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2018 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
Packaging NDC On This Nbr of 2018 Formularies
PDPs MAPDs
ALOGLIPTIN-PIOGLIT 12.5-15 MG [Oseni]
(Alogliptin / Pioglitazone)
    45802023865 4
PDPs
43
MAPDs
ALOGLIPTIN-PIOGLIT 12.5-30 MG [Oseni]
(Alogliptin / Pioglitazone)
    45802026065 4
PDPs
43
MAPDs
ALOGLIPTIN-PIOGLIT 12.5-45 MG [Oseni]
(Alogliptin / Pioglitazone)
    45802030465 4
PDPs
43
MAPDs
ALOGLIPTIN-PIOGLIT 25-15 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)
    45802035165 4
PDPs
43
MAPDs
ALOGLIPTIN-PIOGLIT 25-30 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)
    45802040265 4
PDPs
43
MAPDs
ALOGLIPTIN-PIOGLIT 25-45 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)
    45802049965 4
PDPs
43
MAPDs
ANADROL-50 TABLET
(Oxymetholone)
100 EA   68220005510 63
PDPs
337
MAPDs
BENICAR 20 MG TABLET
(Olmesartan Medoxomil)
30.000 EA   65597010330 9
PDPs
34
MAPDs
BENICAR 40 MG TABLET
(Olmesartan Medoxomil)
30.000 EA   65597010430 9
PDPs
34
MAPDs
BENICAR 5MG TABLET
(Olmesartan Medoxomil)
30 BOT 65597010130 9
PDPs
34
MAPDs
BENICAR HCT TABLET 12.5-40MG (30 CT)
(Olmesartan Medoxomil-Hydrochlorothiazide)
30 BOT 65597010630 9
PDPs
34
MAPDs
BENICAR HCT 20-12.5 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)
30.000 EA   65597010530 9
PDPs
34
MAPDs
BENICAR HCT 40-25 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)
30.000 EA   65597010730 9
PDPs
34
MAPDs
DAYPRO 600MG CAPLET
(Oxaprozin)
100 BOT 00025138131 6
PDPs
9
MAPDs
DIPENTUM 250 MG CAPSULE
(Olsalazine Sodium)
    00037686010 33
PDPs
220
MAPDs
DITROPAN XL 10 MG TABLET
(Oxybutynin Chloride)
100 EA   50458081001 6
PDPs
10
MAPDs
DITROPAN XL 15 MG TABLET
(Oxybutynin Chloride)
100 EA   50458081501 6
PDPs
10
MAPDs
DITROPAN XL 5 MG TABLET
(Oxybutynin Chloride)
100 EA   50458080501 6
PDPs
10
MAPDs
ENDOCET 10MG-325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 60951071270 63
PDPs
311
MAPDs
ENDOCET 5/325 TABLET
(Oxycodone w/ Acetaminophen)
500 BOT 60951060285 63
PDPs
313
MAPDs
ENDOCET 7.5-325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 60951070070 63
PDPs
310
MAPDs
GELNIQUE 100mg/g 30 PACKET per CARTON / 1 g in 1 PACKET
(Oxybutynin Chloride)
30 PACKET in 1 CARTON   52544008430 6
PDPs
49
MAPDs
Lartruvo 19 mL in 1 VIAL, SINGLE-USE
(Olaratumab)
    00002719001 49
PDPs
268
MAPDs
LARTRUVO 500 MG/50 ML VIAL
(Olaratumab)
    00002892601 49
PDPs
268
MAPDs
LOVAZA 1 GM CAPSULE
(Omega-3-acid Ethyl Esters)
120 EA   00173088408 9
PDPs
10
MAPDs
LYNPARZA 100 MG TABLET
(Olaparib)
120 EA   00310066812 63
PDPs
339
MAPDs
LYNPARZA 150 MG TABLET
(Olaparib)
120 EA   00310067912 63
PDPs
339
MAPDs
LYNPARZA 50 MG CAPSULE
(Olaparib)
    00310065758 63
PDPs
339
MAPDs
METRONIDAZOLE 0.75% CREAM Cream (g) [Vitazol]
(Metronidazole)
45 GM TUBE 00168032346 63
PDPs
329
MAPDs
OCALIVA 10 MG TABLET
(OBETICHOLIC ACID)
30.000 EA   69516001030 23
PDPs
168
MAPDs
OCALIVA 5 MG TABLET
(OBETICHOLIC ACID)
30.000 EA   69516000530 23
PDPs
168
MAPDs
OCELLA 3MG/0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)
3 X 28 PKG 00555913167 56
PDPs
272
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)
    68982085001 42
PDPs
221
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)
    68982084001 42
PDPs
213
MAPDs
OCTREOTIDE ACET 0.05 MG/ML VL
(Octreotide Acetate)
1.000 ML   00703330104 63
PDPs
332
MAPDs
OCTREOTIDE 1,000 MCG/ML VIAL
(Octreotide Acetate)
5.000 ML   63323037905 63
PDPs
329
MAPDs
OCTREOTIDE ACET 200 MCG/ML VL
(Octreotide Acetate)
5.000 ML   63323037805 63
PDPs
332
MAPDs
OCTREOTIDE ACET 500 MCG/ML VL
(Octreotide Acetate)
1.000 ML   63323037701 59
PDPs
324
MAPDs
OCTREOTIDE ACET 100 MCG/ML VL
