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2018 Medicare Part D Formulary Search By Drug Letter

Select a Letter below:

Drug Names Containing the Letter I in Alphabetical Order.
Example: Lipitor® is found on letter page "L" as well as letter page "A" for Atorvastatin.

Drug Name
Packaging NDC On This Nbr of 2018 Formularies
PDPs MAPDs
ABSORICA 10 MG CAPSULE
(Isotretinoin)
    10631011531 1
PDPs
23
MAPDs
ABSORICA 20 MG CAPSULE
(Isotretinoin)
    10631011631 1
PDPs
22
MAPDs
ABSORICA 25 MG CAPSULE
(Isotretinoin)
    10631013331 1
PDPs
27
MAPDs
ABSORICA 30 MG CAPSULE
(Isotretinoin)
    10631011731 1
PDPs
22
MAPDs
ABSORICA 35 MG CAPSULE
(Isotretinoin)
    10631013431 1
PDPs
27
MAPDs
ABSORICA 40 MG CAPSULE
(Isotretinoin)
    10631011831 1
PDPs
22
MAPDs
ACTIMMUNE 100 MCG/0.5 ML VIAL
(Interferon Gamma-1B)
.500 ML   42238011112 63
PDPs
342
MAPDs
AFREZZA 30-4 UNIT + 60-8 UNIT
(insulin)
    47918088236 2
PDPs
21
MAPDs
AFREZZA 4 UNITS CARTRIDGE INH
(insulin)
    47918087490 2
PDPs
21
MAPDs
AFREZZA 4 UNIT/8 UNIT/12 UNIT
(insulin)
    47918090218 2
PDPs
21
MAPDs
AFREZZA 60-4 UNIT + 30-8 UNIT
(insulin)
    47918088463 2
PDPs
21
MAPDs
AFREZZA 60-8 UNIT + 30-12 UNIT
(insulin)
    47918089463 2
PDPs
21
MAPDs
AFREZZA 90-4 UNIT / 90-8 UNIT
(insulin)
    47918088018 2
PDPs
21
MAPDs
IPRAT-ALBUT 0.5-3(2.5) MG/3 ML
(Albuterol-Ipratropium Nebu)
    00378967130 49
PDPs
277
MAPDs
ALDARA 5% CREAM
(Imiquimod)
    99207026012 6
PDPs
8
MAPDs
AMNESTEEM 10 MG CAPSULE
(Isotretinoin)
    00378661185 43
PDPs
240
MAPDs
AMNESTEEM 20 MG CAPSULE
(Isotretinoin)
30 EA   00378661293 43
PDPs
240
MAPDs
AMNESTEEM 40 MG CAPSULE
(Isotretinoin)
    00378661485 43
PDPs
240
MAPDs
APIDRA 100 UNITS/ML VIAL
(Insulin Glulisine Subcutaneous)
10 ML   00088250033 3
PDPs
50
MAPDs
ARCAPTA NEOHALER 75 MCG CAP
(INDACATEROL MALEATE)
30 EA   63402067530 6
PDPs
70
MAPDs
ATROVENT HFA AER 17MCG
(Ipratropium Bromide HFA)
12.9 GRAMS PER 200 ACT CAN 00597008717 63
PDPs
334
MAPDs
AVALIDE 150-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
30.000 EA   00024585530 8
PDPs
13
MAPDs
AVALIDE 300-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
30 EA   00024585630 8
PDPs
13
MAPDs
AVAPRO 150 MG TABLET
(Irbesartan)
30 EA   00024585130 8
PDPs
13
MAPDs
AVAPRO 300 MG TABLET
(Irbesartan)
30.000 EA   00024585230 8
PDPs
13
MAPDs
AVAPRO 75 MG TABLET
(Irbesartan)
90 EA   00024585090 8
PDPs
13
MAPDs
AVONEX PREFILLED SYR 30 MCG KT
(INTERFERON BETA-1A)
1 EA   59627022205 30
PDPs
242
MAPDs
AVONEX ADMIN PACK 30 MCG VL
(INTERFERON BETA-1A/ALBUMIN)
4 EA   59627011103 29
PDPs
247
MAPDs
AVONEX PEN 30 MCG/0.5 ML KIT
(INTERFERON BETA-1A)
1 EA   59627033304 29
PDPs
244
MAPDs
BASAGLAR 100 UNIT/ML KWIKPEN
(Insulin glargine)
3.000 ML   00002771559 16
PDPs
103
MAPDs
BETASERON 0.3 MG KIT
(Interferon Beta-1b For)
1.000 EA   50419052435 58
PDPs
306
MAPDs
BIDIL TABLET
(Isosorbide Dinitrate-Hydralazine HCl)
180 EA   24338001018 22
PDPs
149
MAPDs
BIVIGAM LIQUID 10% VIAL
(immune globulin intravenous)
    59730650301 32
PDPs
203
MAPDs
BONIVA 150 MG TABLET
(Ibandronate Sodium)
3.000 EA   00004018683 4
PDPs
8
MAPDs
BONIVA 3mg/3mL SYRINGE
(Ibandronate Sodium)
1 SYRINGE GLASS in CARTON   00004019109 10
PDPs
18
MAPDs
Camptosar 20mg/mL 1 VIAL, SINGLE-DOSE per CARTON / 5 mL in 1 VIAL, SINGLE-DOSE
(Irinotecan HCl)
1 VIAL, SINGLE-DOSE   00009752903 1
PDPs
13
MAPDs
CARIMUNE NF 6GM VIAL
(Immune Globulin (Human) IV)
6 GM PKGCOM 44206041706 33
PDPs
244
MAPDs
CEREZYME 400 UNITS VIAL
(Imiglucerase For)
    58468466301 63
PDPs
339
MAPDs
CLARAVIS 10 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105486 56
PDPs
289
MAPDs
