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2019 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 2019 Formularies
PDPs MAPDs
ABSORICA 10 MG CAPSULE
(Isotretinoin)
    10631011531 0
PDPs
17
MAPDs
ABSORICA 20 MG CAPSULE
(Isotretinoin)
    10631011631 0
PDPs
17
MAPDs
ABSORICA 25 MG CAPSULE
(Isotretinoin)
    10631013331 0
PDPs
15
MAPDs
ABSORICA 30 MG CAPSULE
(Isotretinoin)
    10631011731 0
PDPs
17
MAPDs
ABSORICA 35 MG CAPSULE
(Isotretinoin)
    10631013431 0
PDPs
15
MAPDs
ABSORICA 40 MG CAPSULE
(Isotretinoin)
    10631011831 0
PDPs
17
MAPDs
INFANRIX DTAP VIAL
(Tetanus-Diphtheria Toxoids (Td))
    58160081011 63
PDPs
360
MAPDs
ACTIMMUNE 100 MCG/0.5 ML VIAL
(Interferon Gamma-1b (E. coli))
ml   75987011111 63
PDPs
360
MAPDs
ADMELOG SOLOSTAR 100 UNIT/ML INSULN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   00024592505 1
PDPs
15
MAPDs
ADMELOG 100 UNIT/ML VIAL [Humalog]
(Insulin Lispro)
10 mls   00024592410 1
PDPs
15
MAPDs
AFREZZA 12 UNIT CARTRIDGE CART INHAL
(insulin)
    47918089190 1
PDPs
14
MAPDs
AFREZZA 30-4 UNIT + 60-8 UNIT
(insulin)
    47918088236 1
PDPs
14
MAPDs
AFREZZA 4 UNITS CARTRIDGE INH
(insulin)
    47918087490 1
PDPs
14
MAPDs
AFREZZA 4 UNIT/8 UNIT/12 UNIT
(insulin)
    47918090218 1
PDPs
14
MAPDs
AFREZZA 60-8 UNIT + 30-12 UNIT
(insulin)
    47918089463 1
PDPs
14
MAPDs
AFREZZA 8 UNIT CARTRIDGE CART INHAL
(insulin)
    47918087890 1
PDPs
14
MAPDs
AFREZZA 90-4 UNIT / 90-8 UNIT
(insulin)
    47918088018 1
PDPs
14
MAPDs
IPRAT-ALBUT 0.5-3(2.5) MG/3 ML
(Albuterol-Ipratropium Nebu)
    00378967130 45
PDPs
287
MAPDs
ALDARA 5% CREAM
(Imiquimod)
    99207026012 3
PDPs
8
MAPDs
AMNESTEEM 10 MG CAPSULE
(Isotretinoin)
    00378661185 50
PDPs
271
MAPDs
AMNESTEEM 20 MG CAPSULE
(Isotretinoin)
30 EA   00378661293 50
PDPs
271
MAPDs
AMNESTEEM 40 MG CAPSULE
(Isotretinoin)
    00378661485 50
PDPs
271
MAPDs
APIDRA 100 UNITS/ML VIAL
(Insulin Glulisine Subcutaneous)
10 ML   00088250033 2
PDPs
32
MAPDs
ARCAPTA NEOHALER 75 MCG CAP
(INDACATEROL MALEATE)
30 EA   63402067530 3
PDPs
58
MAPDs
ATROVENT HFA AER 17MCG
(Ipratropium Bromide HFA)
12.9 GRAMS PER 200 ACT CAN 00597008717 58
PDPs
310
MAPDs
AVALIDE 150-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
30.000 EA   00024585530 5
PDPs
17
MAPDs
AVALIDE 300-12.5 MG TABLET
(Irbesartan-Hydrochlorothiazide)
30 EA   00024585630 5
PDPs
17
MAPDs
AVAPRO 150 MG TABLET
(Irbesartan)
30 EA   00024585130 5
PDPs
17
MAPDs
AVAPRO 300 MG TABLET
(Irbesartan)
30.000 EA   00024585230 5
PDPs
17
MAPDs
AVAPRO 75 MG TABLET
(Irbesartan)
90 EA   00024585090 5
PDPs
17
MAPDs
AVONEX PREFILLED SYR 30 MCG KT
(INTERFERON BETA-1A)
1 EA   59627022205 26
PDPs
251
MAPDs
AVONEX ADMIN PACK 30 MCG VL
(INTERFERON BETA-1A/ALBUMIN)
4 EA   59627011103 26
PDPs
258
MAPDs
AVONEX PEN 30 MCG/0.5 ML KIT
(INTERFERON BETA-1A)
1 EA   59627033304 26
PDPs
256
MAPDs
BASAGLAR 100 UNIT/ML KWIKPEN
(Insulin glargine)
3.000 ML   00002771559 29
PDPs
130
MAPDs
BETASERON 0.3 MG KIT
(Interferon Beta-1b For)
1.000 EA   50419052435 61
PDPs
318
MAPDs
BIDIL TABLET
(Isosorbide Dinitrate-Hydralazine HCl)
180 EA   24338001018 16
PDPs
183
MAPDs
BIVIGAM LIQUID 10% VIAL
(immune globulin intravenous)
    59730650301 29
PDPs
226
MAPDs
BONIVA 150 MG TABLET
(Ibandronate Sodium)
3.000 EA   00004018683 0
PDPs
5
MAPDs
CARIMUNE NF 6GM VIAL
(Immune Globulin (Human) IV)
6 GM PKGCOM 44206041706 30
PDPs
257
MAPDs