(Octreotide Acetate)
1 ML   63323037601 63
PDPs
332
MAPDs
OCUFLOX 0.3% EYE DROPS
(Ofloxacin Ophth)
5 ML BOT 11980077905 6
PDPs
10
MAPDs
OCUTRICIN EYE OINTMENT 400UNT/3.5MG/10UNT
(Bacitracin-Polymyxin-Neomycin Ophth)
3.5 GRAM TUBE 24208078055 60
PDPs
334
MAPDs
ODEFSEY TABLET
(Emtricitabine, Rilpivirine Hydrochloride, and Tenofovir Alafenamide Fumarate)
    61958210101 63
PDPs
339
MAPDs
ODOMZO 200 MG CAPSULE
(Sonidegib)
    47335030383 63
PDPs
339
MAPDs
OFEV 100 MG CAPSULE
(Nintedanib)
60 EA   00597014360 57
PDPs
339
MAPDs
OFEV 150 MG CAPSULE
(Nintedanib)
60 EA   00597014560 63
PDPs
339
MAPDs
OFLOXACIN 0.3% EAR DROPS
(Ofloxacin)
5.000 ML   24208041005 63
PDPs
334
MAPDs
OFLOXACIN 300 MG TABLET
(Ofloxacin)
50 EA   75834011950 29
PDPs
194
MAPDs
OFLOXACIN 400 MG TABLET
(Ofloxacin)
100.000 EA   68047071301 38
PDPs
252
MAPDs
OFLOXACIN 0.3 % DRP
(Ofloxacin Ophth)
5 ML   17478071310 62
PDPs
334
MAPDs
OGESTREL TABLET 0.05MG/0.5MG
(Norgestrel & Ethinyl Estradiol)
3X28 BLPK 52544084828 27
PDPs
193
MAPDs
OLANZAPINE ODT 10 MG TABLET RAPDIS [Zyprexa Zydis]
(Olanzapine)
30 EA   33342008407 63
PDPs
339
MAPDs
OLANZAPINE ODT 15 MG TABLET RAPDIS [Zyprexa Zydis]
(Olanzapine)
    33342008507 63
PDPs
339
MAPDs
OLANZAPINE ODT 20 MG TABLET RAPDIS [Zyprexa Zydis]
(Olanzapine)
30 EA   33342008607 63
PDPs
339
MAPDs
OLANZAPINE ODT 5 MG TABLET RAPDIS [Zyprexa Zydis]
(Olanzapine)
30 EA   33342008307 63
PDPs
339
MAPDs
OLANZAPINE 10 MG TABLET [Zyprexa]
(Olanzapine)
30.000 EA   43598016630 63
PDPs
339
MAPDs
OLANZAPINE 15 MG TABLET [Zyprexa]
(Olanzapine)
30 EA   55111016730 63
PDPs
339
MAPDs
OLANZAPINE 2.5 MG TABLET [Zyprexa]
(Olanzapine)
30 EA   60505311003 63
PDPs
339
MAPDs
OLANZAPINE 20 MG TABLET [Zyprexa]
(Olanzapine)
30 EA   55111016830 63
PDPs
339
MAPDs
OLANZAPINE 5 MG TABLET [Zyprexa]
(Olanzapine)
30 EA   43598016430 63
PDPs
339
MAPDs
OLANZAPINE 7.5 MG TABLET [Zyprexa]
(Olanzapine)
30.000 EA   43598016530 63
PDPs
339
MAPDs
OLANZAPINE 10 MG VIAL
(Olanzapine)
    00517095501 63
PDPs
338
MAPDs
OLANZAPINE-FLUOXETINE 12-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025211 14
PDPs
147
MAPDs
OLANZAPINE-FLUOXETINE 12-50 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025311 14
PDPs
147
MAPDs
OLANZAPINE-FLUOXETINE 3-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
    49884027711 14
PDPs
147
MAPDs
OLANZAPINE-FLUOXETINE 6-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025011 14
PDPs
147
MAPDs
OLANZAPINE-FLUOXETINE 6-50 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025111 14
PDPs
147
MAPDs
OLMESARTAN MEDOXOMIL 20 MG TAB [Benicar]
(Olmesartan Medoxomil)
30.000 EA   00378711293 49
PDPs
281
MAPDs
OLMESARTAN MEDOXOMIL 40 MG TAB [Benicar]
(Olmesartan Medoxomil)
30.000 EA   00378712493 49
PDPs
286
MAPDs
OLMESARTAN MEDOXOMIL 5 MG TAB [Benicar]
(Olmesartan Medoxomil)
30.000 EA   00378701293 49
PDPs
281
MAPDs
olmsrtn-amldpn-hctz 20-5-12.5 [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    49884078609 40
PDPs
210
MAPDs
olmsrtn-amldpn-hctz 40-10-12.5 [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    49884078909 40
PDPs
210
MAPDs
olmsrtn-amldpn-hctz 40-10-25mg [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    49884079009 40
PDPs
210
MAPDs
olmsrtn-amldpn-hctz 40-5-12.5 [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    49884078709 40
PDPs
210
MAPDs
olmsrtn-amldpn-hctz 40-5-25 mg [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    49884078809 40
PDPs
210
MAPDs
OLMESARTAN-HCTZ 20-12.5 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
30.000 EA   00378141393 48
PDPs
278
MAPDs
OLMESARTAN-HCTZ 40-12.5 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
30.000 EA   00378142293 48
PDPs
278
MAPDs
OLMESARTAN-HCTZ 40-25 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
30.000 EA   00378142593 48
PDPs
278
MAPDs
OLOPATADINE HCL 0.1% EYE DROPS
(OLOPATADINE HCL)
5 ML   60505057501 36
PDPs
257
MAPDs
Olopatadine 2 MG/ML Ophthalmic Solution
(Olopatadine HCl Nasal)
    00093768432 54
PDPs
297
MAPDs
OLOPATADINE 665 MCG NASAL SPRY
(Olopatadine HCl Nasal)
30.5 GM   60505084505 25
PDPs
174
MAPDs
OLUX 0.05% FOAM
(Clobetasol Propionate)
100 GM   40076003100 5
PDPs
7
MAPDs
OLYSIO 150 MG CAPSULE
(simeprevir)
    59676022528 15
PDPs
100
MAPDs
OMECLAMOX-PAK COMBO PACK
(Omeprazole, Clarithromycin, Amoxicillin)
80 EA   66220042202 2
PDPs
25
MAPDs
OMEGA-3 ETHYL ESTERS 1 GM CAP [Lovaza]
(Omega-3-acid Ethyl Esters)
120 EA   60505317007 54
PDPs
324
MAPDs
OMEPRAZOLE DR 10 MG CAPSULE DR [Prilosec]
(Omeprazole)
30.000 EA   00781278531 63
PDPs
339
MAPDs
OMEPRAZOLE DR 20 MG CAPSULE DR [Prilosec]
(Omeprazole)
1000 EA   00781279010 63
PDPs
339
MAPDs
OMEPRAZOLE DR 40 MG CAPSULE DR [Prilosec]
(Omeprazole)
1000 EA   68462039710 63
PDPs
338
MAPDs
OMEPRAZOLE-BICARB 20-1,680 PKT PACKET [Zegerid]
(Omeprazole-Sodium Bicarbonate)
    27241002962 8
PDPs
70
MAPDs
OMEPRAZOLE-BICARB 20-1,100 CAP [Zegerid]
(Omeprazole-Sodium Bicarbonate)
    69097091302 9
PDPs
65
MAPDs
OMEPRAZOLE-BICARB 40-1,100 CAP [Zegerid]
(Omeprazole-Sodium Bicarbonate)
30.000 EA   55111036430 9
PDPs
65
MAPDs
OMEPRAZOLE-BICARB 40-1,680 PACKET [Zegerid]
(Omeprazole-Sodium Bicarbonate)
30.000 EA   49884026911 8
PDPs
63
MAPDs
OMNARIS 50MCG SPRAY NON-AEROSOL
(Ciclesonide Nasal)
120 METERED ACTUATIONS BOTPU 63402070101 8
PDPs
40
MAPDs
OMNIPRED OPHTHALMIC SUSPENSION 1% 10 ML BOTPL
(Prednisolone Acetate Ophth)
10 ML BOTPL 00065063825 6
PDPs
25
MAPDs
OMNITROPE INJECTION 10MG/1.5ML 10MG X 1.5ML CTG
(Somatropin For)
10MG X 1.5ML CTG 00781300407 22
PDPs
172
MAPDs
OMNITROPE INJECTION 5MG/1.5ML 1.5 ML CTG
(Somatropin For)
1.5 ML CTG 00781300107 22
PDPs
173
MAPDs
OMNITROPE FOR INJECTION KIT 5.8MG 1 BOX PKGCOM
(Somatropin For)
1 BOX PKGCOM 00781400436 22
PDPs
152
MAPDs
ONDANSETRON 4 MG/2 ML ISECURE
(Ondansetron)
    00409112011 60
PDPs
315
MAPDs
ONDANSETRON 4 MG/5 ML SOLUTION
(Ondansetron)
50.000 ML   65162069179 60
PDPs
329
MAPDs
ONDANSETRON HCL 24 MG TABLET
(Ondansetron HCl)
1 EA   55111015611 63
PDPs
331
MAPDs
ONDANSETRON HCL 4 MG TABLET
(Ondansetron HCl)
30.000 EA   68462010530 63
PDPs
339
MAPDs
ONDANSETRON HCL 4 MG/2 ML VIAL
(Ondansetron HCl)
    00409475503 63
PDPs
339
MAPDs
ONDANSETRON HCL 8 MG TABLET
(Ondansetron HCl)
30.000 EA   68462010630 63
PDPs
339
MAPDs
ONDANSETRON ODT 4 MG TABLET
(Ondansetron Orally Disintegrating)
30 EA   57237007710 63
PDPs
339
MAPDs
ONDANSETRON ODT 8 MG TABLET
(Ondansetron Orally Disintegrating)
30 EA   57237007810 63
PDPs
339
MAPDs
ONEXTON GEL PUMP
(Clindamycin / Benzoyl Peroxide)
    00187305050 2
PDPs
18
MAPDs
ONFI 10 MG TABLET
(Clobazam)
100 EA   67386031401 63
PDPs
339
MAPDs
ONFI 2.5 MG/ML SUSPENSION
(Clobazam)
120 ML   67386031321 63
PDPs
339
MAPDs
ONFI 20 MG TABLET
(Clobazam)
100 EA   67386031501 63
PDPs
339
MAPDs
ONGLYZA 2.5 MG TABLET
(Saxagliptin HCl)
30.000 EA   00310610030 26
PDPs
142
MAPDs
ONGLYZA 5 MG TABLET
(Saxagliptin HCl)
30.000 EA   00310610530 26
PDPs
142
MAPDs
ONMEL 200 MG TABLET
(itraconazole)
    00259142028 11
PDPs
55
MAPDs
ONZETRA XSAIL 11 MG
(Sumatriptan)
    64597031108 6
PDPs
20
MAPDs
OPANA 10MG TABLET
(Oxymorphone HCl)
100 BOT 63481061370 4
PDPs
7
MAPDs
OPANA 5MG TABLET
(Oxymorphone HCl)
100 BOT 63481061270 4
PDPs
7
MAPDs
OPDIVO 100 MG/10 ML VIAL
(Nivolumab)
    00003377412 46
PDPs
274
MAPDs
OPDIVO 40 MG/4 ML VIAL
(Nivolumab)
    00003377211 46
PDPs
273
MAPDs
OPSUMIT 10 MG TABLET
(macitentan)
30 EA   66215050130 51
PDPs
320
MAPDs
ORACEA CAPSULES 40MG 30 BOT
(Doxycycline (Rosacea))
30 BOT 00299382230 14
PDPs
68
MAPDs
ORALAIR 300 IR SUBLINGUAL TAB
(Grass Pollen Allergen Extract)
30 EA   59617001502 14
PDPs
57
MAPDs
ORAP 1MG TABLET
(Pimozide)
100 BOT 57844015101 3
PDPs
19
MAPDs
ORAPRED ODT 10 MG TABLET
(Prednisolone Sod Phosphate Oral)
    59212070048 6
PDPs
10
MAPDs
ORAPRED ODT 15 MG TABLET
(Prednisolone Sod Phosphate Oral)
    59212070148 4
PDPs
7
MAPDs
ORAPRED ODT 30 MG TABLET
(Prednisolone Sod Phosphate Oral)
    59212070248 4
PDPs
7
MAPDs
ORAVIG 50 MG BUCCAL TABLET
(Miconazole)
    89141025014 6
PDPs
54
MAPDs
ORBACTIV 400 MG VIAL
(Oritavancin)
    65293001503 8
PDPs
71
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.4 mL in 1 SYRINGE, GLASS
(Abatacept For IV)
    00003281411 23
PDPs
211
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.7 mL in 1 SYRINGE, GLASS
(Abatacept For IV)
    00003281811 23
PDPs
211
MAPDs
ORENCIA CLICKJECT 125 MG/ML
(Abatacept For IV)
    00003218851 23
PDPs
213
MAPDs
ORENCIA 125 MG/ML SYRINGE
(Abatacept For IV)
1 ML   00003218811 23
PDPs
223
MAPDs
ORENCIA 250MG VIAL
(Abatacept For IV)
1 VIAL 00003218710 21
PDPs
210
MAPDs
Orenitram 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(treprostinil)
    66302035001 12
PDPs
110
MAPDs
ORENITRAM ER 0.125 MG TABLET
(treprostinil)
    66302030001 13
PDPs
112
MAPDs
ORENITRAM ER 0.25 MG TABLET
(treprostinil)
    66302030201 13
PDPs
113
MAPDs
ORENITRAM ER 1 MG TABLET
(treprostinil)
    66302031001 13
PDPs
113
MAPDs
ORENITRAM ER 2.5 MG TABLET
(treprostinil)
    66302032501 13
PDPs
113
MAPDs
ORFADIN 10 MG CAPSULE
(Nitisinone)
60 EA   66658011060 63
PDPs
318
MAPDs
ORFADIN 2 MG CAPSULE
(Nitisinone)
60 EA   66658010260 63
PDPs
318
MAPDs
ORFADIN 20 MG CAPSULE
(Nitisinone)
60   66658012060 63
PDPs
307
MAPDs
ORFADIN 4 MG/ML SUSPENSION
(Nitisinone)
90 ML   66658020490 62
PDPs
291
MAPDs
ORFADIN 5 MG CAPSULE
(Nitisinone)
60 EA   66658010560 63
PDPs
318
MAPDs
ORKAMBI 100 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)
112.000 EA   51167070002 63
PDPs
329
MAPDs
ORKAMBI 200 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)
112 EA   51167080901 63
PDPs
339
MAPDs
ORPHENADRINE ER 100 MG TABLET [Norflex]
(Orphenadrine Citrate)
100.000 EA   00115201101 9
PDPs
114
MAPDs
ORPHENADRINE 30 MG/ML VIAL [Norflex]
(Orphenadrine Citrate)
    17478053802 9
PDPs
84
MAPDs
ORTHO MICRONOR 0.35 MG TABLET [Sharobel 28-Day]
(Norethindrone)
28 tablets   50458019406 3
PDPs
11
MAPDs
Ortho Tri-Cyclen 6 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK
(Norgestimate-Eth Estrad)
6 BLISTER PACK in CARTON   50458019115 3
PDPs
8
MAPDs
ORTHO TRI-CYCLEN LO TABLET [Trinessa Lo]
(Norgestimate-Eth Estrad)
28 tablets   50458025106 5
PDPs
11
MAPDs
Ortho Cyclen 6 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK
(Norgestimate & Ethinyl Estradiol)
6 BLISTER PACK in CARTON   50458019715 3
PDPs
8
MAPDs
Ortho Novum 135 6 DIALPACK in 1 CARTON / 1 KIT in 1 DIALPACK
(Norethindrone-Eth Estradiol)
6 DIALPACK in 1 CARTON   50458017615 3
PDPs
9
MAPDs
Ortho-Novum 777 6 DIALPACK per CARTON / 1 KIT in 1 DIALPACK
(Norethindrone-Eth Estradiol)
6 DIALPACK in 1 CARTON   50458017815 4
PDPs
24
MAPDs
OSELTAMIVIR PHOS 30 MG CAPSULE [Tamiflu]
(Oseltamivir Phosphate)
10.000 EA   47781046813 63
PDPs
332
MAPDs
OSELTAMIVIR PHOS 45 MG CAPSULE [Tamiflu]
(Oseltamivir Phosphate)
10.000 EA   47781046913 63
PDPs
331
MAPDs
OSELTAMIVIR 6 MG/ML SUSPENSION [Tamiflu]
(Oseltamivir Phosphate)
60 ML   47781038426 63
PDPs
331
MAPDs
OSELTAMIVIR PHOS 75 MG CAPSULE [Tamiflu]
(Oseltamivir Phosphate)
10.000 EA   47781047013 63
PDPs
332
MAPDs
OSENI 12.5-15 MG TABLET
(alogliptin / pioglitazone)
    64764012103 3
PDPs
46
MAPDs
OSENI 12.5-30 MG TABLET
(alogliptin / pioglitazone)
    64764012303 3
PDPs
46
MAPDs
OSENI 12.5-45 MG TABLET
(alogliptin / pioglitazone)
    64764012403 3
PDPs
46
MAPDs
OSENI 25-15 MG TABLET
(alogliptin / pioglitazone)
    64764025103 3
PDPs
46
MAPDs
OSENI 25-30 MG TABLET
(alogliptin / pioglitazone)
    64764025303 3
PDPs
46
MAPDs
OSENI 25-45 MG TABLET
(alogliptin / pioglitazone)
    64764025403 3
PDPs
46
MAPDs
OSMOPREP TABLET 1.5GM
(Sod Phos Mono-Sod Phos Di)
100 BOT 65649070141 11
PDPs
60
MAPDs
OTEZLA 28 DAY STARTER PACK
(Apremilast)
    59572063255 18
PDPs
169
MAPDs
OTEZLA 30 MG TABLET
(Apremilast)
60 EA   59572063106 19
PDPs
175
MAPDs
OTOVEL 0.3%-0.025% EAR DROPS
(Ciprofloxacin and fluocinolone otic)
    24338008014 4
PDPs
59
MAPDs
OTREXUP 10 MG/0.4 ML AUTO-INJ
(methotrexate)
.400 ML   54436001004 7
PDPs
85
MAPDs
OTREXUP 12.5 MG/0.4 ML AUTOINJ
(methotrexate)
    54436001204 7
PDPs
86
MAPDs
OTREXUP 15 MG/0.4 ML AUTO-INJ
(methotrexate)
.400 ML   54436001504 7
PDPs
85
MAPDs
OTREXUP 17.5 MG/0.4 ML AUTOINJ
(methotrexate)
    54436001704 7
PDPs
75
MAPDs
OTREXUP 20 MG/0.4 ML AUTO-INJ
(methotrexate)
.400 ML   54436002004 7
PDPs
85
MAPDs
OTREXUP 22.5 MG/0.4 ML AUTOINJ
(methotrexate)
    54436002204 7
PDPs
86
MAPDs
OTREXUP 25 MG/0.4 ML AUTO-INJ
(methotrexate)
.400 ML   54436002504 7
PDPs
85
MAPDs
OVIDE 0.5% LOTION
(Malathion)
59 ML   51672529304 7
PDPs
14
MAPDs
Oxacillin 100 MG/ML Injectable Solution
(Oxacillin Sodium For)
    55150012999 31
PDPs
268
MAPDs
Oxacillin 2000 MG Injection
(Oxacillin Sodium For)
    55150012824 35
PDPs
251
MAPDs
OXACILLIN 1GM/50ML INJ
(Oxacillin Sodium For)
50 ML BAG 00338101341 19
PDPs
170
MAPDs
OXACILLIN 2GM/50ML INJ
(Oxacillin Sodium For)
50 ML BAG 00338101541 13
PDPs
169
MAPDs
OXALIPLATIN 100 MG VIAL
(Oxaliplatin IV)
    51991021998 52
PDPs
306
MAPDs
OXALIPLATIN 100 MG/20 ML VIAL
(Oxaliplatin IV)
20 ML   00781331780 55
PDPs
299
MAPDs
OXANDROLONE 10 MG TABLET
(Oxandrolone)
60.000 EA   49884030202 59
PDPs
338
MAPDs
OXANDROLONE 2.5 MG TABLET
(Oxandrolone)
100.000 EA   49884030101 63
PDPs
339
MAPDs
OXAPROZIN 600 MG TABLET
(Oxaprozin)
100 EA   55111017001 35
PDPs
206
MAPDs
OXAZEPAM 10 MG CAPSULE
(Oxazepam)
100 EA   00228206710 15
PDPs
164
MAPDs
OXAZEPAM 15 MG CAPSULE
(Oxazepam)
100 EA   00228206910 15
PDPs
164
MAPDs
OXAZEPAM 30 MG CAPSULE
(Oxazepam)
100.000 EA   00228207310 15
PDPs
162
MAPDs
OXCARBAZEPINE 150 MG TABLET
(Oxcarbazepine)
100.000 EA   51991029201 63
PDPs
339
MAPDs
OXCARBAZEPINE 300 MG TABLET
(Oxcarbazepine)
100.000 EA   51991029301 63
PDPs
339
MAPDs
OXCARBAZEPINE 300 MG/5 ML SUSP
(Oxcarbazepine)
    65162064978 63
PDPs
337
MAPDs
OXCARBAZEPINE 600 MG TABLET
(Oxcarbazepine)
100.000 EA   51991029401 63
PDPs
339
MAPDs
OXICONAZOLE NITRATE 1% CREAM Cream (g) [Oxistat]
(Oxiconazole Nitrate)
60 GM   51672135903 17
PDPs
88
MAPDs
OXISTAT 1% CREAM
(Oxiconazole Nitrate)
    10337035830 6
PDPs
14
MAPDs
OXISTAT 1% LOTION
(Oxiconazole Nitrate)
30.000 ML   10337035930 12
PDPs
67
MAPDs
OXSORALEN-ULTRA 10MG CAP
(Methoxsalen)
50 BOT 00187065042 3
PDPs
18
MAPDs
OXTELLAR XR 150 MG TABLET
(oxcarbazepine)
100 EA   17772012101 10
PDPs
136
MAPDs
OXTELLAR XR 300 MG TABLET
(oxcarbazepine)
100 EA   17772012201 10
PDPs
136
MAPDs
OXTELLAR XR 600 MG TABLET
(oxcarbazepine)
100 EA   17772012301 10
PDPs
136
MAPDs
OXYBUTYNIN CL ER 10 MG TABLET
(Oxybutynin)
100.000 EA   00093520701 60
PDPs
335
MAPDs
OXYBUTYNIN CL ER 15 MG TABLET
(Oxybutynin)
100.000 EA   62175027237 60
PDPs
335
MAPDs
OXYBUTYNIN 5MG TABLET
(Oxybutynin)
500 BOT 00603497528 63
PDPs
339
MAPDs
OXYBUTYNIN 5 MG/5 ML SYRUP
(Oxybutynin)
473.000 ML   60432009216 63
PDPs
328
MAPDs
OXYBUTYNIN CL ER 5 MG TABLET
