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2015 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 2015 Formularies
PDPsMAPDs
ACTIQ 400MCG LOZENGE
(Fentanyl Citrate)		30 BOT6345905043012
PDPs		45
MAPDs
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
ACTOPLUS MET 15MG/500MG TABLET
(Pioglitazone HCl-Metformin HCl)		60 BOT647640155604
PDPs		29
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
ADDERALL XR 20MG CAPSULE SA
(Amphetamine-Dextroamphetamine)		100 BOT540920387018
PDPs		33
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
ALPHAGAN P 0.15% EYE DROPS
(Brimonidine Tartrate Ophth)		15 ML BOTDR0002391771518
PDPs		57
MAPDs
ALTACE 10MG CAPSULE (100 CT)
(Ramipril)		100 CAPS BOTPL615700120019
PDPs		28
MAPDs
ANDROGEL 1% (50MG) GEL PACKET
(Testosterone)		3O X 5GM PKT CRTN0005184503051
PDPs		268
MAPDs
ARICEPT 10MG TABLET
(Donepezil HCL)		30 BOT628560246307
PDPs		29
MAPDs
ARIMIDEX 1MG TABLET
(Anastrozole)		30 BLPK0031002013010
PDPs		48
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
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  1558401010167
PDPs		347
MAPDs
AVODART 0.5MG SOFTGEL
(Dutasteride)		90 BOT0017307120458
PDPs		306
MAPDs
AVONEX ADMIN PACK 30MCG SYR
(Interferon Beta-1a)		1 X 4 PKGCOM5962700020547
PDPs		283
MAPDs
CASODEX 50mg 30 TABLET BOTTLE, PLASTIC
(Bicalutamide)		30 TABLET in 1 BOTTLE, PL  0031007053012
PDPs		41
MAPDs
CLARINEX 5 MG TABLET
(Desloratadine)		100 BOT000851264014
PDPs		24
MAPDs
CLOPIDOGREL 300 MG TABLET [Plavix]
(Clopidogrel)		   5511106713141
PDPs		248
MAPDs
CLOPIDOGREL 75 MG TABLET [Plavix]
(Clopidogrel)		30 EA  5511101963067
PDPs		347
MAPDs
COREG CR 10MG CAPSULE MULTIPHASIC RELEASE 24 HR
(Carvedilol Phosphate)		30 BOT0000733701329
PDPs		157
MAPDs
COSOPT PLUS EYE DROPS 22.3 MG/ML 6.8 MG/M
(Dorzolamide-Timolol Ophth)		10 ML BOTPL000063628368
PDPs		29
MAPDs
CRESTOR 10MG TABLET
(Rosuvastatin Calcium)		90 BOT0031007519064
PDPs		291
MAPDs
DEPAKOTE 500MG TABLET EC
(Divalproex Sodium)		500 BOT0007462155310
PDPs		44
MAPDs
DEPAKOTE ER 500MG TABLET
(Divalproex Sodium)		100 BOT0007471261310
PDPs		45
MAPDs
DETROL LA 4MG CAPSULE SA
(Tolterodine Tartrate)		90 BOT0000951910212
PDPs		73
MAPDs
DIFFERIN 0.1% GEL
(Adapalene)		45 GM TUBE002995910455
PDPs		27
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
EFFEXOR XR 75MG CAPSULE ER 15 CAPSULES BOT
(Venlafaxine HCl)		15 CAPSULES BOT000080833209
PDPs		39
MAPDs
ENDOCET 5/325 TABLET
(Oxycodone w/ Acetaminophen)		500 BOT6095106028562
PDPs		326
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
FEMARA 2.5MG TABLET
(Letrozole)		30 BOT0007802491510
PDPs		40
MAPDs
FENTORA TABLET 100MCG
(Fentanyl Citrate)		28 BLPK6345905412824
PDPs		135
MAPDs
FLOVENT HFA 110ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone Propionate HFA)		120 AEROSOL, METERED in 1  0017307192059
PDPs		317
MAPDs
FOCALIN XR 5MG CAPSULE
(Dexmethylphenidate HCl)		100 BOT000780430057
PDPs		54
MAPDs
FOSAMAX 70MG TABLET
(Alendronate Sodium)		4 BLPK000060031447
PDPs		31
MAPDs
FOSAMAX PLUS D 70; 5600mg/1; [iU]/1 4 TABLET per BLISTER PACK
(Alendronate Sodium-Cholecalciferol)		4 TABLET in 1 BLISTER PAC  0000602704415
PDPs		91
MAPDs
GLEEVEC 400MG TABLET
(Imatinib Mesylate)		30 BOT0007804381567
PDPs		347
MAPDs
Humira 2 KIT per CARTON / 1 KIT in 1 KIT
(Adalimumab)		2 KIT in 1 CARTON / 1 KIT  0007437990265
PDPs		347
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))		1 X 10 ML VIAL0000287150151
PDPs		268
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))		10 ML VIAL0000283150151
PDPs		269
MAPDs
HYZAAR 100-25MG TABLET (90 CT)
(Losartan Potassium & Hydrochlorothiazide)		90 BOT000060747549
PDPs		28
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)		60 BOT0000602276167
PDPs		347
MAPDs
JANUMET 50MG-500MG TABLET
(Sitagliptin-Metformin HCl)		180 BOT0000605756264
