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2020 Medicare Part D Formulary Search By Drug Letter

Select a Letter below:
Links to Summaries by State for LTC Drugs on LIS/SNP Plans:
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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 2020 Formularies
PDPs MAPDs
AMARYL 1MG TABLET
(Glimepiride)
100 BOT 00039022110 4
PDPs
15
MAPDs
AMARYL 2MG TABLET
(Glimepiride)
100 BOT 00039022210 4
PDPs
15
MAPDs
AMARYL 4MG TABLET
(Glimepiride)
100 BOT 00039022310 4
PDPs
15
MAPDs
BAQSIMI 3 MG SPRAY TWO PACK
(Glucagon)
2 units   00002614527 39
PDPs
203
MAPDs
BEVESPI AEROSPHERE INHALER
(Glycopyrrolate and formoterol fumarate)
10.700 GM   00310460012 24
PDPs
134
MAPDs
COPAXONE 20MG/ML 30 BLISTER PACK IN 1 CRTN
(Glatiramer Acetate)
    68546031730 42
PDPs
148
MAPDs
COPAXONE 40 MG/ML SYRINGE
(Glatiramer Acetate)
1 ML   68546032512 44
PDPs
169
MAPDs
CROMOLYN 100 MG/5 ML ORAL CONC [Gastrocrom]
(Cromolyn )
480 mls   51525047009 67
PDPs
388
MAPDs
CUVPOSA 1 MG/5 ML SOLUTION
(Glycopyrrolate)
    00259050116 4
PDPs
62
MAPDs
DAURISMO 100 MG TABLET
(Glasdegib)
tablets   00069153130 67
PDPs
388
MAPDs
DAURISMO 25 MG TABLET
(Glasdegib)
tablets   00069029860 67
PDPs
388
MAPDs
EMGALITY 120 MG/ML PEN INJCTR
(Galcanezumab)
1 ml   00002143611 40
PDPs
304
MAPDs
EMGALITY 120 MG/ML SYRINGE
(Galcanezumab)
1 ml   00002237711 40
PDPs
312
MAPDs
EMGALITY 300 MG (100 MG X3SYR) SYRINGE
(Galcanezumab)
3 mls   00002311509 22
PDPs
233
MAPDs
ENDARI 5 GRAM POWDER PACKET
(Glutamine Powder (For Sickle Cell Disease))
1 unit   42457042060 25
PDPs
239
MAPDs
GABAPENTIN 100 MG CAPSULE [Neurontin]
(Gabapentin)
90 capsules   69097081312 67
PDPs
388
MAPDs
GABAPENTIN 250 MG/5 ML SOLUTION [Neurontin]
(Gabapentin)
30 mls   65162069890 67
PDPs
388
MAPDs
GABAPENTIN 300 MG CAPSULE [Neurontin]
(Gabapentin)
90 capsules   69097094312 67
PDPs
388
MAPDs
GABAPENTIN 400 MG CAPSULE [Neurontin]
(Gabapentin)
90 capsules   67877022405 67
PDPs
388
MAPDs
GABAPENTIN 600 MG TABLET
(Gabapentin)
500.000 EA   68462012605 67
PDPs
388
MAPDs
GABAPENTIN 800 MG TABLET
(Gabapentin)
500.000 EA   68462012705 67
PDPs
388
MAPDs
GABITRIL 12 MG TABLET
(Tiagabine HCl)
30 EA   63459041230 3
PDPs
27
MAPDs
GABITRIL 16mg/1
(Tiagabine HCl)
    63459041630 3
PDPs
28
MAPDs
GABITRIL 2mg/1
(Tiagabine HCl)
    63459040230 3
PDPs
14
MAPDs
GABITRIL 4mg/1
(Tiagabine HCl)
    63459040430 3
PDPs
14
MAPDs
GALAFOLD 123 MG CAPSULE
(Migalastat)
capsules   71904010001 10
PDPs
176
MAPDs
GALANTAMINE 4 MG/ML ORAL SOLUTION
(Galantamine Hydrobromide)
100 mL in 1 BOTTLE   00054013749 64
PDPs
368
MAPDs
GALANTAMINE ER 16 MG CAPSULE
(Galantamine Hydrobromide)
30.000 EA   47335083683 64
PDPs
380
MAPDs
GALANTAMINE ER 24 MG CAPSULE
(Galantamine Hydrobromide)
30.000 EA   47335083783 64
PDPs
380
MAPDs
GALANTAMINE ER 8 MG CAPSULE
(Galantamine Hydrobromide)
30.000 EA   47335083583 64
PDPs
380
MAPDs
GALANTAMINE HBR 12 MG TABLET
(Galantamine Hydrobromide)
60.000 EA   60505254406 65
PDPs
381
MAPDs
GALANTAMINE HBR 4 MG TABLET [Reminyl]
