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2019 Medicare Part D Formulary Search By Drug Letter

This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
Select a Letter below:
Links to Summaries by State for LTC Drugs on LIS/SNP Plans:
AK  AL  AR  AZ  CA  CO  CT  DC  DE  FL  GA  HI  IA  ID  IL  IN  KS  KY  LA  MA  MD  ME  MI  MN  MO  MS  MT  NC  ND  NE  NH  NJ  NM  NV  NY  OH  OK  OR  PA  PR  RI  SC  SD  TN  TX  UT  VA  VT  WA  WI  WV  WY

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 2019 Formularies
PDPs MAPDs
ALOGLIPTIN-PIOGLIT 12.5-15 MG [Oseni]
(Alogliptin / Pioglitazone)
    45802023865 3
PDPs
36
MAPDs
ALOGLIPTIN-PIOGLIT 12.5-30 MG [Oseni]
(Alogliptin / Pioglitazone)
    45802026065 3
PDPs
36
MAPDs
ALOGLIPTIN-PIOGLIT 12.5-45 MG [Oseni]
(Alogliptin / Pioglitazone)
    45802030465 3
PDPs
36
MAPDs
ALOGLIPTIN-PIOGLIT 25-15 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)
    45802035165 3
PDPs
36
MAPDs
ALOGLIPTIN-PIOGLIT 25-30 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)
    45802040265 3
PDPs
36
MAPDs
ALOGLIPTIN-PIOGLIT 25-45 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)
    45802049965 3
PDPs
36
MAPDs
ANADROL-50 TABLET
(Oxymetholone)
100 EA   68220005510 60
PDPs
340
MAPDs
BENICAR 20 MG TABLET
(Olmesartan Medoxomil)
30.000 EA   65597010330 3
PDPs
15
MAPDs
BENICAR 40 MG TABLET
(Olmesartan Medoxomil)
30.000 EA   65597010430 3
PDPs
15
MAPDs
BENICAR 5MG TABLET
(Olmesartan Medoxomil)
30 BOT 65597010130 3
PDPs
15
MAPDs
BENICAR HCT 20-12.5 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)
30.000 EA   65597010530 3
PDPs
15
MAPDs
BENICAR HCT 40-25 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)
30.000 EA   65597010730 3
PDPs
15
MAPDs
BENICAR HCT TABLET 12.5-40MG (30 CT)
(Olmesartan Medoxomil-Hydrochlorothiazide)
30 BOT 65597010630 3
PDPs
15
MAPDs
CLOBAZAM 10 MG TABLET [ONFI]
(Clobazam)
60 tablets   31722063901 62
PDPs
352
MAPDs
CLOBAZAM 2.5 MG/ML Oral Suspension [ONFI]
(Clobazam)
120 mls   00832058525 62
PDPs
352
MAPDs
CLOBAZAM 20 MG TABLET [ONFI]
(Clobazam)
60 tablets   31722064001 62
PDPs
352
MAPDs
CLOBETASOL EMOLLNT 0.05% FOAM [Olux-E]
(Clobetasol)
50 grams   45802063733 16
PDPs
135
MAPDs
DAYPRO 600MG CAPLET
(Oxaprozin)
100 BOT 00025138131 2
PDPs
7
MAPDs
DIPENTUM 250 MG CAPSULE
(Olsalazine Sodium)
    00037686010 26
PDPs
211
MAPDs
DITROPAN XL 10 MG TABLET
(Oxybutynin Chloride)
100 EA   50458081001 2
PDPs
7
MAPDs
DITROPAN XL 5 MG TABLET
(Oxybutynin Chloride)
100 EA   50458080501 2
PDPs
7
MAPDs
ENDOCET 10MG-325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 60951071270 61
PDPs
335
MAPDs
ENDOCET 5/325 TABLET
(Oxycodone w/ Acetaminophen)
500 BOT 60951060285 61
PDPs
337
MAPDs
ENDOCET 7.5-325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 60951070070 61
PDPs
334
MAPDs
FLURBIPROFEN 0.03% EYE DROPS [Ocufen]
(Flurbiprofen Sodium Ophth)
2.5 mls   69292072225 60
PDPs
349
MAPDs
GELNIQUE 10% GEL PUMP GEL MD PMP
(Oxybutynin)
grams   00023581230 2
PDPs
48
MAPDs
KETOPROFEN 25 MG CAPSULE [Orudis]
(Ketoprofen)
90 capsules   23155002001 23
PDPs
174
MAPDs
LOVAZA 1 GM CAPSULE
(Omega-3-acid Ethyl Esters)
120 EA   00173088408 2
PDPs
7
MAPDs
LYNPARZA 100 MG TABLET
(Olaparib)
120 EA   00310066812 62
PDPs
352
MAPDs
LYNPARZA 150 MG TABLET
(Olaparib)
120 EA   00310067912 62
PDPs
352
MAPDs
NUZYRA 100 MG VIAL
(Omadacycline)
ml   71715000102 5
PDPs
32
MAPDs
NUZYRA 150 MG TABLET
(Omadacycline)
tablets   71715000221 5
PDPs
47
MAPDs
NUZYRA 150 MG TABLET-7 DAY
(Omadacycline)
tablets   71715000223 5
PDPs
47
MAPDs
NUZYRA 150 MG-7 DAY WITH LOAD TABLET
(Omadacycline)
tablets   71715000224 5
PDPs
47
MAPDs
OCALIVA 10 MG TABLET
