE
(Buprenorphine HCl)
30 TABLET in 1 BOTTLE  0005401761367
PDPs
344
MAPDs
Buprenorphine HCl 8mg/1 30 TABLET BOTTLE
(Buprenorphine HCl)
30 TABLET in 1 BOTTLE  0005401771367
PDPs
347
MAPDs
BUPROBAN ER 150 MG TABLET
(Bupropion HCl (Smoking Deterrent))
100 BOT0009357030167
PDPs
347
MAPDs
Bupropion Hydrochloride 100mg/1 100 FILM COATED TABLETS in BOTTLE
(Bupropion HCl)
100 TABLET, FILM COATED i  0078110640167
PDPs
347
MAPDs
Bupropion Hydrochloride 150mg/1 100 TABLET, ER in 1 BOTTLE
(Bupropion HCl)
100 TABLET, EXTENDED RELE  0018504150167
PDPs
347
MAPDs
BUPROPION HYDROCHLORIDE 75mg/1 1000 TABLET BOTTLE
(Bupropion HCl)
1000 TABLET in 1 BOTTLE  0078110531067
PDPs
347
MAPDs
BUPROPION HCL SR 100 MG TABLET
(Bupropion HCl (Smoking Deterrent))
60 EA  0059135406067
PDPs
347
MAPDs
BUPROPION HCL SR 200MG TABLET SA
(Bupropion HCl (Smoking Deterrent))
60 BOT0011554451367
PDPs
346
MAPDs
BUPROPION HCL XL 150 MG TABLET
(Bupropion HCl)
500 EA  1037001015067
PDPs
347
MAPDs
BUPROPION HCL XL 300 MG TABLET
(Bupropion HCl)
30 EA  1037001020367
PDPs
347
MAPDs
BUSPIRONE HYDROCHLORIDE 10 MG TABLETS
(Buspirone HCl)
100 BOT 0009300540167
PDPs
347
MAPDs
BUSPIRONE HCL 15MG TABLET (180 CT)
(Buspirone HCl)
180 BOT0059107181867
PDPs
347
MAPDs
BUSPIRONE HCL 30MG TABLET (60 CT)
(Buspirone HCl)
60 BOT0037811759165
PDPs
340
MAPDs
BUSPIRONE HCL 5 MG TABLET
(Buspirone HCl)
100 EA  0059106570167
PDPs
347
MAPDs
BUSPIRONE HCL 7.5MG TABLET
(Buspirone HCl)
500 BOT4988407250567
PDPs
346
MAPDs
BUSULFEX 6mg/mL
(Busulfan)
   5914800709160
PDPs
278
MAPDs
BUTALBITAL/CAFFEINE/ACETAMINOPH/CODEIN
(Butalbital-Acetaminophen-Caff w/ COD)
100 CAPSULE in 1 BOTTLE,  0060325532137
PDPs
208
MAPDs
BUTALBITAL/ACETAMINOPHEN 325; 50mg/1; mg/1 100 TABLET BOTTLE
(Butalbital-Acetaminophen)
100 TABLET in 1 BOTTLE  0060325402117
PDPs
119
MAPDs
BUTALBITAL/ACETAMINOPHEN/CAFFEINE CP
(Butalbital-Acetaminophen-Caffeine)
   5186201790119
PDPs
107
MAPDs
BUTALBITAL/ACETAMINOPHEN/CAFFEINE 50-300-40
(Butalbital-Acetaminophen-Caffeine)
   0059126400117
PDPs
61
MAPDs
BUTALBITAL/ACETAMINOPHEN/CAFFEINE 50-325-40
(Butalbital-Acetaminophen-Caffeine)
   0052716950524
PDPs
156
MAPDs
BUTALBITAL-ASA-CAFFEINE CAPSULE
(Butalbital-Aspirin-Caffeine)
100 CAPSULE in 1 BOTTLE  0052715520125
PDPs
135
MAPDs
Butisol Sodium 30mg/1 100 TABLET BOTTLE
(Butabarbital Sodium)
100 TABLET in 1 BOTTLE  000370113608
PDPs
83
MAPDs