(Galantamine Hydrobromide)
60 tablets   57237004960 65
PDPs
381
MAPDs
GALANTAMINE HBR 8 MG TABLET
(Galantamine Hydrobromide)
60.000 EA   60505254306 65
PDPs
381
MAPDs
GAMMAGARD LIQUID 10% VIAL
(Immune Globulin (Human) IV)
1 BOTTLE, GLASS in CARTON   00944270003 38
PDPs
329
MAPDs
GAMMAGARD S-D 10 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)
    00944265804 38
PDPs
311
MAPDs
GAMMAGARD S-D 5 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)
    00944265603 38
PDPs
311
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)
10 ML   76125090001 25
PDPs
244
MAPDs
GAMMAPLEX 10 GRAM/100 ML VIAL
(immune globulin)
    64208823506 42
PDPs
307
MAPDs
GAMMAPLEX 10 GRAM/200 ML VIAL
(immune globulin)
50 mls   64208823407 40
PDPs
309
MAPDs
GAMMAPLEX 20 GRAM/200 ML VIAL
(immune globulin)
    64208823507 42
PDPs
308
MAPDs
GAMMAPLEX 5 GRAM/50 ML VIAL
(immune globulin)
    64208823505 42
PDPs
308
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS   13533080012 54
PDPs
335
MAPDs
GARDASIL 9 SYRINGE
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
    00006412102 67
PDPs
388
MAPDs
GARDASIL 9 VIAL
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
    00006411903 67
PDPs
388
MAPDs
GASTROCROM 100 MG/5 ML CONC
(Cromolyn Sodium Oral)
    00037067896 0
PDPs
3
MAPDs
GATIFLOXACIN 0.5% EYE DROPS [Zymar, Zymaxid]
(gatifloxacin ophthalmic)
2.5 ML   68180043501 27
PDPs
302
MAPDs
GATTEX 5 MG 30-VIAL KIT
(teduglutide)
1.000 EA   68875010201 66
PDPs
367
MAPDs
GAVILYTE-C SOLUTION
(Polyethylene Glycol 3350 Oral)
278.26 g in 1 BOTTLE   43386006019 67
PDPs
382
MAPDs
GAVILYTE-G SOLUTION
(Polyethylene Glycol 3350 Oral)
274.31 g in 1 BOTTLE   43386009019 61
PDPs
336
MAPDs
GAVILYTE-N SOLUTION
(Polyethylene Glycol 3350 Oral)
438.4 g in 1 BOTTLE   43386005019 67
PDPs
381
MAPDs
GELNIQUE 10% GEL SACHET PACKET
(Oxybutynin Chloride)
GRAM   00023586111 2
PDPs
32
MAPDs
GEMFIBROZIL 600 MG TABLET
(Gemfibrozil)
500 EA   69097082112 67
PDPs
388
MAPDs
GENERESS FE CHEWABLE TABLET
(norethindrone and ethinyl estradiol and ferrous fumarate)
28 chewable tablets   00023603003 0
PDPs
9
MAPDs
GENERLAC 10 GM/15 ML SOLUTION
(Lactulose (Encephalopathy))
473.000 ML   60432003816 67
PDPs
380
MAPDs
GENGRAF 100 MG CAPSULE
(Cyclosporine Modified)
30 EA   00074310932 66
PDPs
381
MAPDs
GENGRAF 100MG/ML SOLUTION
(Cyclosporine Modified)
50 ML BOTGL 00074726950 66
PDPs
381
MAPDs
GENGRAF 25 MG CAPSULE
(Cyclosporine Modified)
30 EA   00074310832 66
PDPs
381
MAPDs
GENOTROPIN 13.8MG CARTRIDGE
(Somatropin For)
1 X 13.8 MG CTG 00013264681 26
PDPs
222
MAPDs
GENOTROPIN 5 MG CARTRIDGE
(Somatropin For)
1 PKGCOM 00013262681 26
PDPs
222
MAPDs
GENOTROPIN MINIQUICK 0.2MG
(Somatropin For)
7 X 0.2 MG VIALPAT 00013264902 26
PDPs
220
MAPDs
GENOTROPIN MINIQUICK 0.4MG
(Somatropin For)
7 X 0.4 MG VIALPAT 00013265002 26
PDPs
220
MAPDs
GENOTROPIN MINIQUICK 0.6MG
(Somatropin For)
7 X 0.6 MG VIALPAT 00013265102 26
PDPs
220
MAPDs
GENOTROPIN MINIQUICK 0.8MG
(Somatropin For)
7 X 0.8 MG VIALPAT 00013265202 26
PDPs
220
MAPDs
GENOTROPIN MINIