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2019 Medicare Part D Formulary Search By Drug Letter

Select a Letter below:

Drug Names Containing the Letter G 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 2019 Formularies
PDPs MAPDs
AMARYL 1MG TABLET
(Glimepiride)
100 BOT 00039022110 5
PDPs
17
MAPDs
AMARYL 2MG TABLET
(Glimepiride)
100 BOT 00039022210 5
PDPs
17
MAPDs
AMARYL 4MG TABLET
(Glimepiride)
100 BOT 00039022310 5
PDPs
17
MAPDs
BEVESPI AEROSPHERE INHALER
(Glycopyrrolate and formoterol fumarate)
10.700 GM   00310460012 30
PDPs
124
MAPDs
COPAXONE 20MG/ML 30 BLISTER PACK IN 1 CRTN
(Glatiramer Acetate)
    68546031730 25
PDPs
93
MAPDs
COPAXONE 40 MG/ML SYRINGE
(Glatiramer Acetate)
1 ML   68546032512 34
PDPs
129
MAPDs
CUVPOSA 1 MG/5 ML SOLUTION
(Glycopyrrolate)
    00259050116 6
PDPs
56
MAPDs
ENDARI 5 GRAM POWDER PACKET
(Glutamine Powder (For Sickle Cell Disease))
120   42457042001 25
PDPs
215
MAPDs
GABAPENTIN 100 MG CAPSULE
(Gabapentin)
500.000 EA   65162010150 63
PDPs
360
MAPDs
Gabapentin 250mg/5mL 470 mL in 1 BOTTLE
(Gabapentin)
470 mL in 1 BOTTLE   50383031147 63
PDPs
360
MAPDs
GABAPENTIN 400 MG CAPSULE
(Gabapentin)
500.000 EA   65162010350 63
PDPs
360
MAPDs
GABAPENTIN 600 MG TABLET
(Gabapentin)
500.000 EA   68462012605 63
PDPs
360
MAPDs
GABAPENTIN 800 MG TABLET
(Gabapentin)
500.000 EA   68462012705 63
PDPs
360
MAPDs
GABAPENTIN 300 MG CAPSULE [Neurontin]
(Gabapentin)
90 capsules   65862019901 63
PDPs
359
MAPDs
GABITRIL 12 MG TABLET
(Tiagabine HCl)
30 EA   63459041230 15
PDPs
69
MAPDs
GABITRIL 16mg/1
(Tiagabine HCl)
    63459041630 15
PDPs
69
MAPDs
GABITRIL 2mg/1
(Tiagabine HCl)
    63459040230 5
PDPs
20
MAPDs
GABITRIL 4mg/1
(Tiagabine HCl)
    63459040430 5
PDPs
20
MAPDs
GALANTAMINE HBR 12 MG TABLET
(Galantamine Hydrobromide)
60.000 EA   60505254406 61
PDPs
353
MAPDs
GALANTAMINE ER 16 MG CAPSULE
(Galantamine Hydrobromide)
30.000 EA   47335083683 61
PDPs
352
MAPDs
GALANTAMINE ER 24 MG CAPSULE
(Galantamine Hydrobromide)
30.000 EA   47335083783 61
PDPs
352
MAPDs
GALANTAMINE 4 MG/ML ORAL SOLN
(Galantamine Hydrobromide)
100 mL in 1 BOTTLE   00054013749 61
PDPs
341
MAPDs
GALANTAMINE HBR 4 MG TABLET
(Galantamine Hydrobromide)
60.000 EA   60505254206 61
PDPs
353
MAPDs
GALANTAMINE ER 8 MG CAPSULE
(Galantamine Hydrobromide)
30.000 EA   47335083583 61
PDPs
352
MAPDs
GALANTAMINE HBR 8 MG TABLET
(Galantamine Hydrobromide)
60.000 EA   60505254306 61
PDPs
353
MAPDs
GAMMAGARD LIQUID 10% VIAL
(Immune Globulin (Human) IV)
1 BOTTLE, GLASS in CARTON   00944270003 43
PDPs
309
MAPDs
GAMMAGARD S-D 10 G (IGA<1) SOL
(Immune Globulin (Human) IV)
    00944265804 44
PDPs
290
MAPDs
GAMMAGARD S-D 5 G (IGA<1) SOLN
(Immune Globulin (Human) IV)
    00944265603 44
PDPs
288
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)
10 ML   76125090001 33
PDPs
226
MAPDs
GAMMAPLEX 10 GRAM/100 ML VIAL
(immune globulin)
    64208823506 44
PDPs
284
MAPDs
GAMMAPLEX 20 GRAM/200 ML VIAL
(immune globulin)
    64208823507 44
PDPs
284
MAPDs
GAMMAPLEX INJECTION 5 GM/100 ML
(Immune Globulin)
    64208823403 44
PDPs
284
MAPDs
GAMMAPLEX 5 GRAM/50 ML VIAL
(immune globulin)
    64208823505 44
PDPs
284
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS   13533080012 55
PDPs
308
MAPDs
GARDASIL 9 VIAL
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
    00006411903 63
PDPs
360
MAPDs
GARDASIL 9 SYRINGE
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
    00006412102 63
PDPs
360
MAPDs
GASTROCROM 100 MG/5 ML CONC
(Cromolyn Sodium Oral)
    00037067896 0
PDPs
11
MAPDs
GATIFLOXACIN 0.5% EYE DROPS [Zymar, Zymaxid]
(gatifloxacin ophthalmic)
2.5 ML   68180043501 22
PDPs
275
MAPDs
GATTEX 5 MG 30-VIAL KIT
(teduglutide)
1.000 EA   68875010201 62
PDPs
344
MAPDs
GAVILYTE-G SOLUTION
(Polyethylene Glycol 3350 Oral)
274.31 g in 1 BOTTLE   43386009019 61
PDPs
342
MAPDs
GAVILYTE-C SOLUTION
(Polyethylene Glycol 3350 Oral)
278.26 g in 1 BOTTLE   43386006019 63
PDPs
349
MAPDs
GAVILYTE-N SOLUTION
(Polyethylene Glycol 3350 Oral)
438.4 g in 1 BOTTLE   43386005019 63
PDPs
348
MAPDs
GELNIQUE 10% GEL PUMP GEL MD PMP
(Oxybutynin)
grams   00023581230 2
PDPs
49
MAPDs
GEMFIBROZIL 600 MG TABLET
(Gemfibrozil)
500 EA   69097082112 63
PDPs
360
MAPDs
GENERESS FE CHEWABLE TABLET
(norethindrone and ethinyl estradiol and ferrous fumarate)
28 EA   52544020431 0
PDPs
10
MAPDs
GENERLAC 10 GM/15 ML SOLUTION
(Lactulose (Encephalopathy))
473.000 ML   60432003816 63
PDPs
349
MAPDs
GENGRAF 100 MG CAPSULE
(Cyclosporine Modified)
30 EA   00074310932 63
PDPs
347
MAPDs
GENGRAF 100MG/ML SOLUTION
(Cyclosporine Modified)
50 ML BOTGL 00074726950 63
PDPs
338
MAPDs
GENGRAF 25 MG CAPSULE
(Cyclosporine Modified)
30 EA   00074310832 63
PDPs
347
MAPDs
GENOTROPIN 13.8MG CARTRIDGE
(Somatropin For)
1 X 13.8 MG CTG 00013264681 28
PDPs
218
MAPDs
GENOTROPIN 5 MG CARTRIDGE
(Somatropin For)
1 PKGCOM 00013262681 28
PDPs
216
MAPDs
GENOTROPIN MINIQUICK 0.2MG
(Somatropin For)
7 X 0.2 MG VIALPAT 00013264902 28
PDPs
216
MAPDs
GENOTROPIN MINIQUICK 0.4MG
(Somatropin For)
7 X 0.4 MG VIALPAT 00013265002 28
PDPs
214
MAPDs
GENOTROPIN MINIQUICK 0.6MG
(Somatropin For)
7 X 0.6 MG VIALPAT 00013265102 28
PDPs
214
MAPDs
GENOTROPIN MINIQUICK 0.8MG
(Somatropin For)
7 X 0.8 MG VIALPAT 00013265202 28
PDPs
214
MAPDs
GENOTROPIN MINIQUICK 1MG
(Somatropin For)
7 X 1.0 MG VIALPAT 00013265302 28
PDPs
216
MAPDs
GENOTROPIN MINIQUICK 1.2MG
(Somatropin For)
7 VIALPAT 00013265402 28
PDPs
216
MAPDs
GENOTROPIN MINIQUICK 1.4MG
(Somatropin For)
7 VIALPAT 00013265502 28
PDPs
216
MAPDs
GENOTROPIN MINIQUICK 1.6MG
(Somatropin For)
7 VIALPAT 00013265602 28
PDPs
216
MAPDs
GENOTROPIN MINIQUICK 1.8MG
(Somatropin For)
7 VIALPAT 00013265702 28
PDPs
216
MAPDs
GENOTROPIN MINIQUICK 2MG
(Somatropin For)
7 X 2.0 MG VIALPAT 00013265802 28
PDPs
216
MAPDs
GENTAK 3MG/GM EYE OINTMENT
(Gentamicin Sulfate Ophth)
3.5 GM TUBE 17478028435 62
PDPs
341
MAPDs
GENTAMICIN SULFATE OINTMENT USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE 45802004635 63
PDPs
349
MAPDs
GENTAMICIN SULFATE CREAM USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE 45802005635 63
PDPs
358
MAPDs
Gentamicin Sulfate 40mg/mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 2 mL in 1 VIAL, SINGLE-DOSE
(Gentamicin Sulfate)
25 VIAL, SINGLE-DOSE   00409120703 63
PDPs
355
MAPDs
Gentamicin Sulfate in Sodium Chloride 60mg/50mL 50 mL in 1 BAG
(Gentamicin Sulfate)
50 mL in 1 BAG   00338050741 50
PDPs
313
MAPDs
GENTAMICIN 3 MG/ML EYE DROPS
(Gentamicin Sulfate Ophth)
5 ML   60758018805 63
PDPs
356
MAPDs
GENVOYA TABLET
(Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide Fumarate)
    61958190101 63
PDPs
355
MAPDs
GEODON 20MG VIAL
(Ziprasidone HCl)
1 VIAL VIALSD 00049392083 63
PDPs
360
MAPDs
GEODON 20MG CAPSULE
(Ziprasidone HCl)
60 BOT 00049396060 3
PDPs
13
MAPDs
GEODON 40 MG CAPSULE
(Ziprasidone)
60 capsules   00049005460 3
PDPs
13
MAPDs
GEODON 60MG CAPSULE
(Ziprasidone HCl)
60 BOT 00049398060 3
PDPs
13
MAPDs
GEODON 80MG CAPSULE
(Ziprasidone HCl)
60 BOT 00049399060 3
PDPs
13
MAPDs
GIANVI 3 MG-0.02 MG TABLET
(Drospirenone-Ethinyl Estradiol)
28 EA   00093542362 48
PDPs
276
MAPDs
GIAZO 180 GM
(balsalazide disodium)
    65649010202 1
PDPs
25
MAPDs
GILENYA 0.5 MG CAPSULE
(FINGOLIMOD HCL)
30 EA   00078060715 41
PDPs
324
MAPDs
GILOTRIF 20 MG TABLET
(afatinib)
30 EA   00597014130 63
PDPs
360
MAPDs
GILOTRIF 30 MG TABLET
(afatinib)
30 EA   00597013730 63
PDPs
360
MAPDs
GILOTRIF 40 MG TABLET
(afatinib)
30 EA   00597013830 63
PDPs
360
MAPDs
GLASSIA 1g/50mL 1 VIAL, GLASS per CARTON / 50 mL in 1 VIAL, GLASS
(ALPHA-1-PROTEINASE INHIBITOR (HUMAN))
1 VIAL, GLASS in 1 CARTON   00944288401 8
PDPs
134
MAPDs
GLATIRAMER 20 MG/ML SYRINGE [Copaxone]
(Glatiramer Acetate)
    00378696032 53
PDPs
338
MAPDs
GLATIRAMER 40 MG/ML SYRINGE [Copaxone]
(Glatiramer Acetate)
1 ML   00378696112 51
PDPs
323
MAPDs
Glatopa 20 mg/ml syringe
(Glatiramer Acetate)
    00781323434 51
PDPs
306
MAPDs
GLATOPA 40 MG/ML SYRINGE [Glatopa]
(Glatiramer)
12 mls   00781325089 46
PDPs
270
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT 00078040134 3
PDPs
18
MAPDs
GLEEVEC 400 MG TABLET
(Imatinib Mesylate)
30 EA   00078064930 3
PDPs
18
MAPDs
GLEOSTINE 10 MG CAPSULE
(Lomustine)
    58181304005 63
PDPs
360
MAPDs
GLEOSTINE 100 MG CAPSULE
(Lomustine)
    58181304205 63
PDPs
353
MAPDs
GLEOSTINE 40 MG CAPSULE
(Lomustine)
    58181304105 63
PDPs
353
MAPDs
GLIMEPIRIDE 1 MG TABLET
(Glimepiride)
100.000 EA   16729000101 63
PDPs
360
MAPDs
GLIMEPIRIDE 2 MG TABLET
(Glimepiride)
100.000 EA   16729000201 63
PDPs
360
MAPDs
GLIMEPIRIDE 4 MG TABLET
(Glimepiride)
100.000 EA   16729000301 63
PDPs
360
MAPDs
GLIPIZIDE 10 MG TABLET
(Glipizide)
1000.000 EA   60505014201 63
PDPs
360
MAPDs
GLIPIZIDE ER 2.5MG TABLET SR OSMOTIC PUSH 24HR
(Glipizide)
30 BOTPL 00591090030 63
PDPs
359
MAPDs
GLIPIZIDE-METFORMIN 2.5-500MG TABLET
(Glipizide)
100 BOT 00093745601 53
PDPs
352
MAPDs
GLIPIZIDE 5MG TABLETS EXTENDED RELEASE
(Glipizide)
100 BOT 00591084401 63
PDPs
359
MAPDs
GLIPIZIDE 5 MG TABLET
(Glipizide)
1000.000 EA   60505014101 63
PDPs
360
MAPDs
GLIPIZIDE-METFORMIN 5-500 MG
(Glipizide)
100 EA   00093745701 53
PDPs
352
MAPDs
GLIPIZIDE ER 10 MG TABLET ER 24 [Glucotrol XL]
(Glipizide)
    64980028101 63
PDPs
359
MAPDs
GLIPIZIDE-METFORMIN 2.5-250 MG
(Glipizide-Metformin HCl)
100.000 EA   00093745501 53
PDPs
352
MAPDs
GLUCAGEN 1MG HYPOKIT
(Glucagon HCl (rDNA) For)
1 X 1 MG PKGCOM 00169706515 63
PDPs
348
MAPDs
GLUCAGON 1MG EMERGENCY KIT
(Glucagon (rDNA) For)
1 KIT PKGCOM 00002803101 54
PDPs
300
MAPDs
GLUCOPHAGE 1000MG TABLET
(Metformin HCl)
100 BOT 00087607111 5
PDPs
15
MAPDs
GLUCOPHAGE 500 MG TABLET
(Metformin HCl)
100.000 EA   00087606005 5
PDPs
15
MAPDs
GLUCOPHAGE 850MG TABLET
(Metformin HCl)
100 BOT 00087607005 5
PDPs
15
MAPDs
GLUCOPHAGE XR 500MG TABLET SA
(Metformin HCl)
100 BOT 00087606313 5
PDPs
15
MAPDs
GLUCOPHAGE XR 750MG TABLET SA
(Metformin HCl)
100 BOT 00087606413 5
PDPs
15
MAPDs
Glucose 50 MG/ML / Potassium Chloride 0.02 MEQ/ML / Sodium Chloride 0.154 MEQ/ML Injectable Solution
()
    00338080304 46
PDPs
310
MAPDs
GLUCOTROL 10MG TABLET
(Glipizide)
100 BOT 00049412066 5
PDPs
17
MAPDs
GLUCOTROL 5MG TABLET
(Glipizide)
100 BOT 00049411066 5
PDPs
17
MAPDs
GLUCOTROL XL 5 MG TABLET ER 24
(Glipizide)
    00049017402 5
PDPs
17
MAPDs
GLUCOTROL XL 10 MG TABLET
(Glipizide)
100.000 EA   00049017807 5
PDPs
17
MAPDs
GLUCOTROL XL 2.5 MG TABLET
(Glipizide)
30 EA 00049017001 5
PDPs
17
MAPDs
GLUMETZA ER 500 MG TABLET TABERGR24H
(Metformin Hydrochloride)
30 units   68012000450 0
PDPs
5
MAPDs
GLYBURIDE 1.25MG TABLETS
(Glyburide)
100 TABLETS BOT 00093834201 13
PDPs
159
MAPDs
GLYBURIDE MICRO 1.5 MG TAB
(Glyburide)
100.000 EA   00093803401 9
PDPs
151
MAPDs
GLYBURIDE 2.5MG TABLET (100 CT)
(Glyburide)
100 TABLETS BOT 00093834301 13
PDPs
161
MAPDs
GLYBURIDE-METFORMIN 2.5-500 MG
(Glyburide)
100.000 EA   65862008101 13
PDPs
200
MAPDs
GLYBURIDE 5 MG TABLET
(Glyburide)
1000.000 EA   00093834410 13
PDPs
161
MAPDs
GLYBURIDE-METFORMIN 5-500 MG
(Glyburide)
100.000 EA   65862008201 13
PDPs
200
MAPDs
GLYBURIDE MICRO 6 MG TABLET
(Glyburide)
100.000 EA   00093803601 9
PDPs
151
MAPDs
GLYBURIDE MICRO 3MG TABLET (100 CT)
(Glyburide Micronized)
100 TABLETS BOT 00093803501 9
PDPs
151
MAPDs
GLYBURID-METFORMIN 1.25-250 MG [Glucovance]
(Glyburide-Metformin)
100.000 EA   65862008001 13
PDPs
200
MAPDs
GLYCOPYRROLATE TABLET 1MG (100 CT)
(Glycopyrrolate)
100 BOT 49884006501 58
PDPs
354
MAPDs
GLYCOPYRROLATE TABLET 2MG (100 CT)
(Glycopyrrolate)
100 BOT 49884006601 58
PDPs
354
MAPDs
GLYNASE 1.5MG PRESTAB
(Glyburide Micronized)
100 BOT 00009034101 1
PDPs
3
MAPDs
GLYNASE 3 MG PRESTAB
(Glyburide Micronized)
100.000 EA   00009035201 1
PDPs
3
MAPDs
GLYNASE 6 MG PRESTABLET
(Glyburide, Micronized)
90 tablets   00009344903 1
PDPs
3
MAPDs
GLYSET 100MG TABLET
(Miglitol)
100 BOTPL 00009501401 0
PDPs
16
MAPDs
GLYSET 25MG TABLET
(Miglitol)
100 BOT 00009501201 0
PDPs
16
MAPDs
GLYSET 50MG TABLET
(Miglitol)
100 BOTPL 00009501301 0
PDPs
16
MAPDs
GLYXAMBI 10 MG-5 MG TABLET
(Empagliflozin and Linagliptin)
    00597018230 30
PDPs
184
MAPDs
GLYXAMBI 25 MG-5 MG TABLET
(Empagliflozin and Linagliptin)
    00597016430 30
PDPs
184
MAPDs
GOCOVRI ER 137 MG CAPSULE
(Amantadine)
    70482017060 4
PDPs
92
MAPDs
GOCOVRI ER 68.5 MG CAPSULE
(Amantadine)
    70482008560 4
PDPs
92
MAPDs
GOLYTELY PACKET 227.1 GM/2.82 GM
