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2018 Medicare Part D Formulary Search By Drug Letter

Select a Letter below:

Top Medicare Drugs (Short List) in Alphabetical Order

Drug Name
PackagingNDCOn This Nbr of 2018 Formularies
PDPsMAPDs
ABILIFY 10MG TABLET
(Aripiprazole)
30 BOT591480008133
PDPs
11
MAPDs
ABILIFY 15MG TABLET
(Aripiprazole)
30 BOT591480009133
PDPs
11
MAPDs
ABILIFY 2MG TABLET
(Aripiprazole)
30 BOX591480006133
PDPs
11
MAPDs
ABILIFY 20MG TABLET
(Aripiprazole)
30 BOT591480010133
PDPs
11
MAPDs
ABILIFY 30MG TABLET
(Aripiprazole)
30 BOT591480011133
PDPs
11
MAPDs
ABILIFY MAINTENA ER 300 MG SYR
(Aripiprazole)
   5914800458050
PDPs
305
MAPDs
ABILIFY MAINTENA ER 300 MG VL
(Aripiprazole)
1 EA  5914800187150
PDPs
312
MAPDs
ABILIFY MAINTENA ER 400 MG SYR
(Aripiprazole)
   5914800728050
PDPs
312
MAPDs
ABILIFY 5MG TABLET (OTSUKA)
(Aripiprazole)
30 BOT591480007133
PDPs
11
MAPDs
Actonel 150mg 36 DOSE PACK CASE / 1 TRAY DOSE PACK / 1 FILM COATED TABLETS in TRAY
(Risedronate Sodium)
36 DOSE PACK in 1 CASE /  004300478014
PDPs
9
MAPDs
Actonel 30mg 12 BOTTLE CASE / 30 FILM COATED TABLETS in BOTTLE
(Risedronate Sodium)
12 BOTTLE in 1 CASE / 30  004300470154
PDPs
14
MAPDs
Actonel 35mg 36 DOSE PACK CASE / 1 TRAY DOSE PACK / 4 FILM COATED TABLETS in TRAY
(Risedronate Sodium)
36 DOSE PACK in 1 CASE /  004300472034
PDPs
9
MAPDs
Actonel 5mg 12 BOTTLE CASE / 30 FILM COATED TABLETS in BOTTLE
(Risedronate Sodium)
12 BOTTLE in 1 CASE / 30  004300471154
PDPs
9
MAPDs
ACTOS 15 MG TABLET
(Pioglitazone HCL)
   647640151046
PDPs
10
MAPDs
ACTOS 30 MG TABLET
(Pioglitazone HCL)
   647640301146
PDPs
10
MAPDs
ACTOS 45 MG TABLET
(Pioglitazone HCL)
   647640451246
PDPs
10
MAPDs
ADVAIR DISKUS MIS 100/50
(Fluticasone-Salmeterol)
60 DOSE INHL0017306950056
PDPs
316
MAPDs
ADVAIR DISKUS MIS 250/50
(Fluticasone-Salmeterol)
60 DOSE BLPK0017306960056
PDPs
316
MAPDs
ADVAIR DISKUS MIS 500/50
(Fluticasone-Salmeterol)
60 BLPK0017306970056
PDPs
316
MAPDs
AMLODIPINE BESYLATE 10 MG TAB
(Amlodipine Besylate)
1000.000 EA  6818007520363
PDPs
344
MAPDs
AMLODIPINE-BENAZEPRIL 10-40 MG
(Amlodipine Besylate-Benazepril HCl)
100.000 EA  6818007600154
PDPs
336
MAPDs
AMLODIPINE BESYLATE-BENAZEPRIL 10MG-20MG CAPSULE
(Amlodipine Besylate)
100 CAP BOT0009373730154
PDPs
336
MAPDs
AMLODIPINE BESYLATE 2.5 MG TAB
(Amlodipine Besylate)
90.000 EA  6818007500963
PDPs
344
MAPDs
AMLODIPINE-BENAZEPRIL 2.5-10
(Amlodipine Besylate-Benazepril HCl)
100.000 EA  5511103380154
PDPs
336
MAPDs
AMLODIPINE BESYLATE 5 MG TAB
