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2017 Medicare Part D Formulary Search By Drug Letter

Select a Letter below:

Drug Names Containing the Letter O 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 2017 Formularies
PDPsMAPDs
ALOGLIPTIN-PIOGLIT 12.5-15 MG [Oseni]
(Alogliptin / Pioglitazone)
   458020238652
PDPs
38
MAPDs
ALOGLIPTIN-PIOGLIT 12.5-30 MG [Oseni]
(Alogliptin / Pioglitazone)
   458020260652
PDPs
38
MAPDs
ALOGLIPTIN-PIOGLIT 12.5-45 MG [Oseni]
(Alogliptin / Pioglitazone)
   458020304652
PDPs
38
MAPDs
ALOGLIPTIN-PIOGLIT 25-15 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)
   458020351652
PDPs
38
MAPDs
ALOGLIPTIN-PIOGLIT 25-30 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)
   458020402652
PDPs
38
MAPDs
ALOGLIPTIN-PIOGLIT 25-45 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)
   458020499652
PDPs
38
MAPDs
ANADROL-50 TABLET
(Oxymetholone)
100 EA  6822000551057
PDPs
332
MAPDs
BENICAR 20MG TABLET
(Olmesartan Medoxomil)
90 BOT6559701039021
PDPs
142
MAPDs
BENICAR 40MG TABLET
(Olmesartan Medoxomil)
90 BOT6559701049021
PDPs
142
MAPDs
BENICAR 5MG TABLET
(Olmesartan Medoxomil)
30 BOT6559701013021
PDPs
142
MAPDs
BENICAR HCT 20-12.5MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)
90 BOT6559701059021
PDPs
140
MAPDs
BENICAR HCT TABLET 12.5-40MG (30 CT)
(Olmesartan Medoxomil-Hydrochlorothiazide)
30 BOT6559701063021
PDPs
140
MAPDs
BENICAR HCT 40-25MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)
90 BOT6559701079021
PDPs
138
MAPDs
DAYPRO 600MG CAPLET
(Oxaprozin)
100 BOT000251381314
PDPs
8
MAPDs
DIPENTUM 250 MG CAPSULE
(Olsalazine Sodium)
   0003768601044
PDPs
308
MAPDs
DITROPAN XL 10 MG TABLET
(Oxybutynin Chloride)
100 EA  504580810014
PDPs
9
MAPDs
DITROPAN XL 15 MG TABLET
(Oxybutynin Chloride)
100 EA  504580815014
PDPs
9
MAPDs
DITROPAN XL 5 MG TABLET
(Oxybutynin Chloride)
100 EA  504580805014
PDPs
9
MAPDs
ENDOCET 10MG-325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT6095107127057
PDPs
307
MAPDs
ENDOCET 5/325 TABLET
(Oxycodone w/ Acetaminophen)
500 BOT6095106028557
PDPs
314
MAPDs
ENDOCET 7.5-325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT6095107007057
PDPs
306
MAPDs
GELNIQUE 100mg/g 30 PACKET per CARTON / 1 g in 1 PACKET
(Oxybutynin Chloride)
30 PACKET in 1 CARTON / 1  525440084305
PDPs
52
MAPDs
LARTRUVO 500 MG/50 ML VIAL
(Olaratumab)
   0000289260143
PDPs
266
MAPDs
LOVAZA 1 GM CAPSULE
(Omega-3-acid Ethyl Esters)
120 EA  001730884084
PDPs
20
MAPDs
LYNPARZA 50 MG CAPSULE
(Olaparib)
   0031006575857
PDPs
334
MAPDs
OCALIVA 10 MG TABLET
(OBETICHOLIC ACID)
30.000 EA  6951600103022
PDPs
163
MAPDs
OCALIVA 5 MG TABLET
(OBETICHOLIC ACID)
30.000 EA  6951600053022
PDPs
163
MAPDs
OCELLA 3MG/0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)
3 X 28 PKG0055591316751
PDPs
266
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)
   6898208500135
PDPs
203
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)
   6898208400135
PDPs
201
MAPDs
OCTREOTIDE 1,000 mcg/ml vial
(Octreotide Acetate)
   0070333430157
PDPs
329
MAPDs
OCTREOTIDE ACETATE 100 mcg/ml amp
(Octreotide Acetate)
   0070333110157
PDPs
325
MAPDs
OCTREOTIDE ACETATE 200 mcg/ml vl
(Octreotide Acetate)
   0070333330157
PDPs
325
MAPDs
OCTREOTIDE ACETATE 50 mcg/ml amp
(Octreotide Acetate)
   0070333010157
PDPs
325
MAPDs
OCTREOTIDE ACETATE 500 mcg/ml amp
(Octreotide Acetate)
   0070333210157
PDPs
323
MAPDs
OCUFEN 0.03% EYE DROPS
(Flurbiprofen Sodium Ophth)
2.5 ML BOT119800801031
PDPs
8
MAPDs
OCUFLOX 0.3% EYE DROPS
(Ofloxacin Ophth)
5 ML BOT119800779054
PDPs
9
MAPDs