(Oxybutynin Chloride)
100 EA   00378660501 60
PDPs
335
MAPDs
OXYCODONE HCL 10 MG TABLET [Dazidox]
(Oxycodone HCl)
100 TABLET in 1 BOTTLE   10702005601 62
PDPs
334
MAPDs
OXYCODONE HCL ER 10 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
100.000 EA   00093573101 8
PDPs
113
MAPDs
OXYCODONE HCL ER 15 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
    00115155701 8
PDPs
106
MAPDs
OXYCODONE HCL ER 20 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
100.000 EA   00093573201 8
PDPs
113
MAPDs
OXYCODONE HCL ER 30 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
    00115155901 8
PDPs
103
MAPDs
OXYCODONE HCL ER 40 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
100 EA   00093573301 8
PDPs
113
MAPDs
OXYCODONE HCL ER 60 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
    00115156101 8
PDPs
104
MAPDs
OXYCODONE HCL ER 80 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
100.000 EA   00591270801 8
PDPs
111
MAPDs
OXYCODONE HCL 5 MG CAPSULE [OxyIR]
(Oxycodone HCl)
100 EA   68308014501 35
PDPs
251
MAPDs
OXYCODONE HCL 100 MG/5 ML SOLN ORAL CONC [Roxicodone]
(Oxycodone HCl)
30 ML   66689002530 40
PDPs
272
MAPDs
OXYCODONE HCL 20 MG TABLET [Roxicodone]
(Oxycodone HCl)
100 TABLET in 1 BOTTLE   10702005701 62
PDPs
334
MAPDs
OXYCODONE HCL 5 MG/5 ML SOLN Solution [Roxicodone]
(Oxycodone HCl)
500 ML   00054039063 51
PDPs
279
MAPDs
OXYCODONE HCL 15 MG TABLET [Roxybond]
(Oxycodone HCl)
100.000 EA   00228287811 62
PDPs
336
MAPDs
OXYCODONE HCL 30 MG TABLET [Roxybond]
(Oxycodone HCl)
100.000 EA   00228287911 62
PDPs
334
MAPDs
OXYCODONE HCL 5 MG TABLET [Roxybond]
(Oxycodone HCl)
100 EA   10702001801 62
PDPs
336
MAPDs
OXYCODONE-ACETAMINOPHEN 10-325
(Oxycodone-Acetaminophen )
100.000 EA   00228298311 63
PDPs
339
MAPDs
OXYCODON-ACETAMINOPHEN 2.5-325
(Oxycodone-Acetaminophen )
100.000 EA   00603497821 62
PDPs
327
MAPDs
OXYCODONE-ACETAMINOPHEN 5-325
(Oxycodone-Acetaminophen )
100 EA   00406051201 63
PDPs
339
MAPDs
OXYCODON-ACETAMINOPHEN 7.5-325
(Oxycodone-Acetaminophen )
100.000 EA   00228298211 63
PDPs
338
MAPDs
OXYCODONE-ASPIRIN 4.8355-325
(Oxycodone w/ Aspirin)
100 EA   00591355101 44
PDPs
251
MAPDs
OXYCODONE-IBUPROFEN 5-400 TAB
(Oxycodone-Ibuprofen)
100 EA   00228402911 28
PDPs
167
MAPDs
OxyContin 10mg/1
(Oxycodone HCl)
    59011041010 20
PDPs
164
MAPDs
OxyContin 15mg/1
(Oxycodone HCl)
    59011041510 20
PDPs
167
MAPDs
OxyContin 20mg/1
(Oxycodone HCl)
    59011042010 20
PDPs
164
MAPDs
OxyContin 30mg/1
(Oxycodone HCl)
    59011043010 20
PDPs
167
MAPDs
OxyContin 40mg/1
(Oxycodone HCl)
    59011044010 20
PDPs
164
MAPDs
OxyContin 60mg/1
(Oxycodone HCl)
    59011046010 18
PDPs
166
MAPDs
OxyContin 80mg/1
(Oxycodone HCl)
    59011048010 18
PDPs
164
MAPDs
oxymorphone hcl er 10 mg tab
(Oxymorphone HCl)
    00115123201 14
PDPs
114
MAPDs
OXYMORPHONE HCL 10 MG TABLET
(Oxymorphone HCl)
100 EA   10702007101 10
PDPs
178
MAPDs
OXYMORPHONE HCL ER 15 MG TAB
(Oxymorphone HCl)
    00115131601 14
PDPs
121
MAPDs
oxymorphone hcl er 20 mg tab
(Oxymorphone HCl)
    00115123301 14
PDPs
114
MAPDs
oxymorphone hcl er 30 mg tab
(Oxymorphone HCl)
    00115131701 14
PDPs
114
MAPDs
oxymorphone hcl er 40 mg tab
(Oxymorphone HCl)
    00115123401 14
PDPs
114
MAPDs
oxymorphone hcl er 5 mg tablet
(Oxymorphone HCl)
    00115123101 14
PDPs
114
MAPDs
OXYMORPHONE HCL 5 MG TABLET
(Oxymorphone HCl)
100 EA   10702007001 10
PDPs
178
MAPDs
OXYMORPHONE HCL ER 7.5 MG TAB
(Oxymorphone HCl)
100.000 EA   00115131501 14
PDPs
121
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 / PATCH   52544092008 6
PDPs
43
MAPDs
OZEMPIC 0.25-0.5 MG DOSE PEN
(Semaglutide)
1.5   00169413212 31
PDPs
141
MAPDs
OZEMPIC 1 MG DOSE PEN
(Semaglutide)
3   00169413602 31