Butorphanol 1 mg/ml vial
(Butorphanol Tartrate)
   0040916230148
PDPs
243
MAPDs
BUTORPHANOL 10MG/ML SPRAY
(Butorphanol Tartrate)
2.5 ML VIAL0005430903644
PDPs
257
MAPDs
Butorphanol 2 mg/ml vial
(Butorphanol Tartrate)
   0040916260149
PDPs
244
MAPDs
Butrans 10ug/h
(buprenorphine (transdermal))
   5901107510428
PDPs
129
MAPDs
BUTRANS 15 MCG/HR PATCH
(buprenorphine (transdermal))
4 EA  5901107580428
PDPs
148
MAPDs
Butrans 20ug/h
(buprenorphine (transdermal))
   5901107520428
PDPs
129
MAPDs
Butrans 5ug/h
(buprenorphine (transdermal))
   5901107500428
PDPs
129
MAPDs
BUTRANS 7.5 MCG/HR PATCH
(buprenorphine (transdermal))
4 EA  5901107570428
PDPs
124
MAPDs
BYDUREON 2 MG VIAL
(Exenatide)
   0031065200452
PDPs
244
MAPDs
BYDUREON 2 MG PEN INJECT
(Exenatide)
4 EA  0031065300450
PDPs
235
MAPDs
BYETTA 10 MCG DOSE PEN INJ
(Exenatide)
2.4 ML  0031065240140
PDPs
269
MAPDs
BYETTA 5 MCG DOSE PEN INJ
(Exenatide)
1.2 ML  0031065120140
PDPs
268
MAPDs
Bystolic 10mg/1 30 TABLET BOTTLE
(Nebivolol HCl)
30 TABLET in 1 BOTTLE  0045614103048
PDPs
234
MAPDs
Bystolic 2.5mg/1 30 TABLET BOTTLE
(Nebivolol HCl)
30 TABLET in 1 BOTTLE  0045614023048
PDPs
235
MAPDs
BYSTOLIC 20 MG TABLET
(Nebivolol HCl)
   0045614209048
PDPs
234
MAPDs
Bystolic 5mg 30 TABLET BOTTLE
(Nebivolol HCl)
30 TABLET in 1 BOTTLE  0045614053048
PDPs
234
MAPDs
Carvedilol 12.5mg 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Carvedilol)
100 TABLET, FILM COATED i  0037836330167
PDPs
347
MAPDs
Carvedilol 25mg 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Carvedilol)
100 TABLET, FILM COATED i  0037836340167
PDPs
347
MAPDs
Carvedilol 3.125mg 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Carvedilol)
100 TABLET, FILM COATED i  0037836310167
PDPs
347
MAPDs
Carvedilol 6.25mg 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Carvedilol)
100 TABLET, FILM COATED i  0037836320167
PDPs
347
MAPDs
CASODEX 50mg 30 TABLET BOTTLE, PLASTIC
(Bicalutamide)
30 TABLET in 1 BOTTLE, PL  0031007053012
PDPs
41
MAPDs
CERVARIX VACCINE SYRINGE
(human papillomavirus (HPV) vaccine, bivalent)
   5816008305267
PDPs
347
MAPDs
CLOTRIMAZOLE-BETAMETHASONE 1-0.05% LOTION
(Clotrimazole w/ Betamethasone)
30 ML BOT0016803703051
PDPs
284
MAPDs
COGENTIN 2 MG/2 ML AMPULE
(Benztropine Mesylate)
   764780611026
PDPs
35
MAPDs
COLAZAL 750MG CAPSULE
(Balsalazide Disodium)
280 CAPSULES BOT656490101027
PDPs
29
MAPDs
COMBIGAN 0.2%-0.5% DROPS