OCUTRICIN EYE OINTMENT 400UNT/3.5MG/10UNT
(Bacitracin-Polymyxin-Neomycin Ophth)
3.5 GRAM TUBE2420807805555
PDPs
328
MAPDs
ODEFSEY TABLET
(Emtricitabine, Rilpivirine Hydrochloride, and Tenofovir Alafenamide Fumarate)
   6195821010157
PDPs
334
MAPDs
ODOMZO 200 MG CAPSULE
(Sonidegib)
   0007806451557
PDPs
334
MAPDs
OFEV 100 MG CAPSULE
(Nintedanib)
60 EA  0059701436051
PDPs
334
MAPDs
OFEV 150 MG CAPSULE
(Nintedanib)
60 EA  0059701456057
PDPs
324
MAPDs
OFLOXACIN 0.3% EAR DROPS
(Ofloxacin)
10 ML  6050503630257
PDPs
328
MAPDs
Ofloxacin 300 mg tablet
(Ofloxacin)
   7583401190127
PDPs
207
MAPDs
OFLOXACIN 400MG TABLET (100 CT)
(Ofloxacin)
100 BOT5511101620135
PDPs
260
MAPDs
OFLOXACIN 0.3 % DRP
(Ofloxacin Ophth)
5 ML  1747807131057
PDPs
328
MAPDs
OGESTREL TABLET 0.05MG/0.5MG
(Norgestrel & Ethinyl Estradiol)
3X28 BLPK5254408482830
PDPs
212
MAPDs
OLANZAPINE 10 MG TABLET [Zyprexa]
(Olanzapine)
   0009357700157
PDPs
334
MAPDs
OLANZAPINE 10 MG VIAL [Zyprexa]
(Olanzapine)
   0078131597257
PDPs
333
MAPDs
OLANZAPINE ODT 10 MG TABLET [Zyprexa]
(Olanzapine)
   4988403215557
PDPs
334
MAPDs
OLANZAPINE 15 MG TABLET [Zyprexa]
(Olanzapine)
   0009357710157
PDPs
334
MAPDs
OLANZAPINE ODT 15 MG TABLET [Zyprexa]
(Olanzapine)
   4988403225557
PDPs
334
MAPDs
OLANZAPINE 2.5 MG TABLET [Zyprexa]
(Olanzapine)
1000 EA  0009357671057
PDPs
334
MAPDs
OLANZAPINE 20 MG TABLET [Zyprexa]
(Olanzapine)
   0009351050157
PDPs
334
MAPDs
OLANZAPINE ODT 20 MG TABLET [Zyprexa]
(Olanzapine)
   4988403235557
PDPs
334
MAPDs
OLANZAPINE ODT 5 MG TABLET [Zyprexa]
(Olanzapine)
   4988403205557
PDPs
334
MAPDs
OLANZAPINE 5 MG TABLET [Zyprexa]
(Olanzapine)
1000 EA  0009357681057
PDPs
334
MAPDs
OLANZAPINE 7.5 MG TABLET [Zyprexa]
(Olanzapine)
   0009357695657
PDPs
334
MAPDs
OLANZAPINE-FLUOXETINE 12-25 MG
(Olanzapine-Fluoxetine HCl)
30 EA  0009355065614
PDPs
171
MAPDs
OLANZAPINE-FLUOXETINE 12-50 MG
(Olanzapine-Fluoxetine HCl)
30 EA  0009355075614
PDPs
171
MAPDs
olanzapine-fluoxetine 3-25 mg
(Olanzapine-Fluoxetine HCl)
   4988402771114
PDPs
171
MAPDs
OLANZAPINE-FLUOXETINE 6-25 MG
(Olanzapine-Fluoxetine HCl)
30 EA  0009355045614
PDPs
165
MAPDs
OLANZAPINE-FLUOXETINE 6-50 MG
(Olanzapine-Fluoxetine HCl)
30 EA  0009355055614
PDPs
171
MAPDs
OLMESARTAN MEDOXOMIL 20 MG TAB [Benicar]
(Olmesartan Medoxomil)
90.000 EA  0037871127742
PDPs
246
MAPDs
OLMESARTAN MEDOXOMIL 40 MG TAB [Benicar]
(Olmesartan Medoxomil)
30.000 EA  0037871249342
PDPs
246
MAPDs
OLMESARTAN MEDOXOMIL 5 MG TAB [Benicar]
(Olmesartan Medoxomil)
30.000 EA  0037870129342
PDPs
246
MAPDs
olmsrtn-amldpn-hctz 20-5-12.5 [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
   4988407860936
PDPs
209
MAPDs
olmsrtn-amldpn-hctz 40-10-12.5 [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
   4988407890936
PDPs
209
MAPDs
olmsrtn-amldpn-hctz 40-10-25mg [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
   4988407900936
PDPs
209
MAPDs
olmsrtn-amldpn-hctz 40-5-12.5 [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
   4988407870936
PDPs
209
MAPDs
olmsrtn-amldpn-hctz 40-5-25 mg [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
   4988407880936
PDPs
209
MAPDs
OLMESARTAN-HCTZ 20-12.5 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
90.000 EA  0037814137742
PDPs
247
MAPDs
OLMESARTAN-HCTZ 40-12.5 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
90.000 EA  0037814227742
PDPs
247
MAPDs
OLMESARTAN-HCTZ 40-25 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
90.000 EA  0037814257742
PDPs
247
MAPDs
OLOPATADINE HCL 0.1% EYE DROPS
(OLOPATADINE HCL)
5 ML  6050505750132
PDPs
251
MAPDs
OLOPATADINE 665 MCG NASAL SPRY