CLARAVIS 10 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105486 57
PDPs
294
MAPDs
CLARAVIS 20 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105586 59
PDPs
298
MAPDs
Claravis 30mg 3 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Isotretinoin)
3 BLISTER PACK CARTON   00555105686 55
PDPs
296
MAPDs
CLARAVIS 40 MG CAPSULE
(Isotretinoin)
30.000 EA   00555105786 59
PDPs
298
MAPDs
CORLANOR 5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA   55513080060 63
PDPs
360
MAPDs
CORLANOR 7.5 MG TABLET
(IVABRADINE HYDROCHLORIDE)
60 EA   55513081060 63
PDPs
360
MAPDs
CRESEMBA 186 MG CAPSULE
(Isavuconazonium Sulfate)
    00469052014 30
PDPs
123
MAPDs
CRIXIVAN 200MG CAPSULE
(Indinavir Sulfate)
360 BOT 00006057143 63
PDPs
360
MAPDs
CRIXIVAN 400mg, 180 CAPSULE BOTTLE
(Indinavir Sulfate)
180 CAPSULE in 1 BOTTLE   00006057362 63
PDPs
360
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)
    75987001003 2
PDPs
23
MAPDs
EXTAVIA 15 BLISTER PACK per CARTON / 1 KIT per BLISTER PACK
(Interferon Beta-1b For)
15 BLISTER PACK in 1 CART   00078056912 5
PDPs
130
MAPDs
FANAPT 4 MG TABLET
(ILOPERIDONE)
60 EA   43068010402 63
PDPs
360
MAPDs
FANAPT TITR TABLETS
(ILOPERIDONE)
8 EA   43068011304 63
PDPs
348
MAPDs
FANAPT 1 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010102 63
PDPs
360
MAPDs
FANAPT 10 MG TABLET
(ILOPERIDONE)
60 EA   43068011002 63
PDPs
360
MAPDs
FANAPT 12 MG TABLET
(ILOPERIDONE)
    43068011202 63
PDPs
360
MAPDs
FANAPT 2 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010202 63
PDPs
360
MAPDs
FANAPT 6 MG TABLET
(ILOPERIDONE)
60.000 EA   43068010602 63
PDPs
360
MAPDs
FANAPT 8 MG TABLET
(ILOPERIDONE)
60 EA   43068010802 63
PDPs
360
MAPDs
FIASP 100 UNIT/ML VIAL
(Insulin Aspart (Recombinant))
10 mls   00169320111 25
PDPs
206
MAPDs
FIASP 100 UNIT/ML FLEXTOUCH INSULN PEN
(Insulin Aspart (Recombinant))
15 mls   00169320415 25
PDPs
206
MAPDs
FIRAZYR 30 MG/3 ML SYRINGE
(ICATIBANT ACETATE)
3.000 ML   54092070203 61
PDPs
360
MAPDs
FLEBOGAMMA DIF INJECTION
(Immune Globulin (Human) IV)
    61953000501 30
PDPs
249
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
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
HUMALOG 100 UNITS/ML VIAL
(Insulin Lispro)
10 mls   00002751017 38
PDPs
160
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
3 ML   00002751659 38
PDPs
155
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 00002879959 38
PDPs
156
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL 00002751201 38
PDPs
160
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL 00002751101 38
PDPs
160
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879859 38
PDPs
156
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879759 38
PDPs
156
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))
3 ML   00002771459 38
PDPs
145
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
    00002771227 38
PDPs
153
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 38
PDPs
154
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))
3.000 ML   00002880359 38
PDPs
150
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 38
PDPs
154
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))
3.000 ML   00002880559 38
PDPs
150
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL 00002821501 38
PDPs
154
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
    00002882427 57
PDPs
308
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL 00002850101 57
PDPs
321
MAPDs
IBANDRONATE SODIUM 150 MG TABLET [Boniva]
(Ibandronate Sodium)
    60505279500 61
PDPs
354
MAPDs
IBRANCE 100 MG CAPSULE
(Palbociclib)
21 EA   00069018821 63
PDPs
360
MAPDs
IBRANCE 125 MG CAPSULE
(Palbociclib)
21 EA   00069018921 63
PDPs
360
MAPDs
IBRANCE 75 MG CAPSULE
(Palbociclib)
21 EA   00069018721 63
PDPs
360
MAPDs
IBUDONE 10; 200mg/1; mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Hydrocodone Bitartrate and Ibuprofen)
100 TABLET, FILM COATED   50991057901 1
PDPs
10
MAPDs
Ibuprofen 100mg/5mL 473 mL in 1 BOTTLE
(Ibuprofen)
473 mL in 1 BOTTLE   45802095243 57
PDPs
342
MAPDs
IBUPROFEN 400 MG TABLET
(Ibuprofen)
500.000 EA   53746046405 63
PDPs
360
MAPDs
IBUPROFEN 600 MG ORAL TABLET
(Ibuprofen)
    55111068309 57
PDPs
311
MAPDs
IBUPROFEN 600mg/1 500 TABLET BOTTLE
(Ibuprofen)
500 TABLET BOTTLE   53746046505 63
PDPs
360
MAPDs
IBUPROFEN 800 MG ORAL TABLET
(Ibuprofen)
    55111068409 57
PDPs
311
MAPDs
IBUPROFEN 800 MG TABLET
(Ibuprofen)
500 EA   67877032105 63
PDPs
360
MAPDs
ICLUSIG 15 MG TABLET
(ponatinib)
30 EA   76189053530 63
PDPs
360
MAPDs
ICLUSIG 45 MG TABLET
(ponatinib)
30 EA   76189053430 63
PDPs
360
MAPDs
IDHIFA 100 MG TABLET
(Enasidenib Mesylate)
    59572071030 63
PDPs
360
MAPDs
IDHIFA 50 MG TABLET
(Enasidenib Mesylate)
    59572070530 63
PDPs
360
MAPDs
ILEVRO 0.3% OPHTH DROPS
(nepafenac Dosage)
1.7 ML   00065175007 51
PDPs
303
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
IMBRUVICA 140 MG CAPSULE
(ibrutinib)
90 EA   57962014009 63
PDPs
358
MAPDs
IMBRUVICA 140 MG TABLET
(Ibrutinib)
tablets   57962001428 60
PDPs
330
MAPDs
IMBRUVICA 280 MG TABLET
(Ibrutinib)
tablets   57962028028 60
PDPs
332
MAPDs
IMBRUVICA 420 MG TABLET
(Ibrutinib)
tablets   57962042028 63
PDPs
360
MAPDs
IMBRUVICA 560 MG TABLET
(Ibrutinib)
tablets   57962056028 63
PDPs
360
MAPDs
IMBRUVICA 70 MG CAPSULE
(Ibrutinib)
capsules   57962007028 63
PDPs
349
MAPDs
Cilastatin 250 MG / Imipenem 250 MG Injection
(Imipenem-Cilastatin Intravenous For)
    63323034925 63
PDPs
358
MAPDs
Cilastatin 500 MG / Imipenem 500 MG Injection
(Imipenem-Cilastatin Intravenous For)
    63323032225 63
PDPs
357
MAPDs
IMIPRAMINE HCL 10MG TABLET (100 CT)
(Imipramine HCl)
100 BOT 49884005401 63
PDPs
360
MAPDs
IMIPRAMINE HCL 25MG TABLET (100 CT)
(Imipramine HCl)
100 BOT 49884005501 63
PDPs
360
MAPDs
IMIPRAMINE HCL 50 MG TABLET
(Imipramine HCl)
100.000 EA   49884005601 63
PDPs
360
MAPDs
IMIPRAMINE PAMOATE 100MG CAPSULES
(Imipramine Pamoate)
30 BOT 00054027413 14
PDPs
196
MAPDs
IMIPRAMINE PAMOATE 125MG CAPSULES
(Imipramine Pamoate)
30 BOT 00054027513 14
PDPs
196
MAPDs
IMIPRAMINE PAMOATE 150MG CAPSULES
(Imipramine Pamoate)
30 BOT 00054027613 14
PDPs
196
MAPDs
IMIPRAMINE PAMOATE 75MG CAPSULES
(Imipramine Pamoate)
30 BOT 00054027313 14
PDPs
196
MAPDs
IMIQUIMOD 5% CREAM PACKET
(Imiquimod)
24 EA   45802036862 63
PDPs
360
MAPDs
IMITREX 100MG TABLET
(Sumatriptan Succinate)
9 BLPK 00173073701 5
PDPs
13
MAPDs
IMITREX 20MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UD NASAL SPRAY CTR 00173052300 5
PDPs
11
MAPDs
IMITREX 25MG TABLET
(Sumatriptan Succinate)
1 BLPK 00173073500 5
PDPs
13
MAPDs
IMITREX 4 MG/0.5 ML PEN INJECT
(Sumatriptan Succinate)
1 ML   00173073900 5
PDPs
12
MAPDs
IMITREX 5MG NASAL SPRAY
(Sumatriptan Succinate)
6 X 1 UNIT DOSE SPRAY CTR 00173052400 5
PDPs
11
MAPDs
IMITREX 50MG TABLET
(Sumatriptan Succinate)
9 BLPK 00173073601 5
PDPs
13
MAPDs
IMITREX 6MG/0.5ML SYRNG KIT
(Sumatriptan Succinate)
2 (STATDOSE) SYR 00173047800 5
PDPs
13
MAPDs
IMITREX 6MG/0.5ML VIAL
(Sumatriptan Succinate)
5 X 0.5 ML VIAL 00173044902 5
PDPs
13
MAPDs
IMOVAX RABIES VACCINE
(Rabies Virus Vaccine, HDC)
    49281025051 63
PDPs
360
MAPDs
IMPOYZ 0.025% CREAM (g)
(Clobetasol)
60 grams   69482070060 0
PDPs
5
MAPDs
IMURAN 50 MG TABLET
(Azathioprine)
30   54766059010 3
PDPs
14
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
360
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)
    00173087310 50
PDPs
276
MAPDs
Indapamide 1.25mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Indapamide)
100 TABLET, FILM COATED   00378006901 57
PDPs
353
MAPDs
INDAPAMIDE 2.5 MG TABLET
(Indapamide)
100.000 EA   00378008001 57
PDPs
353
MAPDs
INDERAL LA 120 MG CAPSULE
(Propranolol HCl)
100 EA   62559052201 3
PDPs
8
MAPDs
INDERAL LA 160 MG CAPSULE
(Propranolol HCl)
100 EA   62559052301 3
PDPs
8
MAPDs
INDERAL LA 60 MG CAPSULE
(Propranolol HCl)
100 EA   62559052001 3
PDPs
8
MAPDs
INDERAL LA 80 MG CAPSULE
(Propranolol HCl)
100 EA   62559052101 3
PDPs
8
MAPDs
INDOCIN ORAL SUSPENSION 25MG/5ML 237 ML BOT
(Indomethacin)
237 ML BOT 42211010111 1
PDPs
18
MAPDs
INDOMETHACIN 25 MG CAPSULE
(Indomethacin)
100.000 EA   31722054201 14
PDPs
180
MAPDs
INDOMETHACIN 50 MG CAPSULE
(Indomethacin)
100 EA   31722054301 12
PDPs
176
MAPDs
INDOMETHACIN ER 75 MG CAPSULE
(Indomethacin)
60 EA   65162050606 9
PDPs
132
MAPDs
INGREZZA 40 MG CAPSULE
(Valbenazine)
    70370104001 5
PDPs
108
MAPDs
INGREZZA 80 MG CAPSULE
(Valbenazine)
30 EA   70370108001 5
PDPs
108
MAPDs
INLYTA 1 MG TABLET
(axitinib)
    00069014501 63
PDPs
360
MAPDs
INLYTA 5 MG TABLET
(axitinib)
    00069015111 63
PDPs
360
MAPDs
INNOPRAN XL 120 MG CAPSULE
(Propranolol HCl Sustained-Release Beads)
30 EA   24090045185 1
PDPs
53
MAPDs
INNOPRAN XL 80 MG CAPSULE
(Propranolol HCl Sustained-Release Beads)
30 EA   24090045085 1
PDPs
53
MAPDs
INSPRA 25 MG TABLET
(Eplerenone)
30 tablets   00025171002 3
PDPs
8
MAPDs
INSPRA 50 MG TABLET
(Eplerenone)
30 tablets   00025172001 3
PDPs
8
MAPDs
INTELENCE 100MG TABLET
(Etravirine)
120 TABLETS BOT 59676057001 63
PDPs
360
MAPDs
Intelence 200mg/1
(Etravirine)
    59676057101 63
PDPs
360
MAPDs
INTELENCE 25 MG TABLET
(Etravirine)
120 EA   59676057201 63
PDPs
360
MAPDs
INTRALIPID 20% IV FAT EMUL EMULSION
(Soybean Oil Injection)
    00338051909 63
PDPs
339
MAPDs
INTRALIPID 30% IV FAT EMUL
(Fat)
    00338052013 43
PDPs
248
MAPDs
INTRAROSA 6.5 MG VAG INSERT
(Prasterone (Gl701 Or DHEA))
28 units   64011060128 3
PDPs
42
MAPDs
INTRON A 10 MILLION UNITS VIAL
(Interferon Alfa-2B)
    00085435001 63
PDPs
360
MAPDs
INTRON A 25 MILLION UNIT/2.5ML VIAL
(Interferon Alfa-2b)
mls   00085113301 63
PDPs
346
MAPDs
INTRON A 18 MILLION UNITS VIAL
(Interferon Alfa-2B)
1 EA   00085435101 63
PDPs
358
MAPDs
INTRON A 6MMU/ML VIAL
(Interferon Alfa-2B)
3 ML VIAL 00085116801 63
PDPs
360
MAPDs
INTRON A 50 MILLION UNITS VIAL
(Interferon Alfa-2B)
1 EA   00085435201 63
PDPs
359
MAPDs
INTROVALE 0.15-0.03 MG TABLET TBDSPK 3MO [Setlakin]
()
91 units   70700011787 56
PDPs
332
MAPDs
INVANZ 1GM VIAL
(Ertapenem Sodium For)
10X 1 GM VIAL 00006384371 50
PDPs
353
MAPDs
INVEGA ER 1.5mg/ 30 TABLET BOTTLE
(Paliperidone Palmitate IM Extended-Release)
30 TABLET, EXTENDED RELEA   50458055401 7
PDPs
11
MAPDs
INVEGA TRINZA 273 MG/0.875 ML
(Paliperidone Palmitate)
0.875 ML   50458060601 63
PDPs
348
MAPDs
INVEGA 3MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055001 7
PDPs
11
MAPDs
INVEGA TRINZA 410 MG/1.315 ML
(Paliperidone Palmitate)
1.315 ML   50458060701 63
PDPs
348
MAPDs
INVEGA TRINZA 546 MG/1.75 ML
(Paliperidone Palmitate)
1.75 ML   50458060801 63
PDPs
348
MAPDs
INVEGA 6MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055101 7
PDPs
11
MAPDs
INVEGA TRINZA 819 MG/2.625 ML
(Paliperidone Palmitate)
2.625 ML   50458060901 63
PDPs
348
MAPDs
INVEGA 9MG TABLET SR OSMOTIC PUSH 24HR
(Paliperidone)
30 BOT 50458055201 7
PDPs
11
MAPDs
Invega Sustenna 117 mg/0.75mL Prefilled Syringe
(Paliperidone Palmitate)
0.75 ML   50458056201 63
PDPs
360
MAPDs
Invega Sustenna 156 mg/mL Prefilled Syringe
(Paliperidone Palmitate)
1 ML   50458056301 63
PDPs
360
MAPDs
Invega Sustenna 234 mg/1.5mL Prefilled Syringe
(Paliperidone Palmitate)
1.5 ML   50458056401 63
PDPs
360
MAPDs
Invega Sustenna 39 mg/0.25mL Prefilled Syringe
(Paliperidone Palmitate)
0.25 ML   50458056001 63
PDPs
360
MAPDs
Invega Sustenna 78 mg/0.5mL Prefilled Syringe
(Paliperidone Palmitate)
0.5 ML   50458056101 63
PDPs
360
MAPDs
INVIRASE 200MG CAPSULE
(Saquinavir Mesylate)
270 BOT 00004024515 63
PDPs
360
MAPDs
INVIRASE 500MG TABLET
(Saquinavir Mesylate)
120 BOT 00004024451 63
PDPs
360
MAPDs
INVOKAMET 150-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054360 30
PDPs
211
MAPDs
INVOKAMET XR 150-1,000 MG TAB
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094301 30
PDPs
209
MAPDs
INVOKAMET 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054260 30
PDPs
212
MAPDs
INVOKAMET XR 150-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094201 30
PDPs
210
MAPDs
INVOKAMET 50-1,000 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054160 30
PDPs
211
MAPDs
INVOKAMET XR 50-1,000 MG TAB
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094101 30
PDPs
210
MAPDs
INVOKAMET 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60 EA   50458054060 30
PDPs
212
MAPDs
INVOKAMET XR 50-500 MG TABLET
(Canagliflozin and Metformin Hydrochloride)
60.000 EA   50458094001 30
PDPs
210
MAPDs
INVOKANA 100 MG TABLET
(Canagliflozin)
30 EA   50458014030 30
PDPs
219
MAPDs
INVOKANA 300 MG TABLET
(Canagliflozin)
30 EA   50458014130 30
PDPs
219
MAPDs
IONOSOL MB-D5W IV SOLUTION
(Electrolyte-MB in D5W)
24 X 500 ML CTR 00409737203 27
PDPs
261
MAPDs
IOPIDINE 0.5% EYE DROPS
(Apraclonidine HCl Ophth)
5.000 ML   00065066505 0
PDPs
12
MAPDs
IOPIDINE 1% EYE DROPS
(Apraclonidine HCl Ophth)
0.1 ML CTR 00065066010 2
PDPs
95
MAPDs
IPOL VIAL 40;8;32; UNT
(Poliovirus Vaccine, IPV)
10 DOSE VIAL 49281086010 63
PDPs
360
MAPDs
IPRATROPIUM BROMIDE NASAL SPRAY
(Ipratropium Bromide Nasal)
345 SPRAY CRTN 00054004544 63
PDPs
360
MAPDs
IPRATROPIUM BR 0.02% SOLN
(Ipratropium Bromide)
2.500 ML   00591379883 63
PDPs
360
MAPDs
IPRATROPIUM 0.06% SPRAY
(Ipratropium Bromide Nasal)
15.000 ML   00054004641 63
PDPs
358
MAPDs
IRBESARTAN 150 MG TABLET [Avapro]
(Irbesartan)
90 EA   43547037509 60
PDPs
357
MAPDs
IRBESARTAN 300 MG TABLET [Avapro]
(Irbesartan)
90 EA   31722073190 60
PDPs
357
MAPDs
IRBESARTAN 75 MG TABLET [Avapro]
(Irbesartan)
90.000 EA   31722072990 60
PDPs
357
MAPDs
IRBESARTAN-HCTZ 150-12.5 MG TABLET [Avalide]
(Irbesartan, Hydrochlorothiazide)
30 tablets   00054025422 58
PDPs
356
MAPDs
IRBESARTAN-HCTZ 300-12.5 MG TABLET [Avalide]
(Irbesartan, Hydrochlorothiazide)
30 tablets   00054025513 58
PDPs
355
MAPDs
IRESSA 250 MG TABLET
(Gefitinib)
30 EA   00310048230 63
PDPs
360
MAPDs
ISENTRESS 100 MG TABLET CHEW
(Raltegravir Potassium)
    00006047761 63
PDPs
360
MAPDs
ISENTRESS 100 MG POWDER PACKET
(Raltegravir Potassium)
    00006360360 63
PDPs
360
MAPDs
ISENTRESS 25 MG TABLET CHEW
(Raltegravir Potassium)
    00006047361 63
PDPs
360
MAPDs
ISENTRESS 400MG TABLET
(Raltegravir Potassium)
60 BOT 00006022761 63
PDPs
360
MAPDs
ISENTRESS HD 600 MG TABLET
(Raltegravir)
tablets   00006308001 63
PDPs
360
MAPDs
ISIBLOOM 28 DAY TABLET
(Desogestrel and Ethinyl Estradiol)
28 EA   00781406615 56
PDPs
313
MAPDs
ISOLYTE P IN 5% DEXTROSE INJECTION
(Electrolyte-P in D5W)
24 X 500 ML BAG 00264773010 39
PDPs
282
MAPDs
ISOLYTE S IV SOLUTION-EXCEL
(Electrolyte-S)
1000 ML X 12 CASE 00264770300 39
PDPs
289
MAPDs
ISONIAZID 100 MG TABLET
(Isoniazid)
100 EA   00555006602 63
PDPs
360
MAPDs
ISONIAZID 300 MG TABLET
(Isoniazid)
100.000 EA   00555007102 63
PDPs
360
MAPDs
ISONIAZID 50MG/5ML SYRUP
(Isoniazid)
16 FLO BOT 46287000901 48
PDPs
314
MAPDs
ISOPTO CARPINE 10mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE   00998020315 0
PDPs
8
MAPDs
ISOPTO CARPINE 20mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE   00998020415 0
PDPs
8
MAPDs
ISOPTO CARPINE 40mg/mL 15 mL in 1 BOTTLE
(PILOCARPINE HYDROCHLORIDE)
15 mL in 1 BOTTLE   00998020615 0
PDPs
8
MAPDs
ISORDIL 40 MG TABLET
(Isosorbide Dinitrate)
    00187019201 9
PDPs
82
MAPDs
ISORDIL TITRADOSE 5 MG TAB
(Isosorbide Dinitrate)
    00187015201 4
PDPs
28
MAPDs
ISOSORBIDE DINITRATE 40MG TABLETS ER
(Isosorbide Dinitrate)
100 BOT 57664060088 46
PDPs
329
MAPDs
ISOSORBIDE DN 10 MG TABLET
(Isosorbide Dinitrate)
100.000 EA   00143177101 62
PDPs
359
MAPDs
ISOSORBIDE DN 20 MG TABLET
(Isosorbide Dinitrate)
100 EA   49884002201 62
PDPs
359
MAPDs
ISOSORBIDE DN 30 MG TABLET
(Isosorbide Dinitrate)
100.000 EA   49884000901 56
PDPs
352
MAPDs
ISOSORBIDE DN 5 MG TABLET
(Isosorbide Dinitrate)
100 EA   00143176901 62
PDPs
359
MAPDs
ISOSORBIDE MN 10 MG TABLET
(Isosorbide Mononitrate)
100 EA   00228263111 57
PDPs
352
MAPDs
ISOSORBIDE MONONITRATE ER TABLET 120MG (100 CT)
(Isosorbide Mononitrate)
100 TABLETS BOT 62175012937 63
PDPs
360
MAPDs
ISOSORBIDE MONONITRATE 20MG TABLET
(Isosorbide Mononitrate)
100 BOT 00143133301 57
PDPs
353
MAPDs
ISOSORBIDE MN ER 30 MG TABLET
(Isosorbide Mononitrate)
100.000 EA   13668010401 63
PDPs
360
MAPDs
ISOSORBIDE MN ER 60 MG TABLET
(Isosorbide Mononitrate)
100.000 EA   23155017801 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
ISOTRETINOIN 10 MG CAPSULE [ZENATANE]
(Isotretinoin)
30   69238117401 58
PDPs
283
MAPDs
ISOTRETINOIN 20 MG CAPSULE [ZENATANE]
(Isotretinoin)
30   69238117501 58
PDPs
283
MAPDs
ISOTRETINOIN 30 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 capsules   69238101701 58
PDPs
283
MAPDs
ISOTRETINOIN 40 MG CAPSULE [ZENATANE]
(Isotretinoin)
60   69238117601 58
PDPs
283
MAPDs
ISRADIPINE CAPSULES 2.5MG (100 CT)
(Isradipine)
100 BOT 16252053901 33
PDPs
283
MAPDs
ISRADIPINE CAPSULES 5MG (100 CT)
(Isradipine)
100 BOT 16252054001 33
PDPs
283
MAPDs
ISTALOL 0.5% EYE DROPS
(Timolol Maleate Ophth)
5.000 ML   24208000403 14
PDPs
32
MAPDs
ITRACONAZOLE 100MG CAPSULE
(Itraconazole)
30 CAPS BOT 00185055030 63
PDPs
360
MAPDs
IVERMECTIN 3 MG TABLET [Stromectol, Sklice]
(Ivermectin)
20 EA   42799080601 63
PDPs
357
MAPDs
Ixekizumab 1ML 80 MG/ML Auto-Injector [Taltz]
(Ixekizumab)
    00002144511 2
PDPs
71
MAPDs
Ixekizumab 1ML 80 MG/ML Prefilled Syringe [Taltz]
(Ixekizumab)
    00002772411 2
PDPs
73
MAPDs
IXIARO JAPANESE ENCEPHALITIS VACCINE 6MCG/.5ML
(Japanese Encephalitis Vaccine Inactivated Adsorbed)
0.5ML SYR 42515000101 63
PDPs
360
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
56.000 EA   51167020001 63
PDPs
360
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)
56 EA   51167030001 59
PDPs
348
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)
56 EA   51167040001 59
PDPs
348
MAPDs
LANTUS 100U/ML VIAL
(Insulin Glargine)
10 ML VIAL 00088222033 43
PDPs
279
MAPDs
LANTUS SOLOSTAR INJECTION
(Insulin Glargine)
3 ML X 5 CRTG CRTN 00088221905 43
PDPs
278
MAPDs
LEVEMIR 100UNITS/ML VIAL
(Insulin Detemir)
1 X 10 ML VIAL 00169368712 44
PDPs
268
MAPDs
LEVEMIR FLEXTOUCH 100 UNITS/ML
(Insulin Detemir)
3 ML 00169643810 44
PDPs
268
MAPDs
MARPLAN 10MG TABLET (100 CT)
(Isocarboxazid)
100 BOT 30698003201 63
PDPs
360
MAPDs
METRONIDAZOLE 0.75% CREAM Cream (g) [Vitazol]
(Metronidazole)
45 GM TUBE 00168032346 63
PDPs
356
MAPDs
MORPHINE 10 MG/ML SYRINGE [Infumorph]
(Morphine)
ml   76045000810 33
PDPs
229
MAPDs
MYORISAN 10 MG CAPSULE
(Isotretinoin)
30.000 EA   61748030113 50
PDPs
283
MAPDs
MYORISAN 20 MG CAPSULE
(Isotretinoin)
30.000 EA   61748030213 50
PDPs
283
MAPDs
Myorisan 30 mg capsule
(Isotretinoin)
    61748030313 48
PDPs
283
MAPDs
MYORISAN 40 MG CAPSULE
(Isotretinoin)
30.000 EA   61748030413 50
PDPs
283
MAPDs
NINLARO 2.3 MG CAPSULE
(Ixazomib)
3.000 EA   63020007802 63
PDPs
360
MAPDs
NINLARO 3 MG CAPSULE
(Ixazomib)
3.000 EA   63020007902 63
PDPs
360
MAPDs
NINLARO 4 MG CAPSULE
(Ixazomib)
3.000 EA   63020008002 63
PDPs
360
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 27
PDPs
260
MAPDs
Novolin 100[iU]/mL 1 VIAL per CARTON / 10 mL in 1 VIAL
(Insulin Isophane (Human))
1 10 mL VIAL in CARTON   00169183411 27
PDPs
260
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 27
PDPs
260
MAPDs
NOVOLOG 100U/ML VIAL
(Insulin Aspart)
1 X 10ML VIALGL 00169750111 30
PDPs
263
MAPDs
NOVOLOG 100 UNIT/ML CARTRIDGE
(Insulin Aspart)
3 ML   00169330312 30
PDPs
263
MAPDs
NOVOLOG FLEXPEN SYRINGE
(Insulin Aspart)
5 X 3ML SYR 00169633910 30
PDPs
263
MAPDs
NOVOLOG MIX 70/30 VIAL
(Insulin Aspart Prot & Aspart (Human))
1 VIAL 00169368512 30
PDPs
263
MAPDs
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML
(Insulin Aspart Prot & Aspart (Human))
5 X 3 ML SYR 00169369619 30
PDPs
263
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)
    68982085001 35
PDPs
252
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)
    68982084001 35
PDPs
243
MAPDs
PALIPERIDONE ER 1.5 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
    00378397893 61
PDPs
360
MAPDs
PALIPERIDONE ER 3 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
    00378397993 61
PDPs
360
MAPDs
PALIPERIDONE ER 6 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
    00378398093 61
PDPs
360
MAPDs
PALIPERIDONE ER 9 MG TABLET [INVEGA]
(Paliperidone Palmitate IM ER)
    00378398193 61
PDPs
360
MAPDs
PICATO 0.015% GEL
(ingenol mebutate)
    50222050247 41
PDPs
293
MAPDs
PICATO 0.05% GEL
(ingenol mebutate)
    50222050347 41