(OBETICHOLIC ACID)
30.000 EA   69516001030 25
PDPs
178
MAPDs
OCALIVA 5 MG TABLET
(OBETICHOLIC ACID)
30.000 EA   69516000530 25
PDPs
178
MAPDs
OCELLA 3MG/0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)
3 X 28 PKG 00555913167 50
PDPs
260
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)
    68982085001 36
PDPs
250
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)
    68982084001 36
PDPs
241
MAPDs
OCTREOTIDE 1,000 MCG/ML VIAL
(Octreotide Acetate)
5.000 ML   63323037905 62
PDPs
349
MAPDs
OCTREOTIDE ACET 0.05 MG/ML VL
(Octreotide Acetate)
1.000 ML   00703330104 62
PDPs
347
MAPDs
OCTREOTIDE ACET 100 MCG/ML VL
(Octreotide Acetate)
1 ML   63323037601 62
PDPs
347
MAPDs
OCTREOTIDE ACET 200 MCG/ML VL
(Octreotide Acetate)
5.000 ML   63323037805 62
PDPs
345
MAPDs
OCTREOTIDE ACET 500 MCG/ML VL
(Octreotide Acetate)
1.000 ML   63323037701 58
PDPs
347
MAPDs
OCUFLOX 0.3% EYE DROPS
(Ofloxacin Ophth)
5 ML BOT 11980077905 4
PDPs
11
MAPDs
OCUTRICIN EYE OINTMENT 400UNT/3.5MG/10UNT
(Bacitracin-Polymyxin-Neomycin Ophth)
3.5 GRAM TUBE 24208078055 56
PDPs
346
MAPDs
ODEFSEY TABLET
(Emtricitabine, Rilpivirine Hydrochloride, and Tenofovir Alafenamide Fumarate)
    61958210101 62
PDPs
352
MAPDs
ODOMZO 200 MG CAPSULE
(Sonidegib)
    47335030383 62
PDPs
352
MAPDs
OFEV 100 MG CAPSULE
(Nintedanib)
60 EA   00597014360 58
PDPs
352
MAPDs
OFEV 150 MG CAPSULE
(Nintedanib)
60 EA   00597014560 62
PDPs
352
MAPDs
OFLOXACIN 0.3 % DRP
(Ofloxacin Ophth)
5 ML   17478071310 60
PDPs
347
MAPDs
OFLOXACIN 0.3% EAR DROPS
(Ofloxacin)
5.000 ML   24208041005 62
PDPs
346
MAPDs
OFLOXACIN 300 MG TABLET
(Ofloxacin)
50 EA   75834011950 21
PDPs
186
MAPDs
OFLOXACIN 400 MG TABLET [Floxin]
(Ofloxacin)
20 tablets   75834011201 31
PDPs
253
MAPDs
OGESTREL TABLET 0.05MG/0.5MG
(Norgestrel & Ethinyl Estradiol)
3X28 BLPK 52544084828 25
PDPs
193
MAPDs
OLANZAPINE 10 MG TABLET [Zyprexa]
(Olanzapine)
30.000 EA   43598016630 62
PDPs
352
MAPDs
OLANZAPINE 10 MG VIAL
(Olanzapine)
    00517095501 62
PDPs
352
MAPDs
OLANZAPINE 15 MG TABLET [Zyprexa]
(Olanzapine)
30 EA   55111016730 62
PDPs
352
MAPDs
OLANZAPINE 2.5 MG TABLET [Zyprexa]
(Olanzapine)
30 EA   60505311003 62
PDPs
352
MAPDs
OLANZAPINE 20 MG TABLET [Zyprexa]
(Olanzapine)
30 EA   55111016830 62
PDPs
352
MAPDs
OLANZAPINE 5 MG TABLET [Zyprexa]
(Olanzapine)
30 EA   43598016430 62
PDPs
352
MAPDs
OLANZAPINE 7.5 MG TABLET [Zyprexa]
(Olanzapine)
30.000 EA   43598016530 62
PDPs
352
MAPDs
OLANZAPINE ODT 10 MG TABLET RAPDIS [Zyprexa Zydis]
(Olanzapine)
30 EA   33342008407 62
PDPs
352
MAPDs
OLANZAPINE ODT 15 MG TABLET RAPDIS [Zyprexa Zydis]
(Olanzapine)
    33342008507 62
PDPs
352
MAPDs
OLANZAPINE ODT 20 MG TABLET RAPDIS [Zyprexa Zydis]
(Olanzapine)
30 EA   33342008607 62
PDPs
352
MAPDs
OLANZAPINE ODT 5 MG TABLET RAPDIS [Zyprexa Zydis]
(Olanzapine)
30 EA   33342008307 62
PDPs
352
MAPDs
OLANZAPINE-FLUOXETINE 12-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025211 11
PDPs
179
MAPDs
OLANZAPINE-FLUOXETINE 12-50 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025311 11
PDPs
179
MAPDs
OLANZAPINE-FLUOXETINE 3-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
    49884027711 11
PDPs
179
MAPDs
OLANZAPINE-FLUOXETINE 6-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025011 11
PDPs
179
MAPDs
OLANZAPINE-FLUOXETINE 6-50 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025111 11
PDPs
179
MAPDs
OLMESARTAN MEDOXOMIL 20 MG TAB [Benicar]
(Olmesartan Medoxomil)
30.000 EA   00378711293 56
PDPs
328
MAPDs
OLMESARTAN MEDOXOMIL 40 MG TAB [Benicar]
(Olmesartan Medoxomil)
30.000 EA   00378712493 56
PDPs
328
MAPDs
OLMESARTAN MEDOXOMIL 5 MG TAB [Benicar]
(Olmesartan Medoxomil)
30.000 EA   00378701293 56
PDPs
328
MAPDs
OLMESARTAN-HCTZ 20-12.5 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
30.000 EA   00378141393 56
PDPs
321
MAPDs
OLMESARTAN-HCTZ 40-12.5 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)
30 TABLETs   13668025230 56
PDPs
321
MAPDs
OLMESARTAN-HCTZ 40-25 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
30.000 EA   00378142593 56
PDPs
321
MAPDs
olmsrtn-amldpn-hctz 20-5-12.5 [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    49884078609 36
PDPs
211
MAPDs
olmsrtn-amldpn-hctz 40-10-12.5 [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    49884078909 36
PDPs
211
MAPDs
olmsrtn-amldpn-hctz 40-10-25mg [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    49884079009 36
PDPs
211
MAPDs
olmsrtn-amldpn-hctz 40-5-12.5 [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    49884078709 36
PDPs
211
MAPDs
olmsrtn-amldpn-hctz 40-5-25 mg [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    49884078809 36
PDPs
211
MAPDs
Olopatadine 2 MG/ML Ophthalmic Solution
(Olopatadine HCl Nasal)
    00093768432 49
PDPs
319
MAPDs
OLOPATADINE 665 MCG NASAL SPRY
(Olopatadine HCl Nasal)
30.5 GM   60505084505 20
PDPs
193
MAPDs
OLOPATADINE HCL 0.1% EYE DROPS
(OLOPATADINE HCL)
5 ML   60505057501 31
PDPs
270
MAPDs
OLUMIANT 2 MG TABLET
(Baricitinib)
tablets   00002418230 2
PDPs
106
MAPDs
OLUX 0.05% FOAM
(Clobetasol Propionate)
50 grams   00378818201 1
PDPs
4
MAPDs
OLUX-E 0.05% FOAM
(Clobetasol Propionate)
50 grams   00378814701 0
PDPs
4
MAPDs
OMECLAMOX-PAK COMBO PACK
(Omeprazole, Clarithromycin, Amoxicillin)
80 EA   66220042202 1
PDPs
14
MAPDs
OMEGA-3 ETHYL ESTERS 1 GM CAP [Lovaza]
(Omega-3-acid Ethyl Esters)
120 EA   60505317007 37
PDPs
275
MAPDs
OMEPRAZOLE DR 10 MG CAPSULE DR [Prilosec]
(Omeprazole)
30.000 EA   00781278531 62
PDPs
352
MAPDs
OMEPRAZOLE DR 20 MG CAPSULE DR [Prilosec]
(Omeprazole)
1000 EA   00781279010 62
PDPs
352
MAPDs
OMEPRAZOLE DR 40 MG CAPSULE DR [Prilosec]
(Omeprazole)
1000 EA   68462039710 62
PDPs
351
MAPDs
OMEPRAZOLE-BICARB 20-1,100 CAP [Zegerid]
(Omeprazole-Sodium Bicarbonate)
    69097091302 5
PDPs
40
MAPDs
OMEPRAZOLE-BICARB 20-1,680 PKT PACKET [Zegerid]
(Omeprazole-Sodium Bicarbonate)
    27241002962 3
PDPs
41
MAPDs
OMEPRAZOLE-BICARB 40-1,100 CAP [Zegerid]
(Omeprazole-Sodium Bicarbonate)
30.000 EA   55111036430 5
PDPs
49
MAPDs
OMEPRAZOLE-BICARB 40-1,680 PACKET [Zegerid]
(Omeprazole-Sodium Bicarbonate)
30.000 EA   49884026911 3
PDPs
42
MAPDs
OMNARIS 50 MCG NASAL SPRAY/PUMP
(Ciclesonide Nasal)
12.5 grams   70515070101 3
PDPs
40
MAPDs
OMNIPRED OPHTHALMIC SUSPENSION 1% 10 ML BOTPL
(Prednisolone Acetate Ophth)
10 ML BOTPL 00065063825 4
PDPs
11
MAPDs
OMNITROPE FOR INJECTION KIT 5.8MG 1 BOX PKGCOM
(Somatropin For)
1 BOX PKGCOM 00781400436 24
PDPs
152
MAPDs
OMNITROPE INJECTION 10MG/1.5ML 10MG X 1.5ML CTG
(Somatropin For)
10MG X 1.5ML CTG 00781300407 24
PDPs
164
MAPDs
OMNITROPE INJECTION 5MG/1.5ML 1.5 ML CTG
(Somatropin For)
1.5 ML CTG 00781300107 24
PDPs
165
MAPDs
ONDANSETRON 4 MG/5 ML SOLUTION
(Ondansetron)
50.000 ML   65162069179 56
PDPs
315
MAPDs
ONDANSETRON HCL 24 MG TABLET
(Ondansetron HCl)
1 EA   55111015611 62
PDPs
345
MAPDs
ONDANSETRON HCL 4 MG TABLET
(Ondansetron HCl)
30.000 EA   68462010530 62
PDPs
352
MAPDs
ONDANSETRON HCL 8 MG TABLET
(Ondansetron HCl)
30.000 EA   68462010630 62
PDPs
352
MAPDs
ONDANSETRON ODT 4 MG TABLET
(Ondansetron Orally Disintegrating)
30 EA   57237007710 62
PDPs
352
MAPDs
ONDANSETRON ODT 8 MG TABLET
(Ondansetron Orally Disintegrating)
30 EA   57237007810 62
PDPs
352
MAPDs
ONEXTON GEL PUMP
(Clindamycin / Benzoyl Peroxide)
    00187305050 1
PDPs
19
MAPDs
ONFI 10 MG TABLET
(Clobazam)
100 EA   67386031401 40
PDPs
185
MAPDs
ONFI 2.5 MG/ML SUSPENSION
(Clobazam)
120 ML   67386031321 40
PDPs
185
MAPDs
ONFI 20 MG TABLET
(Clobazam)
100 EA   67386031501 40
PDPs
185
MAPDs
ONGLYZA 2.5 MG TABLET
(Saxagliptin HCl)
30.000 EA   00310610030 22
PDPs
105
MAPDs
ONGLYZA 5 MG TABLET
(Saxagliptin HCl)
30.000 EA   00310610530 22
PDPs
105
MAPDs
ONZETRA XSAIL 11 MG
(Sumatriptan)
    64597031108 2
PDPs
12
MAPDs
OPANA 10MG TABLET
(Oxymorphone HCl)
100 BOT 63481061370 0
PDPs
4
MAPDs
OPANA 5MG TABLET
(Oxymorphone HCl)
100 BOT 63481061270 0
PDPs
4
MAPDs
OPSUMIT 10 MG TABLET
(macitentan)
30 EA   66215050130 49
PDPs
340
MAPDs
ORACEA CAPSULES 40MG 30 BOT
(Doxycycline (Rosacea))
30 BOT 00299382230 10
PDPs
67
MAPDs
ORALAIR 300 IR SUBLINGUAL TAB
(Grass Pollen Allergen Extract)
30 EA   59617001502 15
PDPs
56
MAPDs
ORAPRED ODT 10 MG TABLET
(Prednisolone Sod Phosphate Oral)
    59212070048 0
PDPs
10
MAPDs
ORAPRED ODT 15 MG TABLET
(Prednisolone Sod Phosphate Oral)
    59212070148 0
PDPs
7
MAPDs
ORAPRED ODT 30 MG TABLET
(Prednisolone Sod Phosphate Oral)
    59212070248 0
PDPs
7
MAPDs
ORAVIG 50 MG BUCCAL TABLET
(Miconazole)
    89141025014 2
PDPs
47
MAPDs
ORENCIA 125 MG/ML SYRINGE
(Abatacept For IV)
1 ML   00003218811 26
PDPs
217
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.4 mL in 1 SYRINGE, GLASS
(Abatacept For IV)
    00003281411 26
PDPs
212
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.7 mL in 1 SYRINGE, GLASS
(Abatacept For IV)
    00003281811 26
PDPs
212
MAPDs
ORENCIA CLICKJECT 125 MG/ML
(Abatacept For IV)
    00003218851 26
PDPs
210
MAPDs
Orenitram 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(treprostinil)
    66302035001 9
PDPs
145
MAPDs
ORENITRAM ER 0.125 MG TABLET
(treprostinil)
    66302030001 9
PDPs
146
MAPDs
ORENITRAM ER 0.25 MG TABLET
(treprostinil)
    66302030201 9
PDPs
147
MAPDs
ORENITRAM ER 1 MG TABLET
(treprostinil)
    66302031001 9
PDPs
147
MAPDs
ORENITRAM ER 2.5 MG TABLET
(treprostinil)
    66302032501 9
PDPs
147
MAPDs
ORFADIN 10 MG CAPSULE
(Nitisinone)
60 EA   66658011060 59
PDPs
329
MAPDs
ORFADIN 2 MG CAPSULE
(Nitisinone)
60 EA   66658010260 59
PDPs
329
MAPDs
ORFADIN 20 MG CAPSULE
(Nitisinone)
60   66658012060 59
PDPs
320
MAPDs
ORFADIN 4 MG/ML SUSPENSION
(Nitisinone)
90 ML   66658020490 59
PDPs
305
MAPDs
ORFADIN 5 MG CAPSULE
(Nitisinone)
60 EA   66658010560 59
PDPs
329
MAPDs
ORILISSA 150 MG TABLET
(Elagolix)
28 tablets   00074003828 3
PDPs
142
MAPDs
ORILISSA 200 MG TABLET
(Elagolix)
56 tablets   00074003956 3
PDPs
142
MAPDs
ORKAMBI 100 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)
112.000 EA   51167070002 60
PDPs
345
MAPDs
ORKAMBI 100-125 MG GRANULE PKT GRAN PACK
(Lumacaftor and Ivacaftor)
units   51167090001 56
PDPs
326
MAPDs
ORKAMBI 150-188 MG GRANULE PKT GRAN PACK
(Lumacaftor and Ivacaftor)
units   51167050002 56
PDPs
326
MAPDs
ORKAMBI 200 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)
112 EA   51167080901 60
PDPs
350
MAPDs
ORPHENADRINE ER 100 MG TABLET [Norflex]
(Orphenadrine Citrate)
100.000 EA   00115201101 9
PDPs
115
MAPDs
ORTHO MICRONOR 0.35 MG TABLET [Sharobel 28-Day]
(Norethindrone)
28 tablets   50458019406 2
PDPs
12
MAPDs
ORTHO TRI-CYCLEN LO TABLET [Trinessa Lo]
(Norgestimate-Eth Estrad)
28 tablets   50458025106 0
PDPs
8
MAPDs
ORTHO-NOVUM 1-35-28 TABLET
(Norethindrone & Ethinyl Estradiol)
28 tablets   50458017606 2
PDPs
10
MAPDs
ORTHO-NOVUM 7-7-7-28 TABLET
(Norethindrone-Eth Estradiol)
28 tablets   50458017806 3
PDPs
24
MAPDs
OSELTAMIVIR 6 MG/ML SUSPENSION [Tamiflu]
(Oseltamivir Phosphate)
60 ML   47781038426 62
PDPs
347
MAPDs
OSELTAMIVIR PHOS 30 MG CAPSULE [Tamiflu]
(Oseltamivir Phosphate)
10.000 EA   47781046813 62
PDPs
352
MAPDs
OSELTAMIVIR PHOS 45 MG CAPSULE [Tamiflu]
(Oseltamivir Phosphate)
10.000 EA   47781046913 62
PDPs
352
MAPDs
OSELTAMIVIR PHOS 75 MG CAPSULE [Tamiflu]
(Oseltamivir Phosphate)
10.000 EA   47781047013 62
PDPs
352
MAPDs
OSENI 12.5-15 MG TABLET
(alogliptin / pioglitazone)
    64764012103 2
PDPs
33
MAPDs
OSENI 12.5-30 MG TABLET
(alogliptin / pioglitazone)
    64764012303 2
PDPs
33
MAPDs
OSENI 12.5-45 MG TABLET
(alogliptin / pioglitazone)
    64764012403 2
PDPs
33
MAPDs
OSENI 25-15 MG TABLET
(alogliptin / pioglitazone)
    64764025103 2
PDPs
33
MAPDs
OSENI 25-30 MG TABLET
(alogliptin / pioglitazone)
    64764025303 2
PDPs
33
MAPDs
OSENI 25-45 MG TABLET
(alogliptin / pioglitazone)
    64764025403 2
PDPs
33
MAPDs
OSMOLEX ER 129 MG TABLET BP 24H
(Amantadine)
30 units   68025007530 1
PDPs
53
MAPDs
OSMOLEX ER 193 MG TABLET BP 24H
(Amantadine)
units   68025007630 1
PDPs
53
MAPDs
OSMOLEX ER 258 MG TABLET BP 24H
(Amantadine)
30 units   68025007730 1
PDPs
53
MAPDs
OSMOPREP TABLET 1.5GM
(Sod Phos Mono-Sod Phos Di)
100 BOT 65649070141 5
PDPs
62
MAPDs
OSPHENA 60 MG TABLET
(Ospemifene)
30 tablets   59630058090 11
PDPs
113
MAPDs
OTEZLA 28 DAY STARTER PACK
(Apremilast)
    59572063255 20
PDPs
199
MAPDs
OTEZLA 30 MG TABLET
(Apremilast)
60 EA   59572063106 21
PDPs
201
MAPDs
OTOVEL 0.3%-0.025% EAR DROPS
(Ciprofloxacin and fluocinolone otic)
    24338008014 3
PDPs
21
MAPDs
OTREXUP 10 MG/0.4 ML AUTO-INJ
(methotrexate)
.400 ML   54436001004 2
PDPs
83
MAPDs
OTREXUP 12.5 MG/0.4 ML AUTOINJ
(methotrexate)
    54436001204 2
PDPs
84
MAPDs
OTREXUP 15 MG/0.4 ML AUTO-INJ
(methotrexate)
.400 ML   54436001504 2
PDPs
83
MAPDs
OTREXUP 17.5 MG/0.4 ML AUTOINJ
(methotrexate)
    54436001704 2
PDPs
70
MAPDs
OTREXUP 20 MG/0.4 ML AUTO-INJ
(methotrexate)
.400 ML   54436002004 2
PDPs
83
MAPDs
OTREXUP 22.5 MG/0.4 ML AUTOINJ
(methotrexate)
    54436002204 2
PDPs
84
MAPDs
OTREXUP 25 MG/0.4 ML AUTO-INJ
(methotrexate)
.400 ML   54436002504 2
PDPs
83
MAPDs
OVIDE 0.5% LOTION
(Malathion)
59 ML   51672529304 2
PDPs
11
MAPDs
OXACILLIN 1 GM VIAL
(Oxacillin)
ml   64679069801 26
PDPs
274
MAPDs
Oxacillin 100 MG/ML Injectable Solution
(Oxacillin Sodium For)
    55150012999 23
PDPs
280
MAPDs
OXACILLIN 1GM/50ML INJ
(Oxacillin Sodium For)
50 ML BAG 00338101341 13
PDPs
151
MAPDs
Oxacillin 2000 MG Injection
(Oxacillin Sodium For)
    55150012824 27
PDPs
271
MAPDs
OXACILLIN 2GM/50ML INJ
(Oxacillin Sodium For)
50 ML BAG 00338101541 9
PDPs
150
MAPDs
OXANDROLONE 10 MG TABLET
(Oxandrolone)
60.000 EA   49884030202 58
PDPs
323
MAPDs
OXANDROLONE 2.5 MG TABLET
(Oxandrolone)
100.000 EA   49884030101 62
PDPs
324
MAPDs
OXAPROZIN 600 MG TABLET
(Oxaprozin)
100 EA   55111017001 30
PDPs
220
MAPDs
OXAZEPAM 10 MG CAPSULE
(Oxazepam)
100 EA   00228206710 10
PDPs
173
MAPDs
OXAZEPAM 15 MG CAPSULE
(Oxazepam)
100 EA   00228206910 10
PDPs
173
MAPDs
OXAZEPAM 30 MG CAPSULE
(Oxazepam)
100.000 EA   00228207310 10
PDPs
171
MAPDs
OXCARBAZEPINE 150 MG TABLET
(Oxcarbazepine)
100.000 EA   51991029201 62
PDPs
352
MAPDs
OXCARBAZEPINE 300 MG TABLET
(Oxcarbazepine)
100.000 EA   51991029301 62
PDPs
352
MAPDs
OXCARBAZEPINE 300 MG/5 ML SUSP
(Oxcarbazepine)
    65162064978 62
PDPs
352
MAPDs
OXCARBAZEPINE 600 MG TABLET
(Oxcarbazepine)
100.000 EA   51991029401 62
PDPs
352
MAPDs
OXERVATE 0.002% EYE DROPS
(Cenegermin)
ml   71981002007 15
PDPs
108
MAPDs
OXICONAZOLE NITRATE 1% CREAM Cream (g) [Oxistat]
(Oxiconazole Nitrate)
60 GM   51672135903 9
PDPs
94
MAPDs
OXISTAT 1% CREAM
(Oxiconazole Nitrate)
    10337035830 0
PDPs
9
MAPDs
OXISTAT 1% LOTION
(Oxiconazole Nitrate)
30.000 ML   10337035930 4
PDPs
59
MAPDs