(Amlodipine Besylate)
1000.000 EA  6818007510363
PDPs
344
MAPDs
AMLODIPINE-BENAZEPRIL 5-40 MG
(Amlodipine Besylate-Benazepril HCl)
100.000 EA  6818007590154
PDPs
336
MAPDs
AMLODIPINE BESYLATE-BENAZEPRIL 5-10MG CAPSULE
(Amlodipine Besylate)
100 CAPS BOT0009373710154
PDPs
336
MAPDs
AMLODIPINE BESYLATE-BENAZEPRIL 5MG-20MG CAPSULE
(Amlodipine Besylate)
100 CAP BOT0009373720154
PDPs
336
MAPDs
ARIPIPRAZOLE 10 MG TABLET [Abilify]
(Aripiprazole)
30.000 EA  3172208273063
PDPs
344
MAPDs
ARIPIPRAZOLE 15 MG TABLET [Abilify]
(Aripiprazole)
30.000 EA  3172208283063
PDPs
344
MAPDs
ARIPIPRAZOLE 20 MG TABLET [Abilify]
(Aripiprazole)
30.000 EA  3172208293059
PDPs
344
MAPDs
ARIPIPRAZOLE 30 MG TABLET [Abilify]
(Aripiprazole)
30.000 EA  3172208303063
PDPs
344
MAPDs
ARIPIPRAZOLE 5 MG TABLET [Abilify]
(Aripiprazole)
30.000 EA  3172208203063
PDPs
344
MAPDs
ATORVASTATIN 10 MG TABLET [Lipitor]
(Atorvastatin Calcium)
1000.000 EA  6050525780863
PDPs
344
MAPDs
ATORVASTATIN 20 MG TABLET [Lipitor]
(Atorvastatin Calcium)
1000.000 EA  6050525790863
PDPs
344
MAPDs
ATORVASTATIN 40 MG TABLET [Lipitor]
(Atorvastatin Calcium)
90.000 EA  6050525800963
PDPs
344
MAPDs
ATORVASTATIN 80 MG TABLET [Lipitor]
(Atorvastatin Calcium)
90.000 EA  6050526710963
PDPs
344
MAPDs
CLOPIDOGREL 300 MG TABLET [Plavix]
(Clopidogrel)
   5511106713126
PDPs
178
MAPDs
CLOPIDOGREL 75 MG TABLET [Plavix]
(Clopidogrel)
90.000 EA  6050502530263
PDPs
344
MAPDs
CRESTOR 10MG TABLET
(Rosuvastatin Calcium)
90 BOT003100751908
PDPs
18
MAPDs
CRESTOR 20MG TABLET
(Rosuvastatin Calcium)
90 BOT003100752908
PDPs
18
MAPDs
CRESTOR 40mg/1 30 FILM COATED TABLETS in BOTTLE, PLASTIC
(Rosuvastatin Calcium)
30 TABLET, FILM COATED in  003100754308
PDPs
18
MAPDs
CRESTOR 5MG TABLET
(Rosuvastatin Calcium)
90 BOT003100755908
PDPs
18
MAPDs
CYMBALTA 20MG CAPSULE
(Duloxetine HCl Enteric Coated Pellets)
60 BOT000023235606
PDPs
15
MAPDs
CYMBALTA CAPSULES DELAYED RELEASE 30MG (30 CT)
(Duloxetine HCl Enteric Coated Pellets)
30 BOT000023240306
PDPs
15
MAPDs
CYMBALTA 60 MG CAPSULE
(Duloxetine HCl Enteric Coated Pellets)
30.000 EA  000023270306
PDPs
15
MAPDs
DIOVAN HCT 160/12.5MG TABLET
(Valsartan)
90 BOT000780315348
PDPs
13
MAPDs
DIOVAN HCT 320/12.5MG TABLET
(Valsartan)
90 BOT000780471348
PDPs
13
MAPDs
DIOVAN HCT 80/12.5MG TABLET
(Valsartan)
90 BOT000780314348
PDPs
13
MAPDs
DIOVAN 160MG TABLET
(Valsartan)
90 BOT000780359346
PDPs
10
MAPDs
DIOVAN HCT 160/25MG TABLET
(Valsartan)
90 BOT000780383348
PDPs
13
MAPDs
DIOVAN 320MG TABLET
(Valsartan)