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
263 GM PKT 52268070001 24
PDPs
137
MAPDs
GOLYTELY SOLUTION 236 GM/2.97 GM/6 GM
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
4 L BOT 52268010001 24
PDPs
98
MAPDs
GONITRO 0.4 MG SUBLINGUAL PWD
(Nitroglycerin)
1.000 EA   70007040001 2
PDPs
14
MAPDs
Gralise Starter Pack 1 KIT per BLISTER PACK
(Gabapentin)
1 KIT in 1 BLISTER PACK   13913000616 6
PDPs
68
MAPDs
GRALISE ER 300 MG TABLET
(Gabapentin)
    13913000419 6
PDPs
68
MAPDs
Gralise 600 MG 90 FILM COATED TABLETS in BOTTLE
(Gabapentin)
90 TABLET, FILM COATED   13913000519 6
PDPs
68
MAPDs
GRANISETRON HCL 1 MG TABLET
(Granisetron HCl)
20.000 EA   00054014308 55
PDPs
344
MAPDs
GRANIX 300 MCG/0.5 ML SAFE SYR
(tbo-filgrastim)
0.5 ML   63459091015 40
PDPs
260
MAPDs
GRANIX 480 MCG/0.8 ML SYRINGE
(tbo-filgrastim)
    63459091211 40
PDPs
260
MAPDs
GRIS-PEG 125MG TABLET
(Griseofulvin Ultramicrosize)
100 BOT 00884076304 3
PDPs
9
MAPDs
GRIS-PEG 250 MG TABLET
(Griseofulvin Ultramicrosize)
100 EA   00884077304 3
PDPs
12
MAPDs
GRISEOFULVIN 125 MG/5 ML SUSP
(Griseofulvin Microsize)
120 ML   00472001304 61
PDPs
355
MAPDs
GRISEOFULVIN MICRO 500 MG TAB
(Griseofulvin Microsize)
100 EA   00781551501 40
PDPs
302
MAPDs
GRISEOFULVIN ULTRA 125 MG TABLET [Gris-Peg]
(Griseofulvin, Ultramicrocrystalline)
30 tablets   64980018401 56
PDPs
308
MAPDs
GRISEOFULVIN ULTRA 250 MG TABLET [Gris-Peg]
(Griseofulvin, Ultramicrocrystalline)
60 tablets   64980018503 56
PDPs
308
MAPDs
Guanfacine hcl er 1 mg tablet
(Guanfacine HCl)
    00228285011 34
PDPs
280
MAPDs
GUANFACINE 1 MG TABLET
(Guanfacine HCl)
100 EA   65162071110 13
PDPs
152
MAPDs
Guanfacine hcl er 2 mg tablet
(Guanfacine HCl)
    00228285111 34
PDPs
280
MAPDs
GUANFACINE 2 MG TABLET
(Guanfacine HCl)
100.000 EA   65162071310 13
PDPs
152
MAPDs
Guanfacine hcl er 3 mg tablet
(Guanfacine HCl)
    00228285311 34
PDPs
280
MAPDs
Guanfacine hcl er 4 mg tablet
(Guanfacine HCl)
    00228285511 34
PDPs
280
MAPDs
guanidine hcl 125 mg tablet
(Guanidine HCl)
    00085049201 42
PDPs
287
MAPDs
GYNAZOLE-1 2% CREAM
(Butoconazole Nitrate (One Dose) Vaginal)
5 GM   45802039601 2
PDPs
45
MAPDs
HORIZANT ER 300 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010301 2
PDPs
32
MAPDs
HORIZANT ER 600 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010101 2
PDPs
30
MAPDs
IMATINIB MESYLATE 100 MG TAB [Gleevec]
(Imatinib Mesylate)
90 EA   60505290009 63
PDPs
355
MAPDs