(Brimonidine Tartrate-Timolol Maleate Ophth)
5 ML BOTDR0002392110556
PDPs
282
MAPDs
CYCLOSET 0.8MG TABLETS
(Bromocriptine Mesylate)
200 BOT 6801202582047
PDPs
270
MAPDs
CYSTADANE POWDER FOR ORAL SOLUTION 180GM
(Betaine)
   6662140000165
PDPs
328
MAPDs
DUAVEE 0.45-20 MG TABLET
(bazedoxifene and conjugated estrogens)
   0000811231212
PDPs
121
MAPDs
Dysport 3001/1 1 VIAL per CARTON / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL
(botulinum toxin)
1 VIAL in 1 CARTON / 1 IN  150540530065
PDPs
56
MAPDs
ENTECAVIR 0.5 MG TABLET [Baraclude]
(Entecavir)
90 EA  0009357869867
PDPs
334
MAPDs
ENTECAVIR 1 MG TABLET [Baraclude]
(Entecavir)
30 EA  0009357875667
PDPs
334
MAPDs
ENTOCORT EC 3 MG CAPSULE
(Budesonide)
   001860702108
PDPs
49
MAPDs
ESGIC 50-325-40 MG TABLET
(Butalbital-Acetaminophen-Caffeine)
 683080220011
PDPs
16
MAPDs
FIORICET 50-300-40 MG CAPSULE
(Butalbital-Acetaminophen-Caffeine)
100 EA  525440080011
PDPs
10
MAPDs
Fioricet/Codeine 50-300-40-30 CAP
(Butalbital-Acetaminophen-Caff w/ COD)
100 EA  525440082013
PDPs
15
MAPDs
FIORINAL W/CODEINE #3 30MG/50MG/40MG CAPSULE
(Butalbital-Aspirin-Caffeine)
100 BOT525440956011
PDPs
16
MAPDs
Fiorinal 325; 50; 40mg/1; mg/1; mg/1 100 CAPSULE BOTTLE
(Butalbital-Aspirin-Caffeine)
100 CAPSULE in 1 BOTTLE  525440955011
PDPs
14
MAPDs
FORFIVO XL 450 MG TABLET
(bupropion hydrochloride)
   4990900103019
PDPs
135
MAPDs
Gablofen 2000ug/mL 20 mL in 1 VIAL, GLASS
(Baclofen)
20 mL in 1 VIAL, GLASS  459450157029
PDPs
49
MAPDs
Gablofen 50ug/mL 1 mL in 1 SYRINGE, PLASTIC
(Baclofen)
1 mL in 1 SYRINGE, PLASTI  4594501510110
PDPs
48
MAPDs
Gablofen 500ug/mL 20 mL in 1 VIAL, GLASS
(Baclofen)
20 mL in 1 VIAL, GLASS  459450155029
PDPs
48
MAPDs
GIAZO 180 GM
(balsalazide disodium)
   656490102027
PDPs
43
MAPDs
GYNAZOLE-1 2% CREAM
(Butoconazole Nitrate (One Dose) Vaginal)
   640110246018
PDPs
61
MAPDs
IBANDRONATE SODIUM 150 MG TABLET [Boniva]
(Ibandronate Sodium)
   6050527950060
PDPs
318
MAPDs
IBANDRONATE 3 MG/3 ML Syringe [Boniva]
(Ibandronate Sodium)
   2502108276137
PDPs
223
MAPDs
IBANDRONATE 3 MG/3 ML VIAL [Boniva]
(Ibandronate Sodium)
   6275602184039
PDPs
237
MAPDs
Intuniv 1 MG ER 100 TABLET in BOTTLE
(Guanfacine HCl)
100 TABLET, EXTENDED RELE  5409205130221
PDPs
117
MAPDs
Intuniv 2 MG ER 100 TABLET in BOTTLE
(Guanfacine HCl)
100 TABLET, EXTENDED RELE  5409205150221
PDPs
117
MAPDs