90 BOT000780360346
PDPs
10
MAPDs
DIOVAN HCT 320/25MG TABLET
(Valsartan)
90 BOT000780472348
PDPs
13
MAPDs
DIOVAN 40MG TABLET
(Valsartan)
30 BOT000780423156
PDPs
10
MAPDs
DIOVAN 80MG TABLET
(Valsartan)
90 BOX000780358346
PDPs
10
MAPDs
DULOXETINE HCL DR 20 MG CAP [Cymbalta]
()
60.000 EA  5723700176063
PDPs
344
MAPDs
DULOXETINE HCL DR 30 MG CAP [Cymbalta]
()
30.000 EA  5723700183063
PDPs
344
MAPDs
DULOXETINE HCL DR 40 MG CAPSULE [Cymbalta]
()
   6818002970627
PDPs
212
MAPDs
DULOXETINE HCL DR 60 MG CAP [Cymbalta]
()
30.000 EA  5723700193063
PDPs
344
MAPDs
ESCITALOPRAM 10 MG TABLET [Lexapro]
(Escitalopram)
100.000 EA  1672901690163
PDPs
344
MAPDs
ESCITALOPRAM 20 MG TABLET [Lexapro]
(Escitalopram)
100.000 EA  1672901700163
PDPs
344
MAPDs
ESCITALOPRAM 5 MG TABLET [Lexapro]
(Escitalopram)
   0009358500163
PDPs
344
MAPDs
ESCITALOPRAM OXALATE 5 MG/5 ML [Lexapro]
(Escitalopram)
   6516207058863
PDPs
344
MAPDs
ESOMEPRAZOLE SODIUM 20 MG VIAL [Nexium]
()
1 EA  6275605084446
PDPs
261
MAPDs
ESOMEPRAZOLE MAG DR 20 MG CAP [Nexium]
()
30.000 EA  0009364505646
PDPs
209
MAPDs
ESOMEPRAZOLE SODIUM 40 MG VIAL [Nexium]
()
1 EA  6275605094449
PDPs
275
MAPDs
ESOMEPRAZOLE MAG DR 40 MG CAP [Nexium]
()
30.000 EA  0037823519347
PDPs
209
MAPDs
Furosemide 10 ML 10 MG/ML Injection
(Furosemide)
   2315505214463
PDPs
341
MAPDs
Furosemide 10mg/mL 10 CARTON in 1 CONTAINER / 1 SYRINGE, PLASTIC in 1 CARTON / 4 mL in 1 SYRINGE, P
(Furosemide)
10 CARTON in 1 CONTAINER  0040996310458
PDPs
323
MAPDs
FUROSEMIDE 10 MG/ML SOLUTION
(Furosemide)
60.000 ML  0005432944663
PDPs
339
MAPDs
FUROSEMIDE 20 MG TABLET
(Furosemide)
100 EA  6330406240163
PDPs
344
MAPDs
FUROSEMIDE 40 MG TABLET
(Furosemide)
1000 EA  6330406251063
PDPs
344
MAPDs
FUROSEMIDE 40MG/5ML TUBEX
(Furosemide)
500 ML BOT0005432986352
PDPs
298
MAPDs
FUROSEMIDE 80 MG TABLET
(Furosemide)
500.000 EA  0037802320563
PDPs
344
MAPDs
HYDROCODON-ACETAMINOPHN 10-325
(Hydrocodone-Acetaminophen)
500.000 EA  0059126120563
PDPs
344
MAPDs
HYDROCODON-ACETAMINOPH 2.5-325
(Hydrocodone-Acetaminophen)
100.000 EA  0059121710124
PDPs
222
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 10mg/1; mg/1
(Hydrocodone-Acetaminophen)
   6437606430121
PDPs
180
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 5mg/1; mg/1
(Hydrocodone-Acetaminophen)
   6437606480121
PDPs
183
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 7.5mg/1; mg/1
(Hydrocodone-Acetaminophen)
   6437606490121
PDPs
183
MAPDs
Hydrocodone Bitartrate and Acetaminophen 325; 7.5mg/15mL; mg/15mL