IMATINIB MESYLATE 400 MG TAB [Gleevec]
(Imatinib Mesylate)
30 EA   60505290103 63
PDPs
355
MAPDs
IRESSA 250 MG TABLET
(Gefitinib)
30 EA   00310048230 63
PDPs
360
MAPDs
ISOTONIC GENTAMICIN 100 MG/100 ML
(Gentamicin in Saline)
100 ML   00338050548 50
PDPs
327
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG 00338050348 50
PDPs
316
MAPDs
ISOTONIC GENTAMICIN 80 MG/50 ML
(Gentamicin in Saline)
50 ML   00338050941 50
PDPs
318
MAPDs
LONHALA MAGNAIR 25 MCG STARTER VIAL-NEB
(Glycopyrrolate)
60 mls   63402020100 1
PDPs
48
MAPDs
LOPID 600 MG TABLET
(Gemfibrozil)
60 EA   00071073720 3
PDPs
11
MAPDs
MAVYRET 100-40 MG TABLET
(Glecaprevir and Pibrentasvir)
84 EA   00074262528 44
PDPs
323
MAPDs
Miglitol 100 MG TABLET [Glyset]
(Miglitol)
    57664068688 9
PDPs
188
MAPDs
Miglitol 25 MG TABLET [Glyset]
(Miglitol)
    57664068488 9
PDPs
190
MAPDs
Miglitol 50 MG TABLET [Glyset]
(Miglitol)
    57664068588 9
PDPs
188
MAPDs
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M
(Neomycin-Polymyxin B-Gramicidin Ophth)
10 ML BOT 24208079062 63
PDPs
351
MAPDs
NEURONTIN 100MG CAPSULE
(Gabapentin)
100 BOT 00071080324 3
PDPs
8
MAPDs
NEURONTIN 250MG/5ML TUBEX
(Gabapentin)
470 ML BOT 00071201223 3
PDPs
8
MAPDs
NEURONTIN 300MG CAPSULE
(Gabapentin)
100 BOT 00071080524 3
PDPs
8
MAPDs
NEURONTIN 400MG CAPSULE
(Gabapentin)
100 BOT 00071080624 3
PDPs
8
MAPDs
NEURONTIN 600MG TABLET
(Gabapentin)
100 BOT 00071051324 3
PDPs
8
MAPDs
NEURONTIN 800MG TABLET
(Gabapentin)
100 BOT 00071040124 3
PDPs
8
MAPDs
NutreStore 5g/1 84 PACKET in 1 BOX / 1 POWDER, FOR SOLUTION in 1 PACKET
(Glutamine)
84 PACKET in 1 BOX   42457000184 2
PDPs
49
MAPDs
ORALAIR 300 IR SUBLINGUAL TAB
(Grass Pollen Allergen Extract)
30 EA   59617001502 16
PDPs
56
MAPDs
PEG 3350 ELECTROLYTE SOLN SOLN RECON [GaviLyte-C]
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
4000 ML   62175044601 63
PDPs
342
MAPDs
PIOGLITAZONE-GLIMEPIRIDE 30-4 Tablet [Duetact]
(Pioglitazone, Glimepiride)
30 tablets   66993082230 21
PDPs
197
MAPDs
POLYETHYLENE GLYCOL 3350 POWD
(Polyethylene Glycol 3350 Oral)
527 GM   62175044231 63
PDPs
360
MAPDs
PRED G OPHTHALMIC SUSPENSION 1;0.3%;% 5 ML BOTDR
(Gentamicin-Prednisolone Ace Ophth)
5 ML BOTDR 00023010605 12
PDPs
126
MAPDs
PRED-G S.O.P. EYE OINTMENT
(Gentamicin-Prednisolone Ace Ophth)
3.5 GM TUBE 00023006604 13
PDPs
102
MAPDs
RAVICTI 1.1 GRAM/ML LIQUID
(Glycerol Phenylbutyrate)
25 ML   75987005006 22
PDPs
240
MAPDs
RAZADYNE 12MG TABLET
(Galantamine Hydrobromide)