CLARAVIS 20 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105586 59
PDPs
289
MAPDs
Claravis 30mg 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)
3 BLISTER PACK CARTON   00555105686 55
PDPs
287
MAPDs
CLARAVIS 40 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105786 59
PDPs
289
MAPDs
CORLANOR 5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA   55513080060 63
PDPs
342
MAPDs
CORLANOR 7.5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA   55513081060 61
PDPs
342
MAPDs
CRESEMBA 186 MG CAPSULE
(Isavuconazonium Sulfate)
    00469052014 26
PDPs
128
MAPDs
CRESEMBA 372 MG VIAL
(Isavuconazonium Sulfate)
    00469042099 26
PDPs
128
MAPDs
CRIXIVAN 200MG CAPSULE
(Indinavir Sulfate)
360 BOT 00006057143 63
PDPs
342
MAPDs
CRIXIVAN 400mg, 180 CAPSULE BOTTLE
(Indinavir Sulfate)
180 CAPSULE in 1 BOTTLE   00006057362 63
PDPs
342
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)
    75987001003 6
PDPs
34
MAPDs
ELAPRASE 6mg/3mL 1 VIAL, GLASS in 1 BOX / 3 mL in 1 VIAL, GLASS
(Idursulfase)
1 VIAL, GLASS in 1 BOX   54092070001 36
PDPs
235
MAPDs
EXTAVIA 15 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK
(Interferon Beta-1b For)
15 BLISTER PACK in 1 CART   00078056912 9
PDPs
138
MAPDs
FANAPT 4 MG TABLET
(ILOPERIDONE)
60 EA   43068010402 63
PDPs
342
MAPDs
FANAPT TITR TABLETS
(ILOPERIDONE)
8 EA   43068011304 63
PDPs
331
MAPDs
FANAPT 1 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010102 63
PDPs
342
MAPDs
FANAPT 10 MG TABLET
(ILOPERIDONE)
60 EA   43068011002 63
PDPs
342
MAPDs
FANAPT 12 MG TABLET
(ILOPERIDONE)
    43068011202 63
PDPs
342
MAPDs
FANAPT 2 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010202 63
PDPs
342
MAPDs
FANAPT 6 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010602 63
PDPs
342
MAPDs
FANAPT 8 MG TABLET
(ILOPERIDONE)
60 EA   43068010802 63
PDPs
342
MAPDs
FIRAZYR 30 MG/3 ML SYRINGE
(ICATIBANT ACETATE)
3.000 ML   54092070203 63
PDPs
342
MAPDs
FLEBOGAMMA DIF INJECTION
(Immune Globulin (Human) IV)
    61953000501 33
PDPs
234
MAPDs
GAMASTAN S-D 10 ML
(Immune Globulin (Human))
    13533063513 37
PDPs
248
MAPDs
GAMASTAN ASD S/D VL 2 ML
(Immune Globulin (Human))
    13533063504 37
PDPs
249
MAPDs
GAMMAGARD LIQUID 100mg/mL 1 BOTTLE, GLASS per CARTON / 25 mL in 1 BOTTLE, GLASS
(Immune Globulin (Human) IV)
1 BOTTLE, GLASS in CARTON   00944270003 44
PDPs
290
MAPDs
GAMMAGARD S-D 10 G (IGA<1) SOL
(Immune Globulin (Human) IV)
    00944265804 44
PDPs
270
MAPDs
GAMMAGARD S-D 5 G (IGA<1) SOLN
(Immune Globulin (Human) IV)
    00944265603 44
PDPs
270
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)
10 ML   76125090001 34
PDPs
203
MAPDs
GAMMAPLEX 10 GRAM/100 ML VIAL
(immune globulin)
    64208823506 44
PDPs
256
MAPDs
GAMMAPLEX 20 GRAM/200 ML VIAL
(immune globulin)
    64208823507 44
PDPs
256
MAPDs
GAMMAPLEX INJECTION 5 GM/100 ML
(Immune Globulin)
    64208823403 44
PDPs
257
MAPDs
GAMMAPLEX 5 GRAM/50 ML VIAL
(immune globulin)
    64208823505 44
PDPs
256
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS   13533080012 53
PDPs
288
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT 00078040134 7
PDPs
34
MAPDs
GLEEVEC 400 MG TABLET
(Imatinib Mesylate)
30 EA   00078064930 7
PDPs
42
MAPDs
HUMALOG 100 UNITS/ML VIAL
(Insulin Lispro (Human))
10.000 ML   00002751001 39
PDPs
182
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
3 ML   00002751659 39
PDPs
175
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 00002879959 39
PDPs
178
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL 00002751201 37
PDPs
180
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL 00002751101 39
PDPs
182
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879859 37
PDPs
176
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879759 39
PDPs
178
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))
3 ML   00002771459 39
PDPs
161
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
    00002771227 39
PDPs
175
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 37
PDPs
178
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))
3.000 ML   00002880359 37
PDPs
179
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 37
PDPs
178
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))
3.000 ML   00002880559 37
PDPs
179
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL 00002821501 37
PDPs
183
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
    00002882427 56
PDPs
287
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL 00002850101 56
PDPs
303
MAPDs
IBANDRONATE SODIUM 150 MG TABLET [Boniva]
(Ibandronate Sodium)
    60505279500 52
PDPs
296
MAPDs
IBANDRONATE 3 MG/3 ML VIAL [Boniva]
(Ibandronate Sodium)
    62756021840 30
PDPs
245
MAPDs
IBRANCE 100 MG CAPSULE
(Palbociclib)
21 EA   00069018821 63
PDPs
342
MAPDs
IBRANCE 125 MG CAPSULE
(Palbociclib)
21 EA   00069018921 63
PDPs
342
MAPDs
IBRANCE 75 MG CAPSULE
(Palbociclib)
21 EA   00069018721 63
PDPs
342
MAPDs
IBUDONE 10; 200mg/1; mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Hydrocodone Bitartrate and Ibuprofen)
100 TABLET, FILM COATED   50991057901 2
PDPs
13
MAPDs
Ibuprofen 100mg/5mL 473 mL in 1 BOTTLE
(Ibuprofen)
473 mL in 1 BOTTLE   45802095243 60
PDPs
326
MAPDs
IBUPROFEN 400 MG TABLET
(Ibuprofen)
500.000 EA   53746046405 63
PDPs
342
MAPDs
IBUPROFEN 600mg/1 500 TABLET BOTTLE
(Ibuprofen)
500 TABLET BOTTLE   53746046505 63
PDPs
342
MAPDs
IBUPROFEN 800 MG TABLET
(Ibuprofen)
500 EA   67877032105 63
PDPs
342
MAPDs
ICLUSIG 15 MG TABLET
(ponatinib)
30 EA   76189053530 63
PDPs
342
MAPDs
ICLUSIG 45 MG TABLET
(ponatinib)
30 EA   76189053430 63
PDPs
342
MAPDs
IDAMYCIN PFS 1MG/ML VIAL
(Idarubicin HCl IV)
20 ML VIALPL 00013259691 1
PDPs
14
MAPDs
IDARUBICIN HCL 1MG/ML VIAL
(Idarubicin HCl IV)
1 X 10 ML PKG 00703415511 45
PDPs
228
MAPDs
IDHIFA 100 MG TABLET
(Enasidenib Mesylate)
    59572071030 63
PDPs
342
MAPDs
IDHIFA 50 MG TABLET
(Enasidenib Mesylate)
    59572070530 63
PDPs
342
MAPDs
IFEX 1g/1 1 INJECTION, POWDER, FOR SOLUTION in 1 VIAL, SINGLE-DOSE
(Ifosfamide For)
1 INJECTION, POWDER   00338399101 1
PDPs
16
MAPDs
IFOSFAMIDE FOR INFECTION 1 GM
(Ifosfamide For)
01 X 1 GM VIALSD 63323014210 53
PDPs
317
MAPDs
Ilaris 150mg/mL 1 VIAL, SINGLE-USE per CARTON / 1 mL in 1 VIAL, SINGLE-USE
(CANAKINUMAB)
1 VIAL, SINGLE-USE   00078058261 40
PDPs
246
MAPDs
ILEVRO 0.3% OPHTH DROPS
(nepafenac Dosage)
1.7 ML   00065175007 54
PDPs
280
MAPDs
IMATINIB MESYLATE 100 MG TAB [Gleevec]
(Imatinib Mesylate)
90 EA   60505290009 63
PDPs
335
MAPDs
IMATINIB MESYLATE 400 MG TAB [Gleevec]
(Imatinib Mesylate)
30 EA   60505290103 63
PDPs
335
MAPDs
IMBRUVICA 140 MG CAPSULE
(ibrutinib)
90 EA   57962014009 63
PDPs
342
MAPDs
IMFINZI 120 MG/2.4 ML VIAL
(Durvalumab)
    00310450012 46
PDPs
275
MAPDs
IMFINZI 500 MG/10 ML VIAL
(Durvalumab)
    00310461150 46
PDPs
275
MAPDs
Cilastatin 250 MG / Imipenem 250 MG Injection
(Imipenem-Cilastatin Intravenous For)
    63323034925 63
PDPs
342
MAPDs
Cilastatin 500 MG / Imipenem 500 MG Injection
(Imipenem-Cilastatin Intravenous For)
    63323032225 63
PDPs
339
MAPDs
IMIPRAMINE HCL 10MG TABLET (100 CT)
(Imipramine HCl)
100 BOT 49884005401 63
PDPs
342
MAPDs
IMIPRAMINE HCL 25MG TABLET (100 CT)
(Imipramine HCl)
100 BOT 49884005501 63
PDPs
342
MAPDs
IMIPRAMINE HCL 50 MG TABLET
(Imipramine HCl)
100.000 EA   49884005601 63
PDPs
342
MAPDs
IMIPRAMINE PAMOATE 100MG CAPSULES