(Hydrocodone-Acetaminophen)
   6437606401660
PDPs
297
MAPDs
HYDROCODON-ACETAMINOPHEN 5-325
(Hydrocodone-Acetaminophen)
100.000 EA  0040601230163
PDPs
344
MAPDs
HYDROCODON-ACETAMINOPH 7.5-325
(Hydrocodone-Acetaminophen)
100.000 EA  0040601240163
PDPs
344
MAPDs
JANUVIA TABLET 100MG (30 CT)
(Sitagliptin Phosphate)
30 BOT0000602773159
PDPs
336
MAPDs
JANUVIA 25MG TABLET
(Sitagliptin Phosphate)
30 BOT0000602213159
PDPs
336
MAPDs
JANUVIA 50 MG TABLET
(Sitagliptin Phosphate)
30.000 EA  0000601123159
PDPs
336
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL0008822203348
PDPs
264
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)
3 ML X 5 CRTG CRTN 0008822190548
PDPs
263
MAPDs
LEVOTHYROXINE 100 MCG VIAL
(Levothyroxine Sodium)
   6332306490712
PDPs
91
MAPDs
LEVOTHYROXINE 100 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA  0037818091063
PDPs
344
MAPDs
LEVOTHYROXINE 112 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA  0037818111063
PDPs
344
MAPDs
LEVOTHYROXINE 125 MCG TABLET
(Levothyroxine Sodium)
1000 EA  0037818131063
PDPs
344
MAPDs
LEVOTHYROXINE 137 MCG TABLET
(Levothyroxine Sodium)
1000 EA  0037818231063
PDPs
344
MAPDs
LEVOTHYROXINE 150 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA  0037818151063
PDPs
344
MAPDs
LEVOTHYROXINE 175 MCG TABLET
(Levothyroxine Sodium)
1000 EA  0037818171063
PDPs
344
MAPDs
LEVOTHYROXINE 200 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA  0037818191063
PDPs
344
MAPDs
LEVOTHYROXINE 25 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA  0037818001063
PDPs
344
MAPDs
LEVOTHYROXINE 300 MCG TABLET
(Levothyroxine Sodium)
90 EA  0037818217763
PDPs
344
MAPDs
LEVOTHYROXINE 50 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA  0037818031063
PDPs
344
MAPDs
LEVOTHYROXINE 75 MCG TABLET
(Levothyroxine Sodium)
1000 EA  0037818051063
PDPs
344
MAPDs
LEVOTHYROXINE 88 MCG TABLET
(Levothyroxine Sodium)
1000.000 EA  0037818071063
PDPs
344
MAPDs
LEXAPRO 10MG TABLET
(Escitalopram Oxalate)
10 BOT004562010016
PDPs
15
MAPDs
LEXAPRO 20MG TABLET
(Escitalopram Oxalate)
100 TABLETS BOT004562020016
PDPs
15
MAPDs
LEXAPRO 5MG TABLET
(Escitalopram Oxalate)
100 BOT004562005016
PDPs
15
MAPDs
LIPITOR 10MG TABLET
(Atorvastatin Calcium)
90 BOT000710155238
PDPs
13
MAPDs
LIPITOR 20 MG TABLET
(Atorvastatin Calcium)
   000710156236
PDPs
10
MAPDs
LIPITOR 40 MG TABLET
(Atorvastatin Calcium)
90.000 EA  000710157236
PDPs
10
MAPDs
LIPITOR 80 MG TABLET
(Atorvastatin Calcium)
90.000 EA  000710158236
PDPs
10
MAPDs
LISINOPRIL 10 MG TABLET
(Lisinopril)
100.000 EA  4354703531063
PDPs
344
MAPDs
LISINOPRIL-HCTZ 10-12.5 MG TAB
(Lisinopril)
500.000 EA  6818005180263
PDPs
344
MAPDs
LISINOPRIL 2.5 MG TABLET
(Lisinopril)
500.000 EA  6818005120263
PDPs
344
MAPDs
LISINOPRIL 20 MG TABLET
(Lisinopril)
100.000 EA  0037820750163
PDPs
344
MAPDs
LISINOPRIL-HCTZ 20-12.5 MG TAB
(Lisinopril)
500.000 EA  6818005190263
PDPs
344
MAPDs
LISINOPRIL-HCTZ 20-25 MG TAB
(Lisinopril)
500.000 EA  6818005200263
PDPs
344
MAPDs
Lisinopril 30 MG Oral Tablet
(Lisinopril)
   1672903790163
PDPs
344
MAPDs
LISINOPRIL 40 MG TABLET
(Lisinopril)
1000.000 EA  6818005170363
PDPs
344
MAPDs
LISINOPRIL 5 MG TABLET
(Lisinopril)
1000.000 EA  6818005130363
PDPs
344
MAPDs
MEMANTINE HCL 10 MG TABLET [Namenda]
(Memantine HCl)
60.000 EA  5511105976063
PDPs
344
MAPDs
MEMANTINE HCL 2 MG/ML SOLUTION [Namenda]
(Memantine HCl)
   0052719431362
PDPs
331
MAPDs
MEMANTINE HCL 5 MG TABLET [Namenda]
(Memantine HCl)
   5511105966063
PDPs
344
MAPDs
METFORMIN HCL ER 1,000 MG TAB
(Metformin HCl)
60 EA  681800337078
PDPs
43
MAPDs
Metformin HCL ER tab 1000mg
(Metformin HCl)
   681800339092
PDPs
16
MAPDs
METFORMIN HCL 1,000 MG TABLET
(Metformin HCl)
1000.000 EA  2315501041063
PDPs
344
MAPDs
Metformin HCL ER tab 500mg
(Metformin HCl)
   681800338019
PDPs
25
MAPDs
METFORMIN HCL 500 MG TABLET
(Metformin HCl)
1000.000 EA  2315501021063
PDPs
344
MAPDs
METFORMIN HCL ER 500 MG TABLET
(Metformin HCl)
500.000 EA  5374601780563
PDPs
344
MAPDs
METFORMIN HCL ER 500 MG OSM-TB
(Metformin HCl)
60.000 EA  6818003360712
PDPs
47
MAPDs
METFORMIN HCL ER 750 MG TABLET
(Metformin HCl)
100.000 EA  5374601790163
PDPs
344
MAPDs
METFORMIN HCL 850 MG TABLET
(Metformin HCl)
1000.000 EA  2315501031063
PDPs
344
MAPDs
Metoprolol Tartrate 5 ML 1 MG/ML Injection
(Metoprolol Tartrate)
   0040917780547
PDPs
281
MAPDs
METOPROLOL TARTRATE 100 MG TAB
(Metoprolol Tartrate)
1000 EA  0037800471063
PDPs
344
MAPDs
METOPROLOL TARTRATE 25 MG TAB
(Metoprolol Tartrate)
500.000 EA  0037800180563
PDPs
344
MAPDs
METOPROLOL TARTRATE INJ.USP 5MG/5ML CARPUJECT
(Metoprolol Tartrate)
   0040917783544
PDPs
258
MAPDs
METOPROLOL TARTRATE TABLET FILM COATED 50MG (1000 CT)
(Metoprolol Tartrate)
1000 BOT0037800321063
PDPs
344
MAPDs
NAMENDA XR TITRATION PACK
(Memantine HCl)
   0045634002948
PDPs
280
MAPDs
NAMENDA 10MG TABLET
(Memantine HCl)
60 BOT004563210606
PDPs
19
MAPDs
NAMENDA XR 14 MG CAPSULE
(Memantine HCl)
30 EA  0045634143349
PDPs
278
MAPDs
NAMENDA 10MG/5ML SOLUTION
(Memantine HCl)