OXSORALEN-ULTRA 10MG CAP
(Methoxsalen)
50 BOT 00187065042 1
PDPs
16
MAPDs
OXTELLAR XR 150 MG TABLET
(oxcarbazepine)
100 EA   17772012101 2
PDPs
135
MAPDs
OXTELLAR XR 300 MG TABLET
(oxcarbazepine)
100 EA   17772012201 3
PDPs
136
MAPDs
OXTELLAR XR 600 MG TABLET
(oxcarbazepine)
100 EA   17772012301 3
PDPs
136
MAPDs
OXYBUTYNIN 5 MG/5 ML SYRUP
(Oxybutynin)
473.000 ML   60432009216 62
PDPs
342
MAPDs
OXYBUTYNIN 5MG TABLET
(Oxybutynin)
500 BOT 00603497528 62
PDPs
352
MAPDs
OXYBUTYNIN CL ER 10 MG TABLET
(Oxybutynin)
100.000 EA   00093520701 57
PDPs
347
MAPDs
OXYBUTYNIN CL ER 15 MG TABLET
(Oxybutynin)
100.000 EA   62175027237 57
PDPs
347
MAPDs
OXYBUTYNIN CL ER 5 MG TABLET
(Oxybutynin Chloride)
100 EA   00378660501 57
PDPs
347
MAPDs
OXYCODON-ACETAMINOPHEN 2.5-325
(Oxycodone-Acetaminophen )
100.000 EA   00603497821 61
PDPs
344
MAPDs
OXYCODON-ACETAMINOPHEN 7.5-325
(Oxycodone-Acetaminophen )
100.000 EA   00228298211 62
PDPs
351
MAPDs
OXYCODONE HCL 10 MG TABLET [Dazidox]
(Oxycodone HCl)
100 TABLET in 1 BOTTLE   10702005601 61
PDPs
349
MAPDs
OXYCODONE HCL 100 MG/5 ML SOLN ORAL CONC [Roxicodone]
(Oxycodone HCl)
30 ML   66689002530 32
PDPs
258
MAPDs
OXYCODONE HCL 15 MG TABLET [Roxybond]
(Oxycodone HCl)
100.000 EA   00228287811 61
PDPs
349
MAPDs
OXYCODONE HCL 20 MG TABLET [Roxicodone]
(Oxycodone HCl)
100 TABLET in 1 BOTTLE   10702005701 61
PDPs
349
MAPDs
OXYCODONE HCL 30 MG TABLET [Roxybond]
(Oxycodone HCl)
100.000 EA   00228287911 61
PDPs
347
MAPDs
OXYCODONE HCL 5 MG CAPSULE [OxyIR]
(Oxycodone HCl)
100 EA   68308014501 26
PDPs
260
MAPDs
OXYCODONE HCL 5 MG TABLET [Roxybond]
(Oxycodone HCl)
100 EA   10702001801 61
PDPs
349
MAPDs
OXYCODONE HCL 5 MG/5 ML SOLN Solution [Roxicodone]
(Oxycodone HCl)
500 ML   00054039063 47
PDPs
298
MAPDs
OXYCODONE HCL ER 10 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
100.000 EA   00093573101 1
PDPs
111
MAPDs
OXYCODONE HCL ER 15 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
    00115155701 1
PDPs
111
MAPDs
OXYCODONE HCL ER 20 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
100.000 EA   00093573201 1
PDPs
111
MAPDs
OXYCODONE HCL ER 30 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
    00115155901 1
PDPs
108
MAPDs
OXYCODONE HCL ER 40 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
100 EA   00093573301 1
PDPs
111
MAPDs
OXYCODONE HCL ER 60 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
    00115156101 1
PDPs
110
MAPDs
OXYCODONE HCL ER 80 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
100.000 EA   00591270801 1
PDPs
110
MAPDs
OXYCODONE-ACETAMINOPHEN 10-325 TABLET [Percocet]
(Oxycodone, Acetaminophen)
120 tablets   00406052301 62
PDPs
352
MAPDs
OXYCODONE-ACETAMINOPHEN 5-325
(Oxycodone-Acetaminophen )
100 EA   00406051201 62
PDPs
352
MAPDs
OXYCODONE-ASPIRIN 4.8355-325
(Oxycodone w/ Aspirin)
100 EA   00591355101 36
PDPs
256
MAPDs
OXYCODONE-IBUPROFEN 5-400 TAB
(Oxycodone-Ibuprofen)
100 EA   00228402911 20
PDPs
167
MAPDs
OxyContin 10mg/1
(Oxycodone HCl)
    59011041010 12
PDPs
121
MAPDs
OxyContin 15mg/1
(Oxycodone HCl)
    59011041510 12
PDPs
122
MAPDs
OxyContin 20mg/1
(Oxycodone HCl)
    59011042010 12
PDPs
121
MAPDs
OxyContin 30mg/1
(Oxycodone HCl)
    59011043010 12
PDPs
122
MAPDs
OxyContin 40mg/1
(Oxycodone HCl)
    59011044010 12
PDPs
121
MAPDs
OxyContin 60mg/1
(Oxycodone HCl)
    59011046010 12
PDPs
122
MAPDs
OxyContin 80mg/1
(Oxycodone HCl)
    59011048010 12
PDPs
120
MAPDs
OXYMORPHONE HCL 10 MG TABLET
(Oxymorphone HCl)
100 EA   10702007101 5
PDPs
165
MAPDs
OXYMORPHONE HCL 5 MG TABLET
(Oxymorphone HCl)
100 EA   10702007001 5
PDPs
165
MAPDs
oxymorphone hcl er 10 mg tab
(Oxymorphone HCl)
    00115123201 6