(Olopatadine HCl Nasal)
30.5 GM  6050508450524
PDPs
177
MAPDs
OLUX 0.05% FOAM
(Clobetasol Propionate)
100 GM  400760031001
PDPs
6
MAPDs
OLYSIO 150 MG CAPSULE
(simeprevir)
   5967602252824
PDPs
139
MAPDs
OMEGA-3 ETHYL ESTERS 1 GM CAPSULE [Lovaza]
(Omega-3-acid Ethyl Esters)
120 EA  0009354018947
PDPs
298
MAPDs
OMEPRAZOLE 10MG CAPSULE DELAYED RELEASE (30 CT)
(Omeprazole)
30 BOT0037852119357
PDPs
333
MAPDs
Omeprazole 20mg DELAYED RELEASE 100 CAPSULE BOTTLE
(Omeprazole)
100 CAPSULE BOTTLE  0037861500157
PDPs
334
MAPDs
OMEPRAZOLE-BICARB 20-1,100 CAP
(Omeprazole)
   686820102308
PDPs
61
MAPDs
Omeprazole-bicarb 20-1,680 pkt
(Omeprazole)
   272410029627
PDPs
63
MAPDs
OMEPRAZOLE CAPSULES DELAYED RELEASE 40 MG
(Omeprazole)
30 BOT6217501363257
PDPs
332
MAPDs
OMEPRAZOLE-BICARB 40-1,100 CAP
(Omeprazole)
   686820104308
PDPs
61
MAPDs
Omeprazole-bicarb 40-1,680 pkt
(Omeprazole)
   272410030627
PDPs
62
MAPDs
OMNARIS 50MCG SPRAY NON-AEROSOL
(Ciclesonide Nasal)
120 METERED ACTUATIONS BOTPU634020701017
PDPs
57
MAPDs
OMNIPRED OPHTHALMIC SUSPENSION 1% 10 ML BOTPL
(Prednisolone Acetate Ophth)
10 ML BOTPL000650638255
PDPs
11
MAPDs
OMNITROPE INJECTION 10MG/1.5ML 10MG X 1.5ML CTG
(Somatropin For)
10MG X 1.5ML CTG0078130040728
PDPs
182
MAPDs
OMNITROPE INJECTION 5MG/1.5ML 1.5 ML CTG
(Somatropin For)
1.5 ML CTG0078130010728
PDPs
182
MAPDs
OMNITROPE FOR INJECTION KIT 5.8MG 1 BOX PKGCOM
(Somatropin For)
1 BOX PKGCOM0078140043627
PDPs
168
MAPDs
Ondansetron 2mg/mL 25 VIAL in 1 CARTON / 2 mL in 1 VIAL
(Ondansetron)
25 VIAL in 1 CARTON / 2 m  0070372210457
PDPs
332
MAPDs
ONDANSETRON 4 MG/2 ML ISECURE
(Ondansetron)
   0040911201152
PDPs
305
MAPDs
ONDANSETRON HCL 24 MG TABLET
(Ondansetron HCl)
1 EA  5511101561157
PDPs
327
MAPDs
ONDANSETRON HCL 4 MG TABLET
(Ondansetron HCl)
30.000 EA  6787701693057
PDPs
334
MAPDs
ONDANSETRON HCL 4MG/5ML SOLUTION ORAL
(Ondansetron HCl)
50 ML BOT0005400644755
PDPs
323
MAPDs
ONDANSETRON HCL 8 MG TABLET
(Ondansetron HCl)
   5107905250157
PDPs
334
MAPDs
ONDANSETRON ODT 4MG TABLET (30 CT)
(Ondansetron Orally Disintegrating)
30 BOT0037877329357
PDPs
334
MAPDs
ONDANSETRON ODT 8MG (10 CT)
(Ondansetron Orally Disintegrating)
10 BOT0037877349757
PDPs
334
MAPDs
ONEXTON GEL PUMP
(Clindamycin / Benzoyl Peroxide)
   001873050502
PDPs
24
MAPDs
ONFI 10 MG TABLET
(Clobazam)
100 EA  6738603140157
PDPs
334
MAPDs
ONFI 2.5 MG/ML SUSPENSION
(Clobazam)
120 ML  6738603132157
PDPs
334
MAPDs
ONFI 20 MG TABLET
(Clobazam)
100 EA  6738603150157
PDPs
334
MAPDs
ONGLYZA 2.5 MG TABLET
(Saxagliptin HCl)
90 EA  0031061009025
PDPs
179
MAPDs
ONGLYZA 5 MG TABLET
(Saxagliptin HCl)
90 EA  0031061059025
PDPs
179
MAPDs
ONMEL 200 MG TABLET
(itraconazole)
   0025914202810
PDPs
58
MAPDs
ONZETRA XSAIL 11 MG
(Sumatriptan)
   645970311083
PDPs
19
MAPDs
OPANA 10MG TABLET
(Oxymorphone HCl)
100 BOT634810613702
PDPs
19
MAPDs
OPANA 5MG TABLET
(Oxymorphone HCl)
100 BOT634810612702
PDPs
19
MAPDs
OPANA ER 10 MG TABLET
(Oxymorphone HCl)
60 EA  6348108146020
PDPs
104
MAPDs
OPANA ER 15 MG TABLET
(Oxymorphone HCl)
60 EA  6348108156020
PDPs
104
MAPDs
OPANA ER 20 MG TABLET
(Oxymorphone HCl)
60 EA  6348108166020
PDPs
104
MAPDs
OPANA ER 30 MG TABLET
(Oxymorphone HCl)
60 EA  6348108176020
PDPs
104
MAPDs
OPANA ER 40 MG TABLET
(Oxymorphone HCl)
60 EA  6348108186020
PDPs
105
MAPDs
OPANA ER 5 MG TABLET
(Oxymorphone HCl)
60 EA  6348108126020
PDPs
104
MAPDs
OPANA ER 7.5 MG TABLET
(Oxymorphone HCl)
60 EA  6348108136020
PDPs
104
MAPDs
OPDIVO 40 MG/4 ML VIAL
(Nivolumab)
   0000337721140
PDPs
271
MAPDs
OPSUMIT 10 MG TABLET
(macitentan)
30 EA  6621505013046