(Imipramine Pamoate)
30 BOT 00054027413 23
PDPs
218
MAPDs
IMIPRAMINE PAMOATE 125MG CAPSULES
(Imipramine Pamoate)
30 BOT 00054027513 23
PDPs
218
MAPDs
IMIPRAMINE PAMOATE 150MG CAPSULES
(Imipramine Pamoate)
30 BOT 00054027613 23
PDPs
218
MAPDs
IMIPRAMINE PAMOATE 75MG CAPSULES
(Imipramine Pamoate)
30 BOT 00054027313 23
PDPs
218
MAPDs
IMIQUIMOD 5% CREAM PACKET
(Imiquimod)
24 EA   45802036862 63
PDPs
342
MAPDs
IMITREX 100MG TABLET
(Sumatriptan Succinate)
9 BLPK 00173073701 6
PDPs
11
MAPDs
IMITREX 20MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UD NASAL SPRAY CTR 00173052300 6
PDPs
9
MAPDs
IMITREX 25MG TABLET
(Sumatriptan Succinate)
1 BLPK 00173073500 6
PDPs
11
MAPDs
IMITREX 4 MG/0.5 ML PEN INJECT
(Sumatriptan Succinate)
1 ML   00173073900 6
PDPs
13
MAPDs
IMITREX 5MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UNIT DOSE SPRAY CTR 00173052400 6
PDPs
9
MAPDs
IMITREX 50MG TABLET
(Sumatriptan Succinate)
9 BLPK 00173073601 6
PDPs
11
MAPDs
IMITREX 6MG/0.5ML SYRNG KIT
(Sumatriptan Succinate)
2 (STATDOSE) SYR 00173047800 6
PDPs
13
MAPDs
IMITREX 6MG/0.5ML VIAL
(Sumatriptan Succinate)
5 X 0.5 ML VIAL 00173044902 6
PDPs
13
MAPDs
IMOVAX RABIES VACCINE
(Rabies Virus Vaccine, HDC)
    49281025051 63
PDPs
342
MAPDs
IMURAN 50MG TABLET
(Azathioprine)
100 BOT 65483059010 9
PDPs
33
MAPDs
Increlex 40mg/4mL 1 VIAL, MULTI-DOSE per CARTON / 4 mL in 1 VIAL, MULTI-DOSE
(Mecasermin)
1 VIAL, MULTI-DOSE   15054104005 63
PDPs
342
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)
    00173087310 43
PDPs
236
MAPDs
Indapamide 1.25mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Indapamide)
100 TABLET, FILM COATED   00378006901 60
PDPs
337
MAPDs
INDAPAMIDE 2.5 MG TABLET
(Indapamide)
100.000 EA   00378008001 60
PDPs
337
MAPDs
INDERAL LA 120 MG CAPSULE
(Propranolol HCl)
100 EA   62559052201 6
PDPs
10
MAPDs
INDERAL LA 160 MG CAPSULE
(Propranolol HCl)
100 EA   62559052301 6
PDPs
10
MAPDs
INDERAL LA 60 MG CAPSULE
(Propranolol HCl)
100 EA   62559052001 6
PDPs
10
MAPDs
INDERAL LA 80 MG CAPSULE
(Propranolol HCl)
100 EA   62559052101 6
PDPs
10
MAPDs
INDOCIN ORAL SUSPENSION 25MG/5ML 237 ML BOT
(Indomethacin)
237 ML BOT 42211010111 4
PDPs
45
MAPDs
INDOMETHACIN 25 MG CAPSULE
(Indomethacin)
100.000 EA   31722054201 21
PDPs
190
MAPDs
INDOMETHACIN 50 MG CAPSULE
(Indomethacin)
100 EA   31722054301 18
PDPs
190
MAPDs
INDOMETHACIN ER 75 MG CAPSULE
(Indomethacin)
60 EA   65162050606 14
PDPs
171
MAPDs
INFLECTRA 100 MG VIAL
(Infliximab-dyyb)
    00069080901 8
PDPs
123
MAPDs
INGREZZA 40 MG CAPSULE
(Valbenazine)
    70370104001 9
PDPs
110
MAPDs
INGREZZA 80 MG CAPSULE
(Valbenazine)
30 EA   70370108001 9
PDPs
110
MAPDs
INLYTA 1 MG TABLET
(axitinib)
    00069014501 63
PDPs
342
MAPDs
INLYTA 5 MG TABLET
(axitinib)
    00069015111 63
PDPs
342
MAPDs
INNOPRAN XL 120 MG CAPSULE
(Propranolol HCl Sustained-Release Beads)
30 EA   24090045185 5
PDPs
52
MAPDs
INNOPRAN XL 80 MG CAPSULE
(Propranolol HCl Sustained-Release Beads)
30 EA   24090045085 5
PDPs
52
MAPDs
INSPRA 25 MG TABLET
(Eplerenone)
30.000 EA   00025171001 6
PDPs
10
MAPDs
INSPRA 50 MG TABLET
(Eplerenone)
30.000 EA   00025172003 6
PDPs
10
MAPDs
INTELENCE 100MG TABLET
(Etravirine)
120 TABLETS BOT 59676057001 63
PDPs
342
MAPDs
Intelence 200mg/1
(Etravirine)
    59676057101 63
PDPs
342
MAPDs
INTELENCE 25 MG TABLET
(Etravirine)
120 EA   59676057201 63
PDPs
342
MAPDs
INTRALIPID 30% IV FAT EMUL
(Fat)
    00338052013 49
PDPs
225
MAPDs
INTRON A 10 MILLION UNITS VIAL
(Interferon Alfa-2B)
    00085435001 58
PDPs
338
MAPDs
INTRON A 18 MILLION UNITS VIAL
(Interferon Alfa-2B)
1 EA   00085435101 63
PDPs
341
MAPDs
INTRON A 6MMU/ML VIAL