Intuniv 3 MG ER 100 TABLET in BOTTLE
(Guanfacine HCl)
100 TABLET, EXTENDED RELE  5409205170223
PDPs
126
MAPDs
Intuniv 4 MG ER 100 TABLET in BOTTLE
(Guanfacine HCl)
100 TABLET, EXTENDED RELE  5409205190223
PDPs
126
MAPDs
Lioresal 0.05mg/mL
(Baclofen)
   5828105620115
PDPs
73
MAPDs
Lioresal 0.5mg/mL
(Baclofen)
   5828105600115
PDPs
73
MAPDs
Lioresal 2mg/mL
(Baclofen)
   5828105610215
PDPs
73
MAPDs
LOTENSIN 20 MG TABLET
(Benazepril HCl)
   306980449019
PDPs
28
MAPDs
LOTENSIN 40 MG TABLET
(Benazepril HCl)
   306980450019
PDPs
28
MAPDs
LUMIGAN 0.1mg/mL 1 BOTTLE, DROPPER per CARTON / 5 mL in 1 BOTTLE, DROPPER
(Bimatoprost Ophth)
1 BOTTLE, DROPPER in 1 CA  0002332050557
PDPs
309
MAPDs
MENTAX 1% CREAM 15G TUBE
(Butenafine HCl)
15 G TUBE0037861514619
PDPs
98
MAPDs
MIRVASO TOP GEL 0.33%
(Brimonidine Tartrate)
30 GM  002995980306
PDPs
41
MAPDs
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT
(Bacitracin-Polymyxin-Neomycin-HC Ophth)
3.5 GM TUBE2420807855565
PDPs
334
MAPDs
NULOJIX 250mg/1 1 VIAL, SINGLE-USE per CARTON / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in
(BELATACEPT)
1 VIAL, SINGLE-USE in 1 C  0000303711365
PDPs
334
MAPDs
OCUTRICIN EYE OINTMENT 400UNT/3.5MG/10UNT
(Bacitracin-Polymyxin-Neomycin Ophth)
3.5 GRAM TUBE2420807805565
PDPs
341
MAPDs
ONEXTON GEL PUMP
(Clindamycin / Benzoyl Peroxide)
   001873050504
PDPs
25
MAPDs
PROLENSA 0.07% EYE DROPS
(Bromfenac Sodium)
   2420806020339
PDPs
156
MAPDs
PULMICORT .25MG/2ML RESPULE
(Budesonide)
30 X 2 ML AMP001861988045
PDPs
27
MAPDs
PULMICORT RESPULES 0.5mg/2mL 6 POUCH per CARTON / 5 AMPULE in 1 POUCH / 2 mL in 1 AMPULE
(Budesonide)
6 POUCH in 1 CARTON / 5 A  001861989045
PDPs
27
MAPDs
PULMICORT 1MG/2ML AMPUL FOR NEBULIZATION
(Budesonide)
5 AMP0018619900420
PDPs
124
MAPDs
PULMICORT FLEXHALER 180MCG AEROSOL POWDER BREATH ACTIVATED
(Budesonide)
120 METERED DOSES INHL0018609161223
PDPs
128
MAPDs
PULMICORT FLEXHALER 90MCG AEROSOL POWDER BREATH ACTIVATED
(Budesonide)
60 METERED DOSES CTR0018609170623
PDPs
126
MAPDs
PYLERA CAPSULE
(Bismuth Subcit-Metronidazole-Tetracycline)
120 EA  5891406012023
PDPs
114
MAPDs
QNASL CHILDREN'S 40 MCG SPRAY
(contains Beclomethasone)
   593100206067
PDPs
70
MAPDs
QNASL 80 MCG NASAL SPRAY
(contains Beclomethasone)
8.7 GM  593100210127
PDPs
76
MAPDs
QVAR 40 MCG ORAL INHALER
(Beclomethasone Dipropionate)
8.7 GM  5931002021264
PDPs
326
MAPDs
QVAR 80 MCG ORAL INHALER
(Beclomethasone Dipropionate)
8.7 GM  5931002041264
PDPs
317
MAPDs
REGRANEX 0.01% GEL
(Becaplermin)
15 GM  0006408101543
PDPs
240
MAPDs
RHINOCORT AQUA NASAL SPRAY 32 MCG/SPRAY
(Budesonide Nasal)
1 X 8.6 GM CTR001861070088
PDPs
43
MAPDs
SIMBRINZA 1%-0.2% EYE DROPS
(brinzolamide / brimonidine tartrate)
8 ML  0006541472754
PDPs
198
MAPDs
SIMULECT 20MG VIAL
(Basiliximab For IV)
1 VIALSD0007803318446
PDPs
237
MAPDs
SIRTURO 100 MG TABLET
(Bedaquiline Fumarate)
   5967607010140
PDPs
244
MAPDs
SODIUM PHENYLBUTYRATE POWDER
(Sodium Phenylbutyrate)
250 GM  4279400861453
PDPs
235
MAPDs
SUBOXONE 12 MG-3 MG SL FILM
(Buprenorphine HCl-Naloxone HCl SL)
   1249612120359
PDPs
249
MAPDs
Suboxone 2; 0.5mg/1; mg/1 30 POUCH per CARTON / 1 FILM, SOLUBLE in 1 POUCH
(Buprenorphine HCl-Naloxone HCl SL)
30 POUCH in 1 CARTON / 1  1249612020361
PDPs
252
MAPDs
SUBOXONE 4 MG-1 MG SL FILM
(Buprenorphine HCl-Naloxone HCl SL)
   1249612040359
PDPs
250
MAPDs
Suboxone 8; 2mg/1; mg/1 30 POUCH per CARTON / 1 FILM, SOLUBLE in 1 POUCH
(Buprenorphine HCl-Naloxone HCl SL)
30 POUCH in 1 CARTON / 1  1249612080361
PDPs
252
MAPDs
SYMBICORT 160-4.5MCG HFA AEROSOL WITH ADAPTER
(Budesonide-Formoterol Fumarate Dihyd)
120 INHL0018603702056
PDPs
288
MAPDs
SYMBICORT 80; 4.5ug/1; ug/1 1 POUCH in 1 CARTON / 1 CANISTER in 1 POUCH / 120 AEROSOL in 1 CANISTER
(Budesonide-Formoterol Fumarate Dihyd)
1 POUCH in 1 CARTON / 1 C  0018603722056
PDPs
277
MAPDs
TARGRETIN 75 MG CAPSULE
(Bexarotene)
100 EA  0018755267567
PDPs
347
MAPDs
Tencon 50-325 mg tablet
(Butalbital-Acetaminophen)
   1158400300110
PDPs
70
MAPDs
BCG VACCINE 50mg/1 1 VIAL per CARTON / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION in 1 VIAL
(BCG Live Intravesical For)
1 VIAL in 1 CARTON / 1 IN  0005206030257
PDPs
296
MAPDs
TOBRAMYCIN 300 MG/5 ML AMPULE [Bethkis, Tobi, Tobi Podhaler, Tobramycin Sulfate]
()
5 ML  0009340856364
PDPs
307
MAPDs
TRACLEER 125MG TABLET
(Bosentan)
60 BOT6621501020667
PDPs
343
MAPDs
TRACLEER 62.5MG TABLET
(Bosentan)
60 BOT6621501010667
PDPs
343
MAPDs
TREANDA FOR INJECTION 100MG/VIAL
(Bendamustine HCl For IV)
1 VIALSU6345903912065
PDPs
326
MAPDs
TREANDA 45 MG/0.5 ML VIAL
(Bendamustine HCl For IV)
   6345903950265
PDPs
335
MAPDs
UCERIS 2 MG RECTAL FOAM
(budesonide)
   656490651035
PDPs
53
MAPDs
UCERIS 9 MG ER TABLET
(budesonide)
   6801203093034
PDPs
152
MAPDs
Urecholine 10mg/1 100 TABLET BOTTLE
(Bethanechol Chloride)
100 TABLET BOTTLE  512850690025
PDPs
32
MAPDs
Urecholine 25mg/1 100 TABLET BOTTLE
(Bethanechol Chloride)
100 TABLET BOTTLE  512850691025
PDPs
32
MAPDs
Urecholine 5mg/1 100 TABLET BOTTLE
(Bethanechol Chloride)
100 TABLET BOTTLE  512850697025
PDPs
32
MAPDs
Urecholine 50mg/1 100 TABLET BOTTLE
(Bethanechol Chloride)
100 TABLET BOTTLE  512850692025
PDPs
32
MAPDs
VANATOL LQ ORAL SOLUTION
(Butalbital, Acetaminophen and Caffeine)
   588090820162
PDPs
14
MAPDs
VELCADE 3.5MG VIAL
(Bortezomib For)
1 VIALSU6302000490167
PDPs
347
MAPDs
WELLBUTRIN 100MG TABLET
(Bupropion HCl)
100 BOT0017301785510
PDPs
45
MAPDs
WELLBUTRIN 75MG TABLET
(Bupropion HCl)
100 BOT0017301775510
PDPs
45
MAPDs
WELLBUTRIN SR 100MG TABLET SA
(Bupropion HCl)
60 BOT0017309475510
PDPs
45
MAPDs
WELLBUTRIN SR 150MG TABLET SA
(Bupropion HCl)
60 X 150 MG TABLETS BOT0017301355510
PDPs
45
MAPDs
WELLBUTRIN SR 200MG TABLET SA
(Bupropion HCl)
60 BOT0017307220010
PDPs
45
MAPDs
WELLBUTRIN XL 150 MG TABLET
(Bupropion HCl)
30 EA  0018707303010
PDPs
39
MAPDs
WELLBUTRIN XL 300 MG TABLET
(Bupropion HCl)
30 EA  0018707313010
PDPs
39
MAPDs
Xeomin 50[USP'U]/1 1 VIAL, SINGLE-USE per CARTON / 1 INJECTION, POWDER, LYOPHILIZED, FOR SOLUTION
(BOTULINUM TOXIN TYPE A)
1 VIAL, SINGLE-USE in 1 C  0025916050112
PDPs
65
MAPDs
Zebeta 10mg/1 30 TABLET BOTTLE
(Bisoprolol Fumarate)
30 TABLET in 1 BOTTLE  512850061017
PDPs
29
MAPDs
ZEBETA 5MG TABLET
(Bisoprolol Fumarate)
30 BOT512850060017
PDPs
29
MAPDs
ZIAC 10-6.25MG TABLET
(Bisoprolol & Hydrochlorothiazide)
30 BOT5128500400110
PDPs
45
MAPDs
ZIAC 2.5-6.25MG TABLET
(Bisoprolol & Hydrochlorothiazide)
100 BOT5128500470210
PDPs
45
MAPDs
ZIAC 5-6.25MG TABLET
(Bisoprolol & Hydrochlorothiazide)
100 BOT5128500500210
PDPs
45
MAPDs
ZUBSOLV 1.4-0.36 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)
30 EA  5412309143013
PDPs
121
MAPDs
ZUBSOLV 5.7-1.4 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)
30 EA  5412309573013
PDPs
121
MAPDs
ZUBSOLV 8.6-2.1 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)
   5412309863012
PDPs
119
MAPDs
ZYBAN 150mg/1 60 FILM COATED TABLETS in BOTTLE
(Bupropion HCl (Smoking Deterrent))
60 TABLET, FILM COATED in  0017305560110
PDPs
41
MAPDs



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


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  • 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.