PDPs
312
MAPDs
ORACEA CAPSULES 40MG 30 BOT
(Doxycycline (Rosacea))
30 BOT0029938223012
PDPs
68
MAPDs
ORALAIR 300 IR SUBLINGUAL TAB
(Grass Pollen Allergen Extract)
30 EA  5961700150213
PDPs
64
MAPDs
ORAP 1MG TABLET
(Pimozide)
100 BOT578440151017
PDPs
37
MAPDs
ORAPRED ODT 10 MG TABLET
(Prednisolone Sod Phosphate Oral)
   592120700483
PDPs
13
MAPDs
ORAPRED ODT 15 MG TABLET
(Prednisolone Sod Phosphate Oral)
   592120701481
PDPs
10
MAPDs
ORAPRED ODT 30 MG TABLET
(Prednisolone Sod Phosphate Oral)
   592120702481
PDPs
10
MAPDs
ORAVIG 50 MG BUCCAL TABLET
(Miconazole)
   891410250143
PDPs
53
MAPDs
ORBACTIV 400 MG VIAL
(Oritavancin)
   652930015036
PDPs
61
MAPDs
ORENCIA CLICKJECT 125 MG/ML
(Abatacept For IV)
   0000321885127
PDPs
215
MAPDs
ORENCIA 125 MG/ML SYRINGE
(Abatacept For IV)
1 ML  0000321881127
PDPs
229
MAPDs
ORENCIA 250MG VIAL
(Abatacept For IV)
1 VIAL0000321871026
PDPs
220
MAPDs
ORENITRAM ER 0.125 MG TABLET
(treprostinil)
   6630203000114
PDPs
119
MAPDs
ORENITRAM ER 0.25 MG TABLET
(treprostinil)
   6630203020114
PDPs
120
MAPDs
ORENITRAM ER 1 MG TABLET
(treprostinil)
   6630203100114
PDPs
120
MAPDs
ORENITRAM ER 2.5 MG TABLET
(treprostinil)
   6630203250114
PDPs
120
MAPDs
ORFADIN 10 MG CAPSULE
(Nitisinone)
60 EA  6665801106057
PDPs
307
MAPDs
ORFADIN 2 MG CAPSULE
(Nitisinone)
60 EA  6665801026057
PDPs
307
MAPDs
ORFADIN 4 MG/ML SUSPENSION
(Nitisinone)
90 ML  6665802049057
PDPs
273
MAPDs
ORFADIN 5 MG CAPSULE
(Nitisinone)
60 EA  6665801056057
PDPs
307
MAPDs
ORKAMBI 100 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)
112.000 EA  5116707000257
PDPs
323
MAPDs
ORKAMBI 200 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)
112 EA  5116708090157
PDPs
334
MAPDs
Orphenadrine Citrate 100mg/1 500 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Orphenadrine Citrate)
500 TABLET, EXTENDED RELE  433860480266
PDPs
127
MAPDs
Orphenadrine 30 mg/ml vial
(Orphenadrine Citrate)
   174780538028
PDPs
79
MAPDs
Ortho Micronor 0.35mg/1 6 BLISTER PACK per CARTON / 28 TABLET per BLISTER PACK
(Norethindrone)
6 BLISTER PACK in 1 CARTO  504580194165
PDPs
30
MAPDs
Ortho Tri-Cyclen 6 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK
(Norgestimate-Eth Estrad)
6 BLISTER PACK in 1 CARTO  504580191154
PDPs
14
MAPDs
ORTHO TRI CYCLEN Lo 6 DIALPACK per CARTON / 1 KIT in 1 DIALPACK
(Norgestimate-Eth Estrad)
6 DIALPACK in 1 CARTON /  504580251156
PDPs
26
MAPDs
Ortho Cyclen 6 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK
(Norgestimate & Ethinyl Estradiol)
6 BLISTER PACK in 1 CARTO  504580197155
PDPs
25
MAPDs
Ortho Novum 135 6 DIALPACK in 1 CARTON / 1 KIT in 1 DIALPACK
(Norethindrone-Eth Estradiol)
6 DIALPACK in 1 CARTON /  504580176155
PDPs
26
MAPDs
Ortho-Novum 777 6 DIALPACK per CARTON / 1 KIT in 1 DIALPACK
(Norethindrone-Eth Estradiol)
6 DIALPACK in 1 CARTON /  504580178155
PDPs
26
MAPDs
OSELTAMIVIR PHOS 30 MG CAPSULE [Tamiflu]
(Oseltamivir Phosphate)
10.000 EA  4778104681357
PDPs
315
MAPDs
OSELTAMIVIR PHOS 45 MG CAPSULE [Tamiflu]
(Oseltamivir Phosphate)
10.000 EA  4778104691357
PDPs
315
MAPDs
OSELTAMIVIR PHOS 75 MG CAPSULE [Tamiflu]
(Oseltamivir Phosphate)
10.000 EA  4778104701357
PDPs
316
MAPDs
OSENI 12.5-15 MG TABLET
(alogliptin / pioglitazone)
   647640121034
PDPs
60
MAPDs
OSENI 12.5-30 MG TABLET
(alogliptin / pioglitazone)
   647640123034
PDPs
60
MAPDs
OSENI 12.5-45 MG TABLET
(alogliptin / pioglitazone)
   647640124034
PDPs
60
MAPDs
OSENI 25-15 MG TABLET
(alogliptin / pioglitazone)
   647640251034
PDPs
60
MAPDs
OSENI 25-30 MG TABLET
(alogliptin / pioglitazone)
   647640253034
PDPs
58
MAPDs