(Interferon Alfa-2B)
3 ML VIAL 00085116801 63
PDPs
342
MAPDs
INTRON A 50 MILLION UNITS VIAL
(Interferon Alfa-2B)
1 EA   00085435201 63
PDPs
341
MAPDs
Introvale 3 CARTON in 1 BOX / 1 KIT per CARTON
(INTROVALE)
3 CARTON in 1 BOX / 1 KIT   00781558436 60
PDPs
310
MAPDs
INVANZ 1GM VIAL
(Ertapenem Sodium For)
10X 1 GM VIAL 00006384371 51
PDPs
330
MAPDs
INVEGA ER 1.5mg/ 30 TABLET BOTTLE
(Paliperidone Palmitate IM Extended-Release)
30 TABLET, EXTENDED RELEA   50458055401 10
PDPs
19
MAPDs
INVEGA TRINZA 273 MG/0.875 ML
(Paliperidone Palmitate)
0.875 ML   50458060601 63
PDPs
335
MAPDs
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055001 10
PDPs
19
MAPDs
INVEGA TRINZA 410 MG/1.315 ML
(Paliperidone Palmitate)
1.315 ML   50458060701 63
PDPs
335
MAPDs
INVEGA TRINZA 546 MG/1.75 ML
(Paliperidone Palmitate)
1.75 ML   50458060801 63
PDPs
335
MAPDs
INVEGA 6MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055101 10
PDPs
19
MAPDs
INVEGA TRINZA 819 MG/2.625 ML
(Paliperidone Palmitate)
2.625 ML   50458060901 63
PDPs
335
MAPDs
INVEGA 9MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055201 10
PDPs
19
MAPDs
Invega Sustenna 117 mg/0.75mL Prefilled Syringe
(Paliperidone Palmitate)
0.75 ML   50458056201 63
PDPs
342
MAPDs
Invega Sustenna 156 mg/mL Prefilled Syringe
(Paliperidone Palmitate)
1 ML   50458056301 63
PDPs
342
MAPDs
Invega Sustenna 234 mg/1.5mL Prefilled Syringe
(Paliperidone Palmitate)
1.5 ML   50458056401 63
PDPs
342
MAPDs
Invega Sustenna 39 mg/0.25mL Prefilled Syringe
(Paliperidone Palmitate)
0.25 ML   50458056001 63
PDPs
342
MAPDs
Invega Sustenna 78 mg/0.5mL Prefilled Syringe
(Paliperidone Palmitate)
0.5 ML   50458056101 63
PDPs
342
MAPDs
INVIRASE 200MG CAPSULE
(Saquinavir Mesylate)
270 BOT 00004024515 63
PDPs
342
MAPDs
INVIRASE 500MG TABLET
(Saquinavir Mesylate)
120 BOT 00004024451 63
PDPs
342
MAPDs
INVOKAMET 150-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054360 51
PDPs
284
MAPDs
INVOKAMET XR 150-1,000 MG TAB
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094301 50
PDPs
279
MAPDs
INVOKAMET 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054260 51
PDPs
284
MAPDs
INVOKAMET XR 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094201 50
PDPs
279
MAPDs
INVOKAMET 50-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054160 51
PDPs
284
MAPDs
INVOKAMET XR 50-1,000 MG TAB
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094101 50
PDPs
279
MAPDs
INVOKAMET 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054060 51
PDPs
284
MAPDs
INVOKAMET XR 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094001 50
PDPs
279
MAPDs
INVOKANA 100 MG TABLET
(Canagliflozin)
30 EA   50458014030 52
PDPs
291
MAPDs
INVOKANA 300 MG TABLET
(Canagliflozin)
30 EA   50458014130 52
PDPs
291
MAPDs
IONOSOL MB-D5W IV SOLUTION
(Electrolyte-MB in D5W)
24 X 500 ML CTR 00409737203 35
PDPs
225
MAPDs
IOPIDINE 0.5% EYE DROPS
(Apraclonidine HCl Ophth)
5.000 ML   00065066505 3
PDPs
11
MAPDs
IOPIDINE 1% EYE DROPS
(Apraclonidine HCl Ophth)
0.1 ML CTR 00065066010 7
PDPs
111
MAPDs
IPOL VIAL 40;8;32; UNT
(Poliovirus Vaccine, IPV)
10 DOSE VIAL 49281086010 63
PDPs
342
MAPDs
IPRATROPIUM BROMIDE NASAL SPRAY
(Ipratropium Bromide Nasal)
345 SPRAY CRTN 00054004544 63
PDPs
342
MAPDs
IPRATROPIUM BR 0.02% SOLN
(Ipratropium Bromide)
2.500 ML   00591379883 63
PDPs
342
MAPDs
IPRATROPIUM 0.06% SPRAY
(Ipratropium Bromide Nasal)
15.000 ML   00054004641 63
PDPs
341
MAPDs
IRBESARTAN 150 MG TABLET [Avapro]
(Irbesartan)
90 EA   43547037509 62
PDPs
339
MAPDs
IRBESARTAN 300 MG TABLET [Avapro]
(Irbesartan)
90 EA   31722073190 62
PDPs
339
MAPDs
IRBESARTAN 75 MG TABLET [Avapro]
(Irbesartan)