12 FLO BOT004563202127
PDPs
24
MAPDs
NAMENDA XR 21 MG CAPSULE
(Memantine HCl)
   0045634213349
PDPs
278
MAPDs
NAMENDA XR 28 MG CAPSULE
(Memantine HCl)
30.000 EA  0045634283349
PDPs
278
MAPDs
NAMENDA 5MG TABLET
(Memantine HCl)
60 BOT004563205606
PDPs
19
MAPDs
NAMENDA 5-10MG TITRATION PK
(Memantine HCl)
49 COUNT 0045632001410
PDPs
24
MAPDs
NAMENDA XR 7 MG CAPSULE
(Memantine HCl)
   0045634073349
PDPs
278
MAPDs
NEXIUM 10mg/1 30 GRANULE, DELAYED RELEASE per CARTON
(Esomeprazole Magnesium)
30 GRANULE, DELAYED RELEA  0018640100116
PDPs
64
MAPDs
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET
(Esomeprazole Magnesium)
20 MG PKT X 30 PKT0018640200116
PDPs
66
MAPDs
NEXIUM DR 20 MG CAPSULE
(Esomeprazole Magnesium)
30.000 EA  001865020319
PDPs
11
MAPDs
NEXIUM DR 2.5 MG PACKET
(Esomeprazole Magnesium)
   0018640250117
PDPs
64
MAPDs
NEXIUM IV 40MG VIAL
(Esomeprazole Magnesium)
10 VIALSD001866040014
PDPs
7
MAPDs
NEXIUM DR 40 MG CAPSULE
(Esomeprazole Magnesium)
30.000 EA  001865040318
PDPs
11
MAPDs
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET
(Esomeprazole Magnesium)
40 MG PKT X 30 PKT0018640400116
PDPs
66
MAPDs
NEXIUM DR 5 MG PACKET
(Esomeprazole Magnesium)
   0018640500117
PDPs
64
MAPDs
OMEPRAZOLE DR 10 MG CAPSULE
(Omeprazole)
30.000 EA  0078127853163
PDPs
344
MAPDs
OMEPRAZOLE DR 20 MG CAPSULE
(Omeprazole)
1000.000 EA  6050500650163
PDPs
344
MAPDs
Omeprazole-bicarb 20-1,680 pkt
(Omeprazole)
   272410029628
PDPs
71
MAPDs
OMEPRAZOLE-BICARB 20-1,100 CAP
(Omeprazole)
30.000 EA  551110363309
PDPs
66
MAPDs
OMEPRAZOLE DR 40 MG CAPSULE
(Omeprazole)
30.000 EA  0078122343163
PDPs
343
MAPDs
OMEPRAZOLE-BICARB 40-1,100 CAP
(Omeprazole)
30.000 EA  551110364309
PDPs
66
MAPDs
OMEPRAZOLE-BICARB 40-1,680 PKT
(Omeprazole)
30.000 EA  498840269118
PDPs
64
MAPDs
PIOGLITAZONE HCL 15 MG TABLET [Actos]
(Pioglitazone HCL)
90.000 EA  1672900201563
PDPs
344
MAPDs
PIOGLITAZONE HCL 30 MG TABLET [Actos]
(Pioglitazone HCL)
90.000 EA  1672900211563
PDPs
344
MAPDs
PIOGLITAZONE HCL 45 MG TABLET [Actos]
(Pioglitazone HCL)
90.000 EA  1672900221563
PDPs
344
MAPDs
PLAVIX TABLETS 300MG
(Clopidogrel Bisulfate)
   636531332024
PDPs
7
MAPDs
PLAVIX 75 MG TABLET
(Clopidogrel Bisulfate)
30.000 EA  636531171066
PDPs
10
MAPDs
QUETIAPINE FUMARATE 100 MG TAB [Seroquel]
(Quetiapine Fumarate)
100.000 EA  1672901470163
PDPs
344
MAPDs
Quetiapine er 150 mg tablet [Seroquel]
(Quetiapine Fumarate)
   4988408060244
PDPs
292
MAPDs
Quetiapine er 200 mg tablet [Seroquel]
(Quetiapine Fumarate)
   4988408070244