OSENI 25-45 MG TABLET
(alogliptin / pioglitazone)
   647640254034
PDPs
58
MAPDs
OSMOPREP TABLET 1.5GM
(Sod Phos Mono-Sod Phos Di)
100 BOT6564907014110
PDPs
64
MAPDs
OTEZLA 28 DAY STARTER PACK
(Apremilast)
   5957206325510
PDPs
151
MAPDs
OTEZLA 30 MG TABLET
(Apremilast)
60 EA  5957206310611
PDPs
160
MAPDs
OTOVEL 0.3%-0.025% EAR DROPS
(Ciprofloxacin and fluocinolone otic)
   243380080144
PDPs
59
MAPDs
OTREXUP 10 MG/0.4 ML AUTO-INJ
(Methotrexate)
   544360010027
PDPs
78
MAPDs
OTREXUP 12.5 MG/0.4 ML AUTOINJ
(methotrexate)
   544360012047
PDPs
79
MAPDs
OTREXUP 15 MG/0.4 ML AUTO-INJ
(Methotrexate)
   544360015027
PDPs
78
MAPDs
OTREXUP 17.5 MG/0.4 ML AUTOINJ
(methotrexate)
   544360017047
PDPs
79
MAPDs
OTREXUP 20 MG/0.4 ML AUTO-INJ
(Methotrexate)
   544360020027
PDPs
78
MAPDs
OTREXUP 22.5 MG/0.4 ML AUTOINJ
(methotrexate)
   544360022047
PDPs
79
MAPDs
OTREXUP 25 MG/0.4 ML AUTO-INJ
(Methotrexate)
   544360025027
PDPs
78
MAPDs
OVCON 35 72 CARTON in 1 CASE / 3 CELLO PACK per CARTON / 1 BLISTER PACK in 1 CELLO PACK / 1 KIT i
(Norethindrone & Ethinyl Estradiol)
72 CARTON in 1 CASE / 3 C  004300580455
PDPs
29
MAPDs
OVIDE 0.5% LOTION
(Malathion)
59 ML  516725293044
PDPs
16
MAPDs
OXACILLIN 10 GM VIAL
(Oxacillin Sodium For)
1 EA  2502101639936
PDPs
259
MAPDs
OXACILLIN 1GM/50ML INJ
(Oxacillin Sodium For)
50 ML BAG0033810134126
PDPs
179
MAPDs
OXACILLIN 2GM/50ML INJ
(Oxacillin Sodium For)
50 ML BAG0033810154126
PDPs
178
MAPDs
OXALIPLATIN 5 MG/ML INJECTABLE SOLUTION
(Oxaliplatin IV)
   6170303632248
PDPs
295
MAPDs
oxandrolone 10mg/1 60 TABLET BOTTLE
(Oxandrolone)
60 TABLET in 1 BOTTLE  0024502720657
PDPs
333
MAPDs
OXANDROLONE 2.5MG TABLETS
(Oxandrolone)
100 BOT 0024502711157
PDPs
334
MAPDs
OXAPROZIN 600MG TABLET
(Oxaprozin)
100 BOT0009309240132
PDPs
208
MAPDs
oxazepam 10 mg capsule
(Oxazepam)
 6258408120115
PDPs
148
MAPDs
Oxazepam 15mg/1
(Oxazepam)
   6258408130115
PDPs
148
MAPDs
oxazepam 30 mg capsule
(Oxazepam)
 6258408140115
PDPs
145
MAPDs
OXCARBAZEPINE 150MG TABLET
(Oxcarbazepine)
100 CRC BOT6275601838857
PDPs
334
MAPDs
OXCARBAZEPINE 300MG TABLET 500 NCRC BOT
(Oxcarbazepine)
500 NCRC BOT6275601841357
PDPs
334
MAPDs
OXCARBAZEPINE 300 MG/5 ML SUSP
(Oxcarbazepine)
   6516206497857
PDPs
332
MAPDs
OXCARBAZEPINE 600MG TABLET 500 NCRC BOT
(Oxcarbazepine)
500 NCRC BOT6275601851357
PDPs
334
MAPDs
OXICONAZOLE NITRATE 1% CREAM [Oxistat]
(Oxiconazole Nitrate)
   0016803586015
PDPs
101
MAPDs
OXISTAT 1% CREAM
(Oxiconazole Nitrate)
   103370358308
PDPs
32
MAPDs
OXISTAT 1% LOTION
(Oxiconazole Nitrate)
   1033703596013
PDPs
88
MAPDs
OXSORALEN-ULTRA 10MG CAP
(Methoxsalen)
50 BOT001870650424
PDPs
28
MAPDs
OXTELLAR XR 150 MG TABLET
(oxcarbazepine)
100 EA  177720121017
PDPs
133
MAPDs
OXTELLAR XR 300 MG TABLET
(oxcarbazepine)
100 EA  177720122017
PDPs
133
MAPDs
OXTELLAR XR 600 MG TABLET
(oxcarbazepine)
100 EA  177720123017
PDPs
133
MAPDs
OXYBUTYNIN 5MG TABLET
(Oxybutynin)
500 BOT0060349752857
PDPs
333
MAPDs
OXYBUTYNIN 5 MG/5 ML SYRUP
(Oxybutynin)
473.000 ML  6043200921657
PDPs
315
MAPDs
Oxybutynin Chloride 10mg/1 100 BLISTER PACK in 1 BOX, UNIT-DOSE / 1 TABLET, FILM COATED, EXTENDED R
(Oxybutynin Chloride)
100 BLISTER PACK in 1 BOX  5107907232055
PDPs
328
MAPDs
OXYBUTYNIN CHLORIDE TABLET ER 15MG (100 CT)
(Oxybutynin Chloride)
100 BOT0009352080155
PDPs
328
MAPDs
Oxybutynin Chloride 5mg/1 100 BLISTER PACK in 1 BOX, UNIT-DOSE / 1 TABLET, FILM COATED, EXTENDED RE
(Oxybutynin Chloride)
100 BLISTER PACK in 1 BOX  5107907222055
PDPs
328
MAPDs
OXYCODONE HCL ER 10 MG TABLET
(Oxycodone HCl)
100 EA  007815703015
PDPs
125
MAPDs