PDPs
73
MAPDs
OXYMORPHONE HCL ER 15 MG TAB
(Oxymorphone HCl)
    00115131601 6
PDPs
82
MAPDs
oxymorphone hcl er 20 mg tab
(Oxymorphone HCl)
    00115123301 6
PDPs
74
MAPDs
oxymorphone hcl er 30 mg tab
(Oxymorphone HCl)
    00115131701 6
PDPs
74
MAPDs
oxymorphone hcl er 40 mg tab
(Oxymorphone HCl)
    00115123401 6
PDPs
73
MAPDs
oxymorphone hcl er 5 mg tablet
(Oxymorphone HCl)
    00115123101 6
PDPs
73
MAPDs
OXYMORPHONE HCL ER 7.5 MG TAB
(Oxymorphone HCl)
100.000 EA   00115131501 6
PDPs
82
MAPDs
OXYTROL 3.9 MG/24HR PATCH TDSW
(Oxybutynin TD)
8 units   00023615308 3
PDPs
49
MAPDs
OZEMPIC 0.25-0.5 MG DOSE PEN
(Semaglutide)
1.5   00169413212 48
PDPs
288
MAPDs
OZEMPIC 1 MG DOSE PEN
(Semaglutide)
3   00169413602 48
PDPs
289
MAPDs
PATADAY 0.2% DROPS
(Olopatadine HCl Ophth)
2.5 ML BOTPL 00065027225 4
PDPs
26
MAPDs
PATANASE 665ug/1 240 SPRAY, METERED in 1 BOTTLE
(Olopatadine HCl Nasal)
240 SPRAY, METERED   00065033230 2
PDPs
7
MAPDs
PATANOL 0.1% EYE DROPS
(Olopatadine HCl Ophth)
5 ML BOT 00065027105 3
PDPs
8
MAPDs
PAZEO 0.7% EYE DROPS
(Olopatadine)
    00065427325 46
PDPs
207
MAPDs
PERCOCET 10/325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 63481062970 0
PDPs
4
MAPDs
PERCOCET 2.5/325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 63481062770 0
PDPs
4
MAPDs
PERCOCET 5-325 MG TABLET
(Oxycodone w/ Acetaminophen)
100.000 EA   63481062370 0
PDPs
4
MAPDs
PERCOCET 7.5/325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 63481062870 0
PDPs
4
MAPDs
PIMOZIDE 1 MG TABLET [Orap]
(Pimozide)
    49884034701 62
PDPs
352
MAPDs
PIMOZIDE 2 MG TABLET [Orap]
(Pimozide)
    49884034801 62
PDPs
352
MAPDs
PRILOSEC DR 10 MG SUSPENSION
(Omeprazole)
    70515061001 5
PDPs
45
MAPDs
PRILOSEC DR 2.5 MG SUSPENSION
(Omeprazole)
    70515062501 5
PDPs
45
MAPDs
PRIMLEV 10-300 MG TABLET
(Oxycodone)
    24090068388 1
PDPs
33
MAPDs
PRIMLEV 5-300 MG TABLET
(Oxycodone)
    24090068188 1
PDPs
33
MAPDs
PRIMLEV 7.5-300 MG TABLET
(Oxycodone)
    24090068288 1
PDPs
33
MAPDs
RHOFADE 1% CREAM (g)
(Oxymetazoline)
30 grams   00023530030 0
PDPs
9
MAPDs
ROXICODONE 15 MG TABLET
(Oxycodone HCl)
100 EA   23635058110 2
PDPs
7
MAPDs
ROXICODONE 30 MG TABLET
(Oxycodone HCl)
    23635058210 2
PDPs
7
MAPDs
ROXICODONE 5 MG TABLET
(Oxycodone HCl)
100 EA   23635058010 2
PDPs
7
MAPDs
SANDOSTATIN 0.05MG/ML AMPUL
(Octreotide Acetate)
10 AMP 00078018001 1
PDPs
6
MAPDs
Sandostatin 100ug/mL 10 AMPULE in 1 PACKAGE / 1 mL in 1 AMPULE
(Octreotide Acetate)
10 AMPULE in 1 PACKAGE   00078018101 1
PDPs
6
MAPDs
Sandostatin 500ug/mL 10 AMPULE in 1 PACKAGE / 1 mL in 1 AMPULE
(Octreotide Acetate)
10 AMPULE in 1 PACKAGE   00078018201 1
PDPs
6
MAPDs
STRIVERDI RESPIMAT INHAL SPRAY
(Olodaterol Respimat)
4 GM   00597019261 10
PDPs
147
MAPDs
SYMBYAX 12-50MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT 00002323430 0
PDPs
12
MAPDs
Symbyax 25; 3mg/1; mg/1 30 CAPSULE BOTTLE
(Olanzapine-Fluoxetine HCl)
30 CAPSULE in 1 BOTTLE   00002323030 0
PDPs
12
MAPDs
SYMBYAX 6-25MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT 00002323130 0
PDPs
9
MAPDs
SYMBYAX 6-50MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT 00002323330 0
PDPs
12
MAPDs
SYNRIBO 3.5 MG/ML VIAL
(omacetaxine mepesuccinate)
    63459017714 62
PDPs
352
MAPDs
TAGRISSO 40 MG TABLET
(Osimertinib)
    00310134930 62
PDPs
352
MAPDs
TAGRISSO 80 MG TABLET
(Osimertinib)
    00310135030 62
PDPs
352
MAPDs
TAMIFLU 30 MG 1 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Oseltamivir Phosphate)
BLISTER PACK   00004080285 2
PDPs
15
MAPDs
TAMIFLU 45 MG 1 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Oseltamivir Phosphate)
BLISTER PACK   00004080185 2