PDPs
293
MAPDs
PLIAGLIS 7%-7% CREAM (g)
()
240 grams   51672530502 0
PDPs
15
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
6
MAPDs
PRIVIGEN 10% VIAL
(Immune Globulin (Human) IV)
200 ML   44206043820 37
PDPs
266
MAPDs
REBIF 22ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS   44087002203 13
PDPs
188
MAPDs
REBIF 44ug/0.5mL 12 SYRINGE, GLASS per CARTON / 0.5 mL in 1 SYRINGE, GLASS
(Interferon Beta-1a)
12 SYRINGE, GLASS   44087004403 13
PDPs
188
MAPDs
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL
(Interferon Beta-1a)
    44087882201 13
PDPs
186
MAPDs
REBIF REBIDOSE TITRATION PACK
(Interferon Beta-1a)
4.2 ML   44087018801 13
PDPs
179
MAPDs
REBIF REBIDOSE 22 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087332201 13
PDPs
179
MAPDs
REBIF REBIDOSE 44 MCG/0.5 ML
(Interferon Beta-1a)
0.5 ML   44087334401 13
PDPs
179
MAPDs
RIFAMATE 150/300 CAPSULE
(Isoniazid & Rifampin)
60 BOT 00068050960 1
PDPs
77
MAPDs
RIFATER 50/300/120 TABLET
(Isoniazid-Rifampin w/ Pyrazinamide)
60 BOT 00088057641 39
PDPs
272
MAPDs
SKLICE 0.5% LOTION
(ivermectin)
117.000 GM   24338018304 4
PDPs
59
MAPDs
SOLIQUA 100 UNIT-33 MCG/ML PEN
(Insulin glargine and lixisenatide)
    00024576105 29
PDPs
194
MAPDs
SOOLANTRA 1% CREAM
(Ivermectin)
    00299382345 16
PDPs
50
MAPDs
SPORANOX 10MG/ML SOLUTION
(Itraconazole)
150 ML BOT 50458029515 18
PDPs
104
MAPDs
SPORANOX 100MG CAPSULE
(Itraconazole)
30 BOT 50458029004 3
PDPs
9
MAPDs
STROMECTOL 3MG TABLET
(Ivermectin)
20 X 1 TABLET BOXUD 00006003220 3
PDPs
16
MAPDs
SYMDEKO 100/150 MG-150 MG TABS
(Ivacaftor;Tezacaftor, Ivacaftor)
56   51167066101 45
PDPs
222
MAPDs
TIVORBEX 20 MG CAPSULE
(Indomethacin)
    42211020129 0
PDPs
5
MAPDs
TIVORBEX 40 MG CAPSULE
(Indomethacin)
    42211020229 0
PDPs
5
MAPDs
TOFRANIL TABLETS 10MG 30 BOT
(Imipramine HCl)
30 BOT 00406992003 0
PDPs
10
MAPDs
TOFRANIL TABLETS 25MG 30 BOT
(Imipramine HCl)
30 BOT 00406992103 0
PDPs
10
MAPDs
TOFRANIL 50MG TABLET (30 CT)
(Imipramine HCl)
30 BOT 00406992203 0
PDPs
10
MAPDs
TOUJEO MAX SOLOSTAR 300UNIT/ML INSULN PEN
(Insulin Glargine)
6 mls   00024587102 38
PDPs
238
MAPDs
TOUJEO SOLOSTAR 300 UNITS/ML
(Insulin Glargine)
1.5 ML   00024586903 43
PDPs
265
MAPDs
TRESIBA FLEXTOUCH 100 UNITS/ML
(Insulin Degludec)
    00169266015 40
PDPs
232
MAPDs
TRESIBA FLEXTOUCH 200 UNITS/ML
(Insulin Degludec)
    00169255013 40
PDPs
232
MAPDs
Ventavis 0.01mg/mL
(Iloprost)
    66215030230 55
PDPs
261
MAPDs
Ventavis 0.02mg/mL
(Iloprost)
    66215030330 55
PDPs
261
MAPDs
XULTOPHY 100 UNIT-3.6MG/ML PEN
(Insulin Degludec and Liraglutide)
3 ML   00169291115 28
PDPs
210
MAPDs
ZENATANE 10 MG CAPSULE
(Isotretinoin)
30 EA   55111013581 47
PDPs
315
MAPDs
ZENATANE 20 MG CAPSULE
(Isotretinoin)
30.000 EA   55111013681 47
PDPs
315
MAPDs
ZENATANE 30 MG CAPSULE
(Isotretinoin)
30 EA   55111011381 48
PDPs
313
MAPDs
ZENATANE 40 MG CAPSULE
(Isotretinoin)
30.000 EA   55111013781 47
PDPs
315
MAPDs
ZYCLARA 2.5% CREAM PUMP
(Imiquimod)
    99207027675 6
PDPs
126
MAPDs
ZYCLARA 3.75% CREAM PUMP
(Imiquimod)
    99207027175 6
PDPs
107
MAPDs
ZYDELIG 100 MG TABLET
(Idelalisib)
60 EA   61958170101 63
PDPs
360
MAPDs
ZYDELIG 150 MG TABLET
(Idelalisib)
60 EA   61958170201 63
PDPs
360
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data October 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.
  • 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.