OXYCODONE HYDROCHLORIDE 10mg/1 100 TABLET BOTTLE
(Oxycodone HCl)
100 TABLET in 1 BOTTLE  1070200560157
PDPs
328
MAPDs
OXYCODONE HCL 100 MG/5 ML SOLN
(Oxycodone HCl)
30 ML  6668900253037
PDPs
265
MAPDs
OXYCODONE HCL ER 15 MG TABLET
(Oxycodone HCl)
   001151557015
PDPs
119
MAPDs
OXYCODONE HYDROCHLORIDE TABLETS 15MG 100 TABLETS BOTPL
(Oxycodone HCl)
100 TABLETS BOTPL0060349912157
PDPs
331
MAPDs
OXYCODONE HCL ER 20 MG TABLET
(Oxycodone HCl)
100 EA  007815726015
PDPs
125
MAPDs
OXYCODONE HYDROCHLORIDE 20mg/1 100 TABLET BOTTLE
(Oxycodone HCl)
100 TABLET in 1 BOTTLE  1070200570157
PDPs
328
MAPDs
OXYCODONE HCL ER 30 MG TABLET
(Oxycodone HCl)
   001151559015
PDPs
119
MAPDs
OXYCODONE HCL 30MG TABLET
(Oxycodone HCl)
100 BOT0040685300157
PDPs
329
MAPDs
OXYCODONE HCL ER 40 MG TABLET
(Oxycodone HCl)
100 EA  007815767015
PDPs
125
MAPDs
OXYCODONE HCL 5MG TABLET
(Oxycodone HCl)
100 BOT0040605520157
PDPs
331
MAPDs
OXYCODONE HCL 5 MG CAPSULE
(Oxycodone HCl)
100 EA  6830801450139
PDPs
248
MAPDs
OXYCODONE HCL 5 MG/5 ML Solution
(Oxycodone HCl)
   6495003545047
PDPs
266
MAPDs
OXYCODONE HCL ER 60 MG TABLET
(Oxycodone HCl)
   001151561015
PDPs
116
MAPDs
OXYCODONE HCL ER 80 MG TABLET
(Oxycodone HCl)
100 EA  007815785015
PDPs
122
MAPDs
Oxycodone-Acetaminophen 5-325/5
(Oxycodone-Acetaminophen )
   0040685535029
PDPs
230
MAPDs
OXYCODONE AND ACETAMINOPHEN TABLETS 2.5;325MG;MG 100 BOT
(Oxycodone w/ Acetaminophen)
100 BOT0037871030156
PDPs
315
MAPDs
OXYCODONE HCL-ACETAMINOPHEN 10MG-325MG TABLET
(Oxycodone HCl)
100 BOT0040605230157
PDPs
333
MAPDs
OXYCODONE AND ACETAMINOPHEN 325-5MG TABLET USP (500 CT)
(Oxycodone HCl)
500 BOT0060349982857
PDPs
334
MAPDs
OXYCODONE-ACETAMINOPHEN 7.5-325MG TABLET
(Oxycodone)
100 BOT0040605220157
PDPs
332
MAPDs
OXYCODONE-ASPIRIN 4.8355-325
(Oxycodone w/ Aspirin)
100 EA  0059135510141
PDPs
252
MAPDs
OXYCODONE-IBUPROFEN 5-400 TAB
(Oxycodone-Ibuprofen)
100 EA  0022840291128
PDPs
189
MAPDs
OxyContin 10mg/1
(Oxycodone HCl)
   5901104101018
PDPs
152
MAPDs
OxyContin 15mg/1
(Oxycodone HCl)
   5901104151018
PDPs
169
MAPDs
OxyContin 20mg/1
(Oxycodone HCl)
   5901104201018
PDPs
152
MAPDs
OxyContin 30mg/1
(Oxycodone HCl)
   5901104301018
PDPs
169
MAPDs
OxyContin 40mg/1
(Oxycodone HCl)
   5901104401018
PDPs
152
MAPDs
OxyContin 60mg/1
(Oxycodone HCl)
   5901104601016
PDPs
167
MAPDs
OxyContin 80mg/1
(Oxycodone HCl)
   5901104801016
PDPs
152
MAPDs
oxymorphone hcl er 10 mg tab
(Oxymorphone HCl)
   0011512320110
PDPs
154
MAPDs
OXYMORPHONE HYDROCHLORIDE 10MG TABLETS
(Oxymorphone HCl)
100 BOT 000540284259
PDPs
160
MAPDs
OXYMORPHONE HCL ER 15 MG TAB
(Oxymorphone HCl)
   0011513160110
PDPs
154
MAPDs
oxymorphone hcl er 20 mg tab
(Oxymorphone HCl)
   0011512330110
PDPs
154
MAPDs
oxymorphone hcl er 30 mg tab
(Oxymorphone HCl)
   0011513170110
PDPs
154
MAPDs
oxymorphone hcl er 40 mg tab
(Oxymorphone HCl)
   0011512340110
PDPs
154
MAPDs
oxymorphone hcl er 5 mg tablet
(Oxymorphone HCl)
   0011512310110
PDPs
154
MAPDs
OXYMORPHONE HYDROCHLORIDE 5MG TABLETS
(Oxymorphone HCl)
100 BOT 000540283259
PDPs
160
MAPDs
OXYMORPHONE HCL ER 7.5 MG TAB
(Oxymorphone HCl)
   0011513151310
PDPs
154
MAPDs
OXYTROL 3.9mg/d 8 POUCH in 1 BOX / 1 PATCH in 1 POUCH / 4 d in 1 PATCH
(Oxybutynin TD)
8 POUCH in 1 BOX / 1 PATC  525440920084
PDPs
42
MAPDs
PATADAY 0.2% DROPS
(Olopatadine HCl Ophth)
2.5 ML BOTPL0006502722550
PDPs
273
MAPDs
PATANASE 665ug/1 240 SPRAY, METERED in 1 BOTTLE
(Olopatadine HCl Nasal)
240 SPRAY, METERED in 1 B  000650332305
PDPs
28
MAPDs
PATANOL 0.1% EYE DROPS
(Olopatadine HCl Ophth)
5 ML BOT000650271059
PDPs
63
MAPDs
PAZEO 0.7% EYE DROPS