PDPs		327
MAPDs
JANUVIA 25MG TABLET
(Sitagliptin Phosphate)		30 BOT0000602213164
PDPs		333
MAPDs
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)		120 BOT0007467992267
PDPs		347
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)		120 TABS BOT5047405954010
PDPs		43
MAPDs
LAMICTAL 100MG TABLET
(Lamotrigine)		100 BOT0017306425512
PDPs		42
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
LYRICA 50MG CAPSULE
(Pregabalin)		90 BOT0007110136867
PDPs		347
MAPDs
MICARDIS 80MG TABLET
(Telmisartan)		3 X 10 BLPK0059700413717
PDPs		44
MAPDs
MICARDIS HCT 80/12.5MG TABLET
(Telmisartan-Hydrochlorothiazide)		3 X 10 BLPK0059700443712
PDPs		48
MAPDs
MIRAPEX 0.25MG TABLET
(Pramipexole DiHCL)		90 BOT005970184908
PDPs		29
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
NIASPAN ER 500MG TABLET (90 CT)
(Niacin)		90 BOTPL0007430749011
PDPs		62
MAPDs
NORVIR 100mg/1 30 CAPSULE BOTTLE
(Ritonavir)		30 CAPSULE in 1 BOTTLE  0007466333067
PDPs		347
MAPDs
NUVARING 0.12-0.015 RING VAGINAL
(Etonogestrel-Ethinyl Estradiol VA)		3 POU0005202730332
PDPs		218
MAPDs
OCELLA 3MG/0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)		3 X 28 PKG0055591316754
PDPs		242
MAPDs
PATANOL 0.1% EYE DROPS
(Olopatadine HCl Ophth)		5 ML BOT0006502710556
PDPs		263
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
PROVENTIL HFA INHALER 90MCG AE
(Albuterol Sulfate)		6.7 GM (200 INHALATIONS) CSTR0008511320112
PDPs		142
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
RELPAX 40MG TABLET 6X2 BLPK
(Eletriptan Hydrobromide)		6 X 2 BLPK0004923400524
PDPs		138
MAPDs
REVLIMID 5MG CAPSULE
(Lenalidomide)		100 BOT5957204050067
PDPs		347
MAPDs
REYATAZ 150MG CAPSULE
(Atazanavir Sulfate)		100 BOT0000336241267
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
RISPERDAL 1MG TABLET
(Risperidone)		500 BOT5045803005010
PDPs		38
MAPDs
SENSIPAR 30MG TABLET
(Cinacalcet HCl)		30 BOT5551300733067
PDPs		347
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
STRATTERA 40MG CAPSULE
(Atomoxetine HCl)		30 BOT0000232293064
PDPs		341
MAPDs
SUSTIVA 600MG TABLET
(Efavirenz)		30 BOT0005605103067
PDPs		347
MAPDs
SYNTHROID 100MCG TABLET
(Levothyroxine Sodium)		1000 BOT0007466241955
PDPs		278
MAPDs
TARCEVA 150MG TABLET
(Erlotinib)		30 BOT5024200640167
PDPs		347
MAPDs
THALOMID 100MG CAPSULE 140 BOX
(Thalidomide)		140 BOX5957202109567
PDPs		347
MAPDs
TOBRADEX SUSPENSION OPHTHALMIC 0.1%/0.3% 5ML BOT
(Tobramycin Sulfate)		5 ML BOT0006506470510
PDPs		45
MAPDs
TRILEPTAL 300MG TABLET
(Oxcarbazepine)		100 BOT0007803370512
PDPs		45
MAPDs
TRUVADA 200/300MG TABLET
(Emtricitabine-Tenofovir Disoproxil Fumarate)		   6195807010167
PDPs		347
MAPDs
VALCYTE 450MG TABLET
(Valganciclovir HCl)		60 TABLETS BOT0000400382246
PDPs		210
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
VALTREX 500MG TABLET
(Valacyclovir HCl)		90 BOT001730933108
PDPs		33
MAPDs
VERAMYST 27.5MCG SPRAY SUSPENSION
(Fluticasone Furoate Nasal)		120 BOTGL0017307530012
PDPs		111
MAPDs
VESICARE 5MG TABLET (90 CT)
(Solifenacin Succinate)		90 BOT5124801500358
PDPs		269
MAPDs
VIGAMOX 0.5% EYE DROPS
(Moxifloxacin HCl Ophth)		3 ML BOTPL0006540130360
PDPs		307
MAPDs
VIREAD 300MG TABLET
(Tenofovir Disoproxil Fumarate)		   6195804010167
PDPs		347
MAPDs
VYVANSE 30MG CAPSULE
(Lisdexamfetamine Dimesylate)		100 BOT5941701031010
PDPs		80
MAPDs
WELCHOL 625MG TABLET
(Colesevelam HCl)		180 BOTPL6559707011864
PDPs		338
MAPDs
XALATAN EYE DROPS 125MCG 2.5ML BOTPL
(Latanoprost Ophth)		2.5 ML BOTPL000138303044
PDPs		27
MAPDs
YASMIN 28 3-0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)		21 YELLOW + 7 WHITE X 3 BOX5041904020310
PDPs		53
MAPDs
YAZ 3-0.02MG TABLET
(Drospirenone-Ethinyl Estradiol)		24 X 3 BOX5041904050310
PDPs		60
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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