TABLETS BOT 50458039860 3
PDPs
8
MAPDs
RAZADYNE 4MG TABLET
(Galantamine Hydrobromide)
60 TABLETS BOT 50458039660 3
PDPs
11
MAPDs
RAZADYNE 8MG TABLET
(Galantamine Hydrobromide)
60 TABLETS BOT 50458039760 3
PDPs
8
MAPDs
RAZADYNE ER 16MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038830 3
PDPs
8
MAPDs
RAZADYNE ER 24MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038930 3
PDPs
8
MAPDs
RAZADYNE ER 8MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038730 3
PDPs
8
MAPDs
ROBINUL 1MG TABLET
(Glycopyrrolate)
100 TABS BOTPL 59630020010 3
PDPs
8
MAPDs
ROBINUL FORTE 2MG TABLET
(Glycopyrrolate)
100 TABS BOTPL 59630020510 3
PDPs
8
MAPDs
SANCUSO TRANSDERMAL SYSTEM 3.1MG/24HRS 1 PATCH CRTN
(Granisetron Transdermal)
1 PATCH CRTN 42747072601 12
PDPs
114
MAPDs
SIMPONI 100 MG/ML SYRINGE
(Golimumab Subcutaneous)
1 ML   57894007101 3
PDPs
179
MAPDs
SIMPONI 100 MG/ML PEN INJECTOR
(Golimumab Subcutaneous)
1 ML   57894007102 3
PDPs
176
MAPDs
SIMPONI 50 MG/0.5 ML PEN INJEC
(Golimumab Subcutaneous)
0.5 ML   57894007002 3
PDPs
174
MAPDs
SIMPONI GOLIMUMAB INJECTION 50MG/0.5ML 1 50 MG SINGLE DOSE SYR SYR
(Golimumab Subcutaneous)
1 50 MG SINGLE DOSE SYR SYR 57894007001 3
PDPs
185
MAPDs
TIAGABINE HCL 12 MG TABLET [Gabitril]
()
30   69238110603 63
PDPs
349
MAPDs
TIAGABINE HCL 16 MG TABLET [Gabitril]
()
30   69238110703 63
PDPs
349
MAPDs
tiagabine hcl 2 mg tablet [Gabitril]
(Tiagabine HCl)
    62756020083 63
PDPs
360
MAPDs
tiagabine hcl 4 mg tablet [Gabitril]
(Tiagabine HCl)
    62756022483 63
PDPs
360
MAPDs
TREMFYA 100 MG/ML SYRINGE
(Guselkumab)
    57894064001 1
PDPs
79
MAPDs
ZIPRASIDONE HCL 20 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025660 63
PDPs
360
MAPDs
ZIPRASIDONE HCL 40 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025760 63
PDPs
360
MAPDs
ZIPRASIDONE HCL 60 MG CAPSULE [Geodon]
(Ziprasidone HCl)
    55111025860 63
PDPs
360
MAPDs
ZIPRASIDONE HCL 80 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025960 63
PDPs
360
MAPDs
ZIRGAN 1.5mg/g 1 TUBE, WITH APPLICATOR per CARTON / 5 g in 1 TUBE, WITH APPLICATOR
(Ganciclovir Ophth)
1 TUBE, WITH APPLICATOR   24208053535 48
PDPs
320
MAPDs
ZYMAXID 5mg/mL 1 BOTTLE, DROPPER per CARTON / 2.5 mL in 1 BOTTLE, DROPPER
(Gatifloxacin Ophth)
1 BOTTLE, DROPPER   00023361525 0
PDPs
4
MAPDs



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


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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.