(Olopatadine)
   0006542732548
PDPs
195
MAPDs
PERCOCET 10/325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT634810629702
PDPs
13
MAPDs
PERCOCET 2.5/325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT634810627702
PDPs
11
MAPDs
PERCOCET TABLET 5-325MG
(Oxycodone w/ Acetaminophen)
500 BOT634810623852
PDPs
13
MAPDs
PERCOCET 7.5/325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT634810628702
PDPs
11
MAPDs
PIMOZIDE 1 MG TABLET [Orap]
(Pimozide)
   4988403470157
PDPs
332
MAPDs
PIMOZIDE 2 MG TABLET [Orap]
(Pimozide)
   4988403480157
PDPs
332
MAPDs
PRILOSEC 10mg/1 30 GRANULE, DELAYED RELEASE in 1 CARTON
(Omeprazole)
30 GRANULE, DELAYED RELEA  001860610014
PDPs
30
MAPDs
PRILOSEC 2.5mg/1 30 GRANULE, DELAYED RELEASE in 1 CARTON
(Omeprazole)
30 GRANULE, DELAYED RELEA  001860625014
PDPs
30
MAPDs
PRIMLEV 10-300 MG TABLET
(Oxycodone)
   240900683883
PDPs
23
MAPDs
PRIMLEV 5-300 MG TABLET
(Oxycodone)
   240900681883
PDPs
23
MAPDs
PRIMLEV 7.5-300 MG TABLET
(Oxycodone)
   240900682883
PDPs
23
MAPDs
ROXICODONE 15 MG TABLET
(Oxycodone HCl)
100 EA  236350581105
PDPs
10
MAPDs
ROXICODONE 30 MG TABLET
(Oxycodone HCl)
   236350582105
PDPs
10
MAPDs
ROXICODONE 5 MG TABLET
(Oxycodone HCl)
100 EA  236350580105
PDPs
10
MAPDs
SANDOSTATIN 0.05MG/ML AMPUL
(Octreotide Acetate)
10 AMP000780180011
PDPs
16
MAPDs
SANDOSTATIN 0.2MG/ML VIAL
(Octreotide Acetate)
6 X 5ML VIAL000780183252
PDPs
18
MAPDs
SANDOSTATIN 1MG/ML VIAL
(Octreotide Acetate)
6 X 5ML VIAL000780184252
PDPs
18
MAPDs
Sandostatin 100ug/mL 10 AMPULE in 1 PACKAGE / 1 mL in 1 AMPULE
(Octreotide Acetate)
10 AMPULE in 1 PACKAGE /  000780181012
PDPs
19
MAPDs
Sandostatin 500ug/mL 10 AMPULE in 1 PACKAGE / 1 mL in 1 AMPULE
(Octreotide Acetate)
10 AMPULE in 1 PACKAGE /  000780182011
PDPs
17
MAPDs
SANDOSTATIN LAR DEPOT 10 MG KT
(Octreotide Acetate)
1 EA  0007806468122
PDPs
253
MAPDs
SANDOSTATIN LAR DEPOT 20 MG KT
(Octreotide Acetate)
   0007808188122
PDPs
255
MAPDs
SANDOSTATIN LAR DEPOT 30 MG KT
(Octreotide Acetate)
   0007808258122
PDPs
260
MAPDs
STRIVERDI RESPIMAT INHAL SPRAY
(Olodaterol Respimat)
4 GM  0059701926117
PDPs
140
MAPDs
Symbyax 25; 3mg/1; mg/1 30 CAPSULE BOTTLE
(Olanzapine-Fluoxetine HCl)
30 CAPSULE in 1 BOTTLE  000023230303
PDPs
8
MAPDs
SYMBYAX 12-25MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT000023232303
PDPs
8
MAPDs
SYMBYAX 6-25MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT000023231301
PDPs
6
MAPDs
SYMBYAX 12-50MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT000023234303
PDPs
8
MAPDs
SYMBYAX 6-50MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT000023233303
PDPs
8
MAPDs
SYNRIBO 3.5 MG/ML VIAL
(omacetaxine mepesuccinate)
   6345901771457
PDPs
334
MAPDs
TAGRISSO 40 MG TABLET
(Osimertinib)
   0031013493057
PDPs
334
MAPDs
TAGRISSO 80 MG TABLET
(Osimertinib)
   0031013503057
PDPs
334
MAPDs
TAMIFLU 30 MG 1 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Oseltamivir Phosphate)
BLISTER PACK  0000408028539
PDPs
233
MAPDs
TAMIFLU 45 MG 1 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Oseltamivir Phosphate)
BLISTER PACK  0000408018539
PDPs
233
MAPDs
TAMIFLU 6 MG/ML SUSPENSION
(Oseltamivir Phosphate)
60 ML  0000408220557
PDPs
323
MAPDs
TAMIFLU 75 MG CAPSULE UD
(Oseltamivir Phosphate)
10 BLPK0000408008539
PDPs
234
MAPDs
TECHNIVIE DOSE PACK
(Ombitasvir and Paritaprevir and Ritonavi)
   0007430822825
PDPs
131
MAPDs
TRIBENZOR 20/5/12.5MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 BOT 6559701143015
PDPs
90
MAPDs
TRIBENZOR 40/10/12.5MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 BOT 6559701173015