PDPs
292
MAPDs
QUETIAPINE FUMARATE 200 MG TAB [Seroquel]
(Quetiapine Fumarate)
100.000 EA  1672901480163
PDPs
344
MAPDs
QUETIAPINE FUMARATE 25 MG TAB [Seroquel]
(Quetiapine Fumarate)
100.000 EA  1672901450163
PDPs
344
MAPDs
Quetiapine er 300 mg tablet [Seroquel]
(Quetiapine Fumarate)
   4988408080244
PDPs
292
MAPDs
QUETIAPINE FUMARATE 300 MG TAB [Seroquel]
(Quetiapine Fumarate)
60.000 EA  1672901491263
PDPs
344
MAPDs
QUETIAPINE FUMARATE 400 MG TAB [Seroquel]
(Quetiapine Fumarate)
100.000 EA  1672901500163
PDPs
344
MAPDs
QUETIAPINE ER 400 MG TABLET [Seroquel]
(Quetiapine Fumarate)
60.000 EA  1672900971244
PDPs
289
MAPDs
Quetiapine er 50 mg tablet [Seroquel]
(Quetiapine Fumarate)
   4988408050244
PDPs
292
MAPDs
QUETIAPINE FUMARATE 50 MG TAB [Seroquel]
(Quetiapine Fumarate)
100.000 EA  1672901460163
PDPs
344
MAPDs
REVLIMID 10 MG CAPSULE
(Lenalidomide)
28.000 EA  5957204102863
PDPs
344
MAPDs
REVLIMID 15MG CAPSULE 21 BOT
(Lenalidomide)
21 BOT5957204152163
PDPs
344
MAPDs
REVLIMID 2.5 MG CAPSULE
(Lenalidomide)
28.000 EA  5957204022863
PDPs
344
MAPDs
REVLIMID 20 MG CAPSULE
(Lenalidomide)
21.000 EA  5957204202163
PDPs
344
MAPDs
REVLIMID 25 MG CAPSULE
(Lenalidomide)
21.000 EA  5957204252163
PDPs
344
MAPDs
REVLIMID 5 MG CAPSULE
(Lenalidomide)
28.000 EA  5957204052863
PDPs
344
MAPDs
RISEDRONATE SODIUM 150 MG TAB [Actonel]
(Risedronate Sodium)
1.000 EA  6050530970227
PDPs
261
MAPDs
RISEDRONATE SODIUM 30 MG TABLET [Actonel]
(Risedronate Sodium)
30 EA  0009331005625
PDPs
234
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
   0009330984427
PDPs
214
MAPDs
RISEDRONATE SODIUM 35 MG TABLET [Actonel]
(Risedronate Sodium)
12 EA  0009330982926
PDPs
213
MAPDs
RISEDRONATE SODIUM DR 35 MG TABLET [Actonel]
(Risedronate Sodium)
4 EA  0009355094424
PDPs
157
MAPDs
RISEDRONATE SODIUM 35 MG TAB [Actonel]
(Risedronate Sodium)
4.000 EA  6050531650024
PDPs
202
MAPDs
RISEDRONATE SODIUM 5 MG TABLET [Actonel]
(Risedronate Sodium)
30 EA  0009330995625
PDPs
239
MAPDs
ROSUVASTATIN CALCIUM 10 MG TAB [Crestor]
(Rosuvastatin Calcium)
30.000 EA  1625206163060
PDPs
337
MAPDs
ROSUVASTATIN CALCIUM 20 MG TAB [Crestor]
(Rosuvastatin Calcium)
30.000 EA  1625206173060
PDPs
337
MAPDs
Rosuvastatin calcium 40 MG TABLET [Crestor]
(Rosuvastatin Calcium)
   1625206183060
PDPs
337
MAPDs
ROSUVASTATIN CALCIUM 5 MG TAB [Crestor]
(Rosuvastatin Calcium)
30.000 EA  1625206153060
PDPs
337
MAPDs
SEROQUEL 100MG TABLET
(Quetiapine Fumarate)
100 BOT003100271103
PDPs
11
MAPDs
SEROQUEL XR 150 MG TABLET