90.000 EA   31722072990 62
PDPs
339
MAPDs
IRBESARTAN-HCTZ 150-12.5 MG TB [Avalide]
(Irbesartan-Hydrochlorothiazide)
90.000 EA   00093823898 59
PDPs
337
MAPDs
IRBESARTAN-HCTZ 300-12.5 MG TB [Avalide]
(Irbesartan-Hydrochlorothiazide)
90.000 EA   00093823298 59
PDPs
337
MAPDs
IRESSA 250 MG TABLET
(Gefitinib)
30 EA   00310048230 63
PDPs
342
MAPDs
IRINOTECAN HCL 100 MG/5 ML VL
(Irinotecan HCl)
    23155017932 52
PDPs
299
MAPDs
ISENTRESS 100 MG TABLET CHEW
(Raltegravir Potassium)
    00006047761 63
PDPs
342
MAPDs
ISENTRESS 100 MG POWDER PACKET
(Raltegravir Potassium)
    00006360360 63
PDPs
342
MAPDs
ISENTRESS 25 MG TABLET CHEW
(Raltegravir Potassium)
    00006047361 63
PDPs
342
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT 00006022761 63
PDPs
342
MAPDs
ISIBLOOM 28 DAY TABLET
(Desogestrel and Ethinyl Estradiol)
28 EA   00781406615 54
PDPs
290
MAPDs
ISOLYTE P IN 5% DEXTROSE INJECTION
(Electrolyte-P in D5W)
24 X 500 ML BAG 00264773010 43
PDPs
264
MAPDs
ISOLYTE S IV SOLUTION-EXCEL
(Electrolyte-S)
1000 ML X 12 CASE 00264770300 43
PDPs
269
MAPDs
ISONIAZID INJ 100MG/ML
(Isoniazid)
10 ML VIALMD 00781305670 46
PDPs
278
MAPDs
ISONIAZID 100 MG TABLET
(Isoniazid)
100 EA   00555006602 63
PDPs
342
MAPDs
ISONIAZID 300 MG TABLET
(Isoniazid)
100.000 EA   00555007102 63
PDPs
342
MAPDs
ISONIAZID 50MG/5ML SYRUP
(Isoniazid)
16 FLO BOT 46287000901 52
PDPs
301
MAPDs
ISOPTO CARPINE 10mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE   00998020315 6
PDPs
12
MAPDs
ISOPTO CARPINE 20mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE   00998020415 6
PDPs
12
MAPDs
ISOPTO CARPINE 40mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE   00998020615 6
PDPs
12
MAPDs
ISORDIL 40 MG TABLET
(Isosorbide Dinitrate)
    00187019201 12
PDPs
78
MAPDs
ISORDIL TITRADOSE 5 MG TAB
(Isosorbide Dinitrate)
    00187015201 7
PDPs
26
MAPDs
ISOSORBIDE DINITRATE 40MG TABLETS EXTENDED RELEASE
(Isosorbide Dinitrate)
100 BOT 57664060088 50
PDPs
315
MAPDs
ISOSORBIDE DN 10 MG TABLET
(Isosorbide Dinitrate)
100.000 EA   00143177101 62
PDPs
341
MAPDs
ISOSORBIDE DN 20 MG TABLET
(Isosorbide Dinitrate)
100 EA   49884002201 62
PDPs
341
MAPDs
ISOSORBIDE DN 30 MG TABLET
(Isosorbide Dinitrate)
100.000 EA   49884000901 59
PDPs
337
MAPDs
ISOSORBIDE DN 5 MG TABLET
(Isosorbide Dinitrate)
100 EA   00143176901 62
PDPs
341
MAPDs
ISOSORBIDE MN 10 MG TABLET
(Isosorbide Mononitrate)
100 EA   00228263111 60
PDPs
336
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 120MG (100 CT)
(Isosorbide Mononitrate)
100 TABLETS BOT 62175012937 63
PDPs
342
MAPDs
ISOSORBIDE MONONITRATE 20MG TABLET
(Isosorbide Mononitrate)
100 BOT 00143133301 60
PDPs
337
MAPDs
ISOSORBIDE MN ER 30 MG TABLET
(Isosorbide Mononitrate)
100.000 EA   13668010401 63
PDPs
342
MAPDs
ISOSORBIDE MN ER 60 MG TABLET
(Isosorbide Mononitrate)
100.000 EA   23155017801 63
PDPs
342
MAPDs
ISOTONIC GENTAMICIN 100 MG/100 ML
(Gentamicin in Saline)
100 ML   00338050548 53
PDPs
304
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG 00338050348 53
PDPs
292
MAPDs
ISOTONIC GENTAMICIN 80 MG/50 ML
(Gentamicin in Saline)
50 ML   00338050941 53
PDPs
294
MAPDs
ISRADIPINE CAPSULES 2.5MG (100 CT)
(Isradipine)
100 BOT 16252053901 39
PDPs
287
MAPDs
ISRADIPINE CAPSULES 5MG (100 CT)
(Isradipine)
100 BOT 16252054001 39
PDPs
287
MAPDs
ISTALOL 0.5% EYE DROPS
(Timolol Maleate Ophth)
5.000 ML   24208000403 31
PDPs
145
MAPDs
ISTODAX 10 MG VIAL
(Romidepsin)
    59572098401 45
PDPs
231
MAPDs
ITRACONAZOLE 100MG CAPSULE
(Itraconazole)
30 CAPS BOT 00185055030 63
PDPs
342
MAPDs
IVERMECTIN 3 MG TABLET [Stromectol, Sklice]
(Ivermectin)
20 EA   42799080601 63
PDPs
338
MAPDs
Ixekizumab 1ML 80 MG/ML Auto-Injector [Taltz]