PDPs
141
MAPDs
PATADAY 0.2% DROPS
(Olopatadine HCl Ophth)
2.5 ML BOTPL 00065027225 13
PDPs
30
MAPDs
PATANASE 665ug/1 240 SPRAY, METERED in 1 BOTTLE
(Olopatadine HCl Nasal)
240 SPRAY, METERED   00065033230 6
PDPs
23
MAPDs
PATANOL 0.1% EYE DROPS
(Olopatadine HCl Ophth)
5 ML BOT 00065027105 6
PDPs
16
MAPDs
PAZEO 0.7% EYE DROPS
(Olopatadine)
    00065427325 52
PDPs
204
MAPDs
PERCOCET 10/325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 63481062970 5
PDPs
10
MAPDs
PERCOCET 2.5/325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 63481062770 5
PDPs
8
MAPDs
PERCOCET 7.5/325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 63481062870 5
PDPs
8
MAPDs
PERCOCET 5-325 MG TABLET
(Oxycodone w/ Acetaminophen)
100.000 EA   63481062370 5
PDPs
10
MAPDs
PIMOZIDE 1 MG TABLET [Orap]
(Pimozide)
    49884034701 63
PDPs
337
MAPDs
PIMOZIDE 2 MG TABLET [Orap]
(Pimozide)
    49884034801 63
PDPs
337
MAPDs
PRILOSEC DR 10 MG SUSPENSION
(Omeprazole)
    70515061001 9
PDPs
43
MAPDs
PRILOSEC DR 2.5 MG SUSPENSION
(Omeprazole)
    70515062501 9
PDPs
43
MAPDs
PRIMLEV 10-300 MG TABLET
(Oxycodone)
    24090068388 2
PDPs
21
MAPDs
PRIMLEV 5-300 MG TABLET
(Oxycodone)
    24090068188 2
PDPs
21
MAPDs
PRIMLEV 7.5-300 MG TABLET
(Oxycodone)
    24090068288 2
PDPs
21
MAPDs
ROXICODONE 15 MG TABLET
(Oxycodone HCl)
100 EA   23635058110 6
PDPs
10
MAPDs
ROXICODONE 30 MG TABLET
(Oxycodone HCl)
    23635058210 6
PDPs
10
MAPDs
ROXICODONE 5 MG TABLET
(Oxycodone HCl)
100 EA   23635058010 6
PDPs
10
MAPDs
SANDOSTATIN 0.05MG/ML AMPUL
(Octreotide Acetate)
10 AMP 00078018001 1
PDPs
10
MAPDs
Sandostatin 100ug/mL 10 AMPULE in 1 PACKAGE / 1 mL in 1 AMPULE
(Octreotide Acetate)
10 AMPULE in 1 PACKAGE   00078018101 1
PDPs
10
MAPDs
Sandostatin 500ug/mL 10 AMPULE in 1 PACKAGE / 1 mL in 1 AMPULE
(Octreotide Acetate)
10 AMPULE in 1 PACKAGE   00078018201 1
PDPs
10
MAPDs
SANDOSTATIN LAR DEPOT 10 MG KT
(Octreotide Acetate)
    00078081181 28
PDPs
260
MAPDs
SANDOSTATIN LAR DEPOT 20 MG KT
(Octreotide Acetate)
    00078081881 28
PDPs
268
MAPDs
SANDOSTATIN LAR DEPOT 30 MG KT
(Octreotide Acetate)
    00078082581 28
PDPs
272
MAPDs
STRIVERDI RESPIMAT INHAL SPRAY
(Olodaterol Respimat)
4 GM   00597019261 13
PDPs
150
MAPDs
Symbyax 25; 3mg/1; mg/1 30 CAPSULE BOTTLE
(Olanzapine-Fluoxetine HCl)
30 CAPSULE in 1 BOTTLE   00002323030 6
PDPs
31
MAPDs
SYMBYAX 12-25MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT 00002323230 6
PDPs
31
MAPDs
SYMBYAX 6-25MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT 00002323130 4
PDPs
28
MAPDs
SYMBYAX 12-50MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT 00002323430 6
PDPs
31
MAPDs
SYMBYAX 6-50MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT 00002323330 6
PDPs
31
MAPDs
SYNRIBO 3.5 MG/ML VIAL
(omacetaxine mepesuccinate)
    63459017714 63
PDPs
339
MAPDs
TAGRISSO 40 MG TABLET
(Osimertinib)
    00310134930 63
PDPs
339
MAPDs
TAGRISSO 80 MG TABLET
(Osimertinib)
    00310135030 63
PDPs
339
MAPDs
TAMIFLU 30 MG 1 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Oseltamivir Phosphate)
BLISTER PACK   00004080285 20
PDPs
77
MAPDs
TAMIFLU 45 MG 1 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Oseltamivir Phosphate)
BLISTER PACK   00004080185 20
PDPs
76
MAPDs
TAMIFLU 6 MG/ML SUSPENSION
(Oseltamivir Phosphate)
60 ML   00004082205 43
PDPs
231
MAPDs
TAMIFLU 75 MG CAPSULE UD
(Oseltamivir Phosphate)
10 BLPK 00004080085 20
PDPs
77
MAPDs
TECHNIVIE DOSE PACK
(Ombitasvir and Paritaprevir and Ritonavi)
    00074308228 22
PDPs
106
MAPDs
TRIBENZOR 20/5/12.5MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 BOT 65597011430 6
PDPs
30
MAPDs
TRIBENZOR 40/10/12.5MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 BOT 65597011730 6