(Quetiapine Fumarate)
60.000 EA  003100281604
PDPs
48
MAPDs
SEROQUEL 200MG TABLET
(Quetiapine Fumarate)
100 BOT003100272103
PDPs
11
MAPDs
SEROQUEL XR 200 MG TABLET
(Quetiapine Fumarate)
60.000 EA  003100282604
PDPs
48
MAPDs
SEROQUEL 25MG TABLET
(Quetiapine Fumarate)
100 BOT003100275103
PDPs
11
MAPDs
SEROQUEL 300MG TABLET
(Quetiapine Fumarate)
60 BOT003100274603
PDPs
11
MAPDs
SEROQUEL 400MG TABLET
(Quetiapine Fumarate)
100 BOT003100279103
PDPs
11
MAPDs
SEROQUEL XR 400 MG TABLET
(Quetiapine Fumarate)
60.000 EA  003100284604
PDPs
40
MAPDs
SEROQUEL 50MG TABLET (100 CT)
(Quetiapine Fumarate)
100 BOT003100278103
PDPs
11
MAPDs
SEROQUEL XR 50 MG TABLET
(Quetiapine Fumarate)
60.000 EA  003100280604
PDPs
48
MAPDs
SEROQUEL XR 300MG TABLET 60X300MG BOT
(Quetiapine Fumarate)
60 X 300 MG BOT003100283604
PDPs
48
MAPDs
SIMVASTATIN 10 MG TABLET
(Simvastatin)
1000.000 EA  1672900041762
PDPs
343
MAPDs
SIMVASTATIN 20 MG TABLET
(Simvastatin)
1000.000 EA  1672900051762
PDPs
343
MAPDs
SIMVASTATIN 40 MG TABLET
(Simvastatin)
1000.000 EA  1672900061762
PDPs
343
MAPDs
SIMVASTATIN 5 MG TABLET
(Simvastatin)
90.000 EA  0009371529862
PDPs
343
MAPDs
SIMVASTATIN 80 MG TABLET
(Simvastatin)
1000.000 EA  1672900071762
PDPs
336
MAPDs
SPIRIVA 18 MCG CP-HANDIHALER
(Tiotropium Bromide Monohydrate)
30.000 EA  0059700754141
PDPs
249
MAPDs
SPIRIVA RESPIMAT INHAL SPRAY
(Tiotropium Bromide Monohydrate)
4 GM  0059701006140
PDPs
250
MAPDs
VALSARTAN 160 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
90.000 EA  4354703690962
PDPs
342
MAPDs
VALSARTAN 320 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
90.000 EA  4354703700962
PDPs
342
MAPDs
VALSARTAN 40 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
30.000 EA  4354703670362
PDPs
342
MAPDs
VALSARTAN 80 MG TABLET [Diovan]
(Valsartan-Hydrochlorothiazide)
90.000 EA  4354703680962
PDPs
342
MAPDs
VALSARTAN-HCTZ 160-12.5 MG TAB [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
90.000 EA  6586205489062
PDPs
341
MAPDs
VALSARTAN-HCTZ 160-25 MG TAB [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
90.000 EA  6586205499062
PDPs
341
MAPDs
VALSARTAN-HCTZ 320-25 MG TAB [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
90.000 EA  6586205519062
PDPs
341
MAPDs
VALSARTAN-HCTZ 320-12.5 MG TAB [Diovan HCT]
(Valsartan-Hydrochlorothiazide)
90.000 EA  6586205509062
PDPs
341
MAPDs



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


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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.