(Ixekizumab)
    00002144511 4
PDPs
77
MAPDs
Ixekizumab 1ML 80 MG/ML Prefilled Syringe [Taltz]
(Ixekizumab)
    00002772411 4
PDPs
79
MAPDs
IXIARO JAPANESE ENCEPHALITIS VACCINE 6MCG/.5ML
(Japanese Encephalitis Vaccine Inactivated Adsorbed)
0.5ML SYR 42515000101 63
PDPs
342
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
56.000 EA   51167020001 63
PDPs
342
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)
56 EA   51167030001 57
PDPs
330
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)
56 EA   51167040001 57
PDPs
330
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL 00088222033 48
PDPs
270
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)
3 ML X 5 CRTG CRTN 00088221905 48
PDPs
269
MAPDs
LEVEMIR 100UNITS/ML VIAL
(Insulin Detemir)
1 X 10 ML VIAL 00169368712 46
PDPs
280
MAPDs
LEVEMIR FLEXTOUCH 100 UNITS/ML
(Insulin Detemir)
3 ML 00169643810 46
PDPs
280
MAPDs
MARPLAN 10MG TABLET (100 CT)
(Isocarboxazid)
100 BOT 30698003201 63
PDPs
342
MAPDs
MYORISAN 10 MG CAPSULE
(Isotretinoin)
30.000 EA   61748030113 48
PDPs
266
MAPDs
MYORISAN 20 MG CAPSULE
(Isotretinoin)
30.000 EA   61748030213 48
PDPs
266
MAPDs
Myorisan 30 mg capsule
(Isotretinoin)
    61748030313 45
PDPs
262
MAPDs
MYORISAN 40 MG CAPSULE
(Isotretinoin)
30.000 EA   61748030413 48
PDPs
266
MAPDs
NINLARO 2.3 MG CAPSULE
(Ixazomib)
3.000 EA   63020007802 63
PDPs
342
MAPDs
NINLARO 3 MG CAPSULE
(Ixazomib)
3.000 EA   63020007902 63
PDPs
342
MAPDs
NINLARO 4 MG CAPSULE
(Ixazomib)
3.000 EA   63020008002 63
PDPs
342
MAPDs
Novolin 100[USP'U]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane & Regular (Human))
1 10 mL VIAL in CARTON   00169183711 29
PDPs
238
MAPDs
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane (Human))
1 10 mL VIAL in CARTON   00169183411 29
PDPs
238
MAPDs
Novolin R 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Regular (Human))
1 10 mL VIAL in CARTON   00169183311 29
PDPs
243
MAPDs
NOVOLOG 100U/ML VIAL
(Insulin Aspart)
1 X 10ML VIALGL 00169750111 31
PDPs
248
MAPDs
NOVOLOG 100 UNIT/ML CARTRIDGE
(Insulin Aspart)
3 ML   00169330312 31
PDPs
247
MAPDs
NOVOLOG FLEXPEN SYRINGE
(Insulin Aspart)
5 X 3ML SYR 00169633910 31
PDPs
248
MAPDs
NOVOLOG MIX 70/30 VIAL
(Insulin Aspart Prot & Aspart (Human))
1 VIAL 00169368512 31
PDPs
248
MAPDs
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML
(Insulin Aspart Prot & Aspart (Human))
5 X 3 ML SYR 00169369619 31
PDPs
248
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)
    68982085001 42
PDPs
224
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)
    68982084001 42
PDPs
216
MAPDs
ONMEL 200 MG TABLET
(itraconazole)
    00259142028 11
PDPs
56
MAPDs
PALIPERIDONE ER 1.5 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
    00378397893 61
PDPs
342
MAPDs
PALIPERIDONE ER 3 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
    00378397993 61
PDPs
342
MAPDs
PALIPERIDONE ER 6 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
    00378398093 61
PDPs
342
MAPDs
PALIPERIDONE ER 9 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
    00378398193 61
PDPs
342
MAPDs
PHYSIOLYTE SOLUTION FOR IRRIGATION
(Irrigation Solution, Physiological)
1000 ML X 16 CASE 00264220500 16
PDPs
136
MAPDs
PICATO 0.015% GEL
(ingenol mebutate)
    50222050247 46
PDPs
278
MAPDs
PICATO 0.05% GEL
(ingenol mebutate)
    50222050347 46
PDPs
278
MAPDs
PRIMAXIN IV 250MG VIAL
(Imipenem-Cilastatin Intravenous For)
25 X 10 ML VIAL 00006351458 1
PDPs
7
MAPDs
PRIMAXIN IV 500; 500mg/100mL; mg/100mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 100 mL in 1 VIAL, SINGLE-DOS
(Imipenem-Cilastatin Intravenous For)