PDPs
30
MAPDs
TRIBENZOR 40/10/25MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 BOT 65597011830 6
PDPs
30
MAPDs
Tribenzor 5; 12.5; 40mg/1; mg/1; mg/1
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    65597011530 6
PDPs
30
MAPDs
Tribenzor 5; 25; 40mg/1; mg/1; mg/1
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    65597011630 6
PDPs
30
MAPDs
TRILEPTAL 150MG TABLET
(Oxcarbazepine)
100 BOT 00078045605 6
PDPs
19
MAPDs
TRILEPTAL 300MG TABLET
(Oxcarbazepine)
100 BOT 00078033705 6
PDPs
19
MAPDs
TRILEPTAL 300MG/5ML SUSP
(Oxcarbazepine)
250 ML BOT 00078035752 6
PDPs
22
MAPDs
TRILEPTAL 600MG TABLET
(Oxcarbazepine)
100 BOT 00078045705 6
PDPs
19
MAPDs
VIEKIRA XR TABLET
(Ombitasvir and Paritaprevir and Ritonavir and Dasabuvir)
    00074006328 16
PDPs
93
MAPDs
XOLAIR 150MG VIAL
(Omalizumab For)
1 X VIAL 50242004062 63
PDPs
333
MAPDs
XTAMPZA ER 13.5 MG CAPSULE
(Oxycodone)
    24510011510 11
PDPs
110
MAPDs
XTAMPZA ER 18 MG CAPSULE
(Oxycodone)
    24510012010 11
PDPs
110
MAPDs
XTAMPZA ER 27 MG CAPSULE
(Oxycodone)
    24510013010 11
PDPs
110
MAPDs
XTAMPZA ER 36 MG CAPSULE
(Oxycodone)
    24510014010 11
PDPs
110
MAPDs
XTAMPZA ER 9 MG CAPSULE
(Oxycodone)
    24510011010 11
PDPs
110
MAPDs
YOSPRALA DR 325-40 MG TABLET
(Aspirin and omeprazole)
    70347032530 3
PDPs
14
MAPDs
YOSPRALA DR 81-40 MG TABLET
(Aspirin and omeprazole)
    70347008130 3
PDPs
14
MAPDs
ZEGERID 20MG PACKET
(Omeprazole-Sodium Bicarbonate)
30 CRTN 68012005230 5
PDPs
22
MAPDs
ZEGERID 20MG CAPSULE
(Omeprazole-Sodium Bicarbonate)
30 BOTPL 68012010230 5
PDPs
22
MAPDs
ZEGERID 40MG PACKET
(Omeprazole-Sodium Bicarbonate)
30 CRTN 68012005430 5
PDPs
22
MAPDs
ZEGERID 40MG CAPSULE
(Omeprazole-Sodium Bicarbonate)
30 BOTPL 68012010430 5
PDPs
22
MAPDs
ZOFRAN 4 MG TABLET
(Ondansetron HCl)
30   00078067515 6
PDPs
11
MAPDs
ZOFRAN 4MG/5ML ORAL TUBEX
(Ondansetron HCl)
50 ML BOTGL 00173048900 6
PDPs
9
MAPDs
ZOFRAN 8 MG TABLET
(Ondansetron HCl)
30   00078067615 6
PDPs
11
MAPDs
ZOFRAN ODT 4 MG TABLET
(Ondansetron Orally Disintegrating)
    00078067919 6
PDPs
11
MAPDs
ZOFRAN ODT 8 MG TABLET
(Ondansetron Orally Disintegrating)
    00078068019 6
PDPs
11
MAPDs
ZUPLENZ 4 MG SOLUBLE FILM
(Ondansetron Orally Disintegrating)
60 units   89141044430 3
PDPs
19
MAPDs
ZUPLENZ 8 MG SOLUBLE FILM
(Ondansetron Orally Disintegrating)
15 units   89141044830 3
PDPs
19
MAPDs
ZYPREXA 10MG VIAL
(Olanzapine)
1 VIAL 00002759701 6
PDPs
19
MAPDs
ZYPREXA 10 MG TABLET
(Olanzapine)
30 EA   00002411730 6
PDPs
15
MAPDs
ZYPREXA 15 MG TABLET
(Olanzapine)
30 EA   00002441530 6
PDPs
15
MAPDs
ZYPREXA 2.5MG 30 TABLET BOTTLE
(Olanzapine)
30 TABLET in 1 BOTTLE   00002411230 6
PDPs
15
MAPDs
ZYPREXA 20MG TABLET
(Olanzapine)
30 BOT 00002442030 6
PDPs
15
MAPDs
ZYPREXA 5MG TABLET (30 BOT)
(Olanzapine)
30 BOT 00002411530 6
PDPs
15
MAPDs
ZYPREXA 7.5 MG TABLET
(Olanzapine)
30 EA   00002411630 6
PDPs
15
MAPDs
ZYPREXA Relprevv 1 KIT in 1 CARTON
(Olanzapine Pamoate)
1 KIT in 1 CARTON   00002763511 63
PDPs
334
MAPDs
ZYPREXA ZYDIS 10MG TABLET
(Olanzapine)
30 BLPK 00002445485 6
PDPs
15
MAPDs
ZYPREXA ZYDIS 15MG TABLET
(Olanzapine)
30 BLPK 00002445585 6
PDPs
15
MAPDs
ZYPREXA ZYDIS 20MG TABLET
(Olanzapine)
30 BLPK 00002445685 6
PDPs
15
MAPDs
ZYPREXA ZYDIS 5MG TABLET (30 BLPK)
(Olanzapine)
30 BLPK 00002445385 6
PDPs
15
MAPDs



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


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  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
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  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
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  • 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.