PDPs
90
MAPDs
TRIBENZOR 40/10/25MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 BOT 6559701183015
PDPs
90
MAPDs
Tribenzor 5; 12.5; 40mg/1; mg/1; mg/1
(Olmesartan-Amlodipine-Hydrochlorothiazide)
   6559701153015
PDPs
90
MAPDs
Tribenzor 5; 25; 40mg/1; mg/1; mg/1
(Olmesartan-Amlodipine-Hydrochlorothiazide)
   6559701163015
PDPs
90
MAPDs
TRILEPTAL 150MG TABLET
(Oxcarbazepine)
100 BOT000780456055
PDPs
17
MAPDs
TRILEPTAL 300MG TABLET
(Oxcarbazepine)
100 BOT000780337055
PDPs
17
MAPDs
TRILEPTAL 300MG/5ML SUSP
(Oxcarbazepine)
250 ML BOT000780357525
PDPs
21
MAPDs
TRILEPTAL 600MG TABLET
(Oxcarbazepine)
100 BOT000780457055
PDPs
17
MAPDs
VIEKIRA XR TABLET
(Ombitasvir and Paritaprevir and Ritonavir and Dasabuvir)
   0007400632825
PDPs
118
MAPDs
XARTEMIS XR 7.5-325 MG TABLET
(oxycodone / acetaminophen)
   236350115012
PDPs
31
MAPDs
XOLAIR 150MG VIAL
(Omalizumab For)
1 X VIAL5024200406257
PDPs
327
MAPDs
XTAMPZA ER 13.5 MG CAPSULE
(Oxycodone)
   245100115107
PDPs
54
MAPDs
XTAMPZA ER 18 MG CAPSULE
(Oxycodone)
   245100120107
PDPs
54
MAPDs
XTAMPZA ER 27 MG CAPSULE
(Oxycodone)
   245100130107
PDPs
54
MAPDs
XTAMPZA ER 36 MG CAPSULE
(Oxycodone)
   245100140107
PDPs
54
MAPDs
XTAMPZA ER 9 MG CAPSULE
(Oxycodone)
   245100110107
PDPs
54
MAPDs
YOSPRALA DR 325-40 MG TABLET
(Aspirin and omeprazole)
   703470325303
PDPs
16
MAPDs
YOSPRALA DR 81-40 MG TABLET
(Aspirin and omeprazole)
   703470081303
PDPs
16
MAPDs
ZEGERID 20MG PACKET
(Omeprazole-Sodium Bicarbonate)
30 CRTN680120052302
PDPs
26
MAPDs
ZEGERID 20MG CAPSULE
(Omeprazole-Sodium Bicarbonate)
30 BOTPL680120102302
PDPs
20
MAPDs
ZEGERID 40MG PACKET
(Omeprazole-Sodium Bicarbonate)
30 CRTN680120054302
PDPs
25
MAPDs
ZEGERID 40MG CAPSULE
(Omeprazole-Sodium Bicarbonate)
30 BOTPL680120104302
PDPs
20
MAPDs
ZOFRAN 4mg/1 30 FILM COATED TABLETS in BOTTLE
(Ondansetron HCl)
30 TABLET, FILM COATED in  001730446005
PDPs
11
MAPDs
ZOFRAN 4MG/5ML ORAL TUBEX
(Ondansetron HCl)
50 ML BOTGL001730489005
PDPs
9
MAPDs
ZOFRAN 8 MG TABLET
(Ondansetron HCl)
30 EA  001730447005
PDPs
11
MAPDs
ZOFRAN ODT 4MG TABLET
(Ondansetron Orally Disintegrating)
30 TABLETS BLPK001730569005
PDPs
11
MAPDs
ZOFRAN ODT 8mg/1 30 TABLET, ORALLY DISINTEGRATING in 1 DOSE PACK
(Ondansetron Orally Disintegrating)
30 TABLET, ORALLY DISINTE  001730570005
PDPs
11
MAPDs
ZUPLENZ 4 MG SOLUBLE FILM
(Ondansetron Orally Disintegrating)
   578810444013
PDPs
21
MAPDs
ZUPLENZ 8 MG SOLUBLE FILM
(Ondansetron Orally Disintegrating)
   578810448013
PDPs
21
MAPDs
ZYPREXA 10MG VIAL
(Olanzapine)
1 VIAL000027597014
PDPs
15
MAPDs
ZYPREXA 10 MG TABLET
(Olanzapine)
30 EA  000024117305
PDPs
9
MAPDs
ZYPREXA 15 MG TABLET
(Olanzapine)
30 EA  000024415305
PDPs
9
MAPDs
ZYPREXA 2.5MG 30 TABLET BOTTLE
(Olanzapine)
30 TABLET in 1 BOTTLE  000024112305
PDPs
9
MAPDs
ZYPREXA 20MG TABLET
(Olanzapine)
30 BOT000024420305
PDPs
9
MAPDs
ZYPREXA 5MG TABLET (30 BOT)
(Olanzapine)
30 BOT000024115305
PDPs
9
MAPDs
ZYPREXA 7.5 MG TABLET
(Olanzapine)
30 EA  000024116305
PDPs
9
MAPDs
ZYPREXA Relprevv 1 KIT in 1 CARTON
(Olanzapine Pamoate)
1 KIT in 1 CARTON  0000276351157
PDPs
329
MAPDs
ZYPREXA ZYDIS 10MG TABLET
(Olanzapine)
30 BLPK000024454854
PDPs
9
MAPDs
ZYPREXA ZYDIS 15MG TABLET
(Olanzapine)
30 BLPK000024455854
PDPs
9
MAPDs
ZYPREXA ZYDIS 20MG TABLET
(Olanzapine)
30 BLPK000024456854
PDPs
9
MAPDs
ZYPREXA ZYDIS 5MG TABLET (30 BLPK)
(Olanzapine)
30 BLPK000024453854
PDPs
9
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data July 2017)


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  • 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.