25 VIAL, SINGLE-DOSE   00006351659 1
PDPs
7
MAPDs
PRIVIGEN 10% VIAL
(Immune Globulin (Human) IV)
200 ML   44206043820 41
PDPs
246
MAPDs
REBIF 22ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS   44087002203 17
PDPs
190
MAPDs
REBIF 44ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS   44087004403 17
PDPs
190
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)
    44087882201 17
PDPs
190
MAPDs
REBIF REBIDOSE TITRATION PACK
(Interferon Beta-1a)
4.2 ML   44087018801 16
PDPs
180
MAPDs
REBIF REBIDOSE 22 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087332201 16
PDPs
180
MAPDs
REBIF REBIDOSE 44 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087334401 16
PDPs
180
MAPDs
Regular Insulin, Human 12 UNT Inhalant Powder [Afrezza]
(insulin)
    47918089190 2
PDPs
21
MAPDs
Regular Insulin, Human 8 UNT Inhalant Powder [Afrezza]
(insulin)
    47918087890 2
PDPs
21
MAPDs
REMICADE 100MG VIAL
(Infliximab For IV)
20 ML VIALSU 57894003001 61
PDPs
289
MAPDs
RENFLEXIS 100 MG VIAL FOR INJECTION
(InFLIXimab-abda)
    00006430502 7
PDPs
94
MAPDs
RIFAMATE 150/300 CAPSULE
(Isoniazid & Rifampin)
60 BOT 00068050960 5
PDPs
90
MAPDs
RIFATER 50/300/120 TABLET
(Isoniazid-Rifampin w/ Pyrazinamide)
60 BOT 00088057641 46
PDPs
294
MAPDs
SKLICE 0.5% LOTION
(ivermectin)
117.000 GM   24338018304 5
PDPs
54
MAPDs
SOLIQUA 100 UNIT-33 MCG/ML PEN
(Insulin glargine and lixisenatide)
    00024576105 11
PDPs
71
MAPDs
SOOLANTRA 1% CREAM
(Ivermectin)
    00299382345 13
PDPs
52
MAPDs
Soybean Oil 250 ML 200 MG/ML Injection [Intralipid]
(Soybean Oil Injection)
    00338051909 63
PDPs
319
MAPDs
SPORANOX 10MG/ML SOLUTION
(Itraconazole)
150 ML BOT 50458029515 22
PDPs
108
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
30 BOT 50458029004 6
PDPs
12
MAPDs
STROMECTOL 3MG TABLET
(Ivermectin)
20 X 1 TABLET BOXUD 00006003220 13
PDPs
20
MAPDs
TIVORBEX 20 MG CAPSULE
(Indomethacin)
    42211020129 6
PDPs
11
MAPDs
TIVORBEX 40 MG CAPSULE
(Indomethacin)
    42211020229 6
PDPs
11
MAPDs
TOFRANIL TABLETS 10MG 30 BOT
(Imipramine HCl)
30 BOT 00406992003 5
PDPs
13
MAPDs
TOFRANIL TABLETS 25MG 30 BOT
(Imipramine HCl)
30 BOT 00406992103 5
PDPs
13
MAPDs
TOFRANIL 50MG TABLET (30 CT)
(Imipramine HCl)
30 BOT 00406992203 5
PDPs
13
MAPDs
TOUJEO SOLOSTAR 300 UNITS/ML
(Insulin Glargine)
1.5 ML   00024586903 48
PDPs
243
MAPDs
TRESIBA FLEXTOUCH 100 UNITS/ML
(Insulin Degludec)
    00169266015 37
PDPs
210
MAPDs
TRESIBA FLEXTOUCH 200 UNITS/ML
(Insulin Degludec)
    00169255013 37
PDPs
210
MAPDs
Ventavis 0.01mg/mL
(Iloprost)
    66215030230 55
PDPs
277
MAPDs
Ventavis 0.02mg/mL
(Iloprost)
    66215030330 55
PDPs
279
MAPDs
XULTOPHY 100 UNIT-3.6MG/ML PEN
(Insulin Degludec and Liraglutide)
3 ML   00169291115 21
PDPs
161
MAPDs
YERVOY 5mg/mL 1 VIAL, SINGLE-USE per CARTON / 50 mL in 1 VIAL, SINGLE-USE
(IPILIMUMAB)
1 VIAL, SINGLE-USE   00003232711 63
PDPs
341
MAPDs
ZENATANE 10 MG CAPSULE
(Isotretinoin)
30 EA   55111013581 44
PDPs
289
MAPDs
ZENATANE 20 MG CAPSULE
(Isotretinoin)
30.000 EA   55111013681 44
PDPs
289
MAPDs
ZENATANE 30 MG CAPSULE
(Isotretinoin)
30 EA   55111011381 45
PDPs
287
MAPDs
ZENATANE 40 MG CAPSULE
(Isotretinoin)
30.000 EA   55111013781 44
PDPs
289
MAPDs
ZYCLARA 2.5% CREAM PUMP
(Imiquimod)
    99207027675 10
PDPs
128
MAPDs
ZYCLARA 3.75% CREAM PUMP
(Imiquimod)
    99207027175 10
PDPs
109
MAPDs
ZYDELIG 100 MG TABLET
(Idelalisib)
60 EA   61958170101 63
PDPs
342
MAPDs
ZYDELIG 150 MG TABLET
(Idelalisib)
60 EA   61958170201 63
PDPs
342
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data April 2018)


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  • 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.