PDPs
15
MAPDs
TAMIFLU 6 MG/ML SUSPENSION
(Oseltamivir Phosphate)
60 ML   00004082205 4
PDPs
30
MAPDs
TAMIFLU 75 MG CAPSULE UD
(Oseltamivir Phosphate)
10 BLPK 00004080085 2
PDPs
15
MAPDs
TRIBENZOR 20/5/12.5MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 BOT 65597011430 3
PDPs
12
MAPDs
TRIBENZOR 40/10/12.5MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 BOT 65597011730 3
PDPs
12
MAPDs
TRIBENZOR 40/10/25MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 BOT 65597011830 3
PDPs
12
MAPDs
Tribenzor 5; 12.5; 40mg/1; mg/1; mg/1
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    65597011530 3
PDPs
12
MAPDs
Tribenzor 5; 25; 40mg/1; mg/1; mg/1
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    65597011630 3
PDPs
12
MAPDs
TRILEPTAL 150MG TABLET
(Oxcarbazepine)
100 BOT 00078045605 2
PDPs
8
MAPDs
TRILEPTAL 300MG TABLET
(Oxcarbazepine)
100 BOT 00078033705 2
PDPs
8
MAPDs
TRILEPTAL 300MG/5ML SUSP
(Oxcarbazepine)
250 ML BOT 00078035752 2
PDPs
9
MAPDs
TRILEPTAL 600MG TABLET
(Oxcarbazepine)
100 BOT 00078045705 2
PDPs
8
MAPDs
XEPI 1% CREAM (g)
(Ozenoxacin)
grams   70363001130 1
PDPs
17
MAPDs
XOLAIR 150 MG/ML SYRINGE
(Omalizumab (Hamster))
2 mls   50242021501 58
PDPs
328
MAPDs
XOLAIR 150MG VIAL
(Omalizumab For)
1 X VIAL 50242004062 62
PDPs
346
MAPDs
XOLAIR 75 MG/0.5 ML SYRINGE
(Omalizumab (Hamster))
ml   50242021401 58
PDPs
328
MAPDs
XTAMPZA ER 13.5 MG CAPSULE
(Oxycodone)
    24510011510 9
PDPs
120
MAPDs
XTAMPZA ER 18 MG CAPSULE
(Oxycodone)
    24510012010 9
PDPs
120
MAPDs
XTAMPZA ER 27 MG CAPSULE
(Oxycodone)
    24510013010 9
PDPs
120
MAPDs
XTAMPZA ER 36 MG CAPSULE
(Oxycodone)
    24510014010 9
PDPs
120
MAPDs
XTAMPZA ER 9 MG CAPSULE
(Oxycodone)
    24510011010 9
PDPs
120
MAPDs
YOSPRALA DR 325-40 MG TABLET IR DR
(Aspirin and Omeprazole)
30 units   64950042530 2
PDPs
10
MAPDs
YOSPRALA DR 81-40 MG TABLET IR DR
(Aspirin and Omeprazole)
15 units   64950042430 2
PDPs
10
MAPDs
ZEGERID 20MG CAPSULE
(Omeprazole-Sodium Bicarbonate)
30 BOTPL 68012010230 0
PDPs
3
MAPDs
ZEGERID 20MG PACKET
(Omeprazole-Sodium Bicarbonate)
30 CRTN 68012005230 0
PDPs
3
MAPDs
ZEGERID 40MG CAPSULE
(Omeprazole-Sodium Bicarbonate)
30 BOTPL 68012010430 0
PDPs
3
MAPDs
ZEGERID 40MG PACKET
(Omeprazole-Sodium Bicarbonate)
30 CRTN 68012005430 0
PDPs
3
MAPDs
ZOFRAN 8 MG TABLET
(Ondansetron HCl)
30   00078067615 2
PDPs
8
MAPDs
ZUPLENZ 4 MG SOLUBLE FILM
(Ondansetron Orally Disintegrating)
60 units   89141044430 2
PDPs
14
MAPDs
ZUPLENZ 8 MG SOLUBLE FILM
(Ondansetron Orally Disintegrating)
15 units   89141044830 2
PDPs
14
MAPDs
ZYPREXA 10 MG TABLET
(Olanzapine)
30 EA   00002411730 2
PDPs
7
MAPDs
ZYPREXA 10MG VIAL
(Olanzapine)
1 VIAL 00002759701 2
PDPs
11
MAPDs
ZYPREXA 15 MG TABLET
(Olanzapine)
30 EA   00002441530 2
PDPs
7
MAPDs
ZYPREXA 2.5MG 30 TABLET BOTTLE
(Olanzapine)
30 TABLET in 1 BOTTLE   00002411230 2
PDPs
7
MAPDs
ZYPREXA 20MG TABLET
(Olanzapine)
30 BOT 00002442030 2
PDPs
7
MAPDs
ZYPREXA 5MG TABLET (30 BOT)
(Olanzapine)
30 BOT 00002411530 2
PDPs
7
MAPDs
ZYPREXA 7.5 MG TABLET
(Olanzapine)
30 EA   00002411630 2
PDPs
7
MAPDs
ZYPREXA Relprevv 1 KIT in 1 CARTON
(Olanzapine Pamoate)
1 KIT in 1 CARTON   00002763511 62
PDPs
346
MAPDs
ZYPREXA ZYDIS 10MG TABLET
(Olanzapine)
30 BLPK 00002445485 2
PDPs
7
MAPDs
ZYPREXA ZYDIS 15MG TABLET
(Olanzapine)
30 BLPK 00002445585 2
PDPs
7
MAPDs
ZYPREXA ZYDIS 20MG TABLET
(Olanzapine)
30 BLPK 00002445685 2
PDPs
7
MAPDs
ZYPREXA ZYDIS 5MG TABLET (30 BLPK)
(Olanzapine)
30 BLPK 00002445385 2
PDPs
7
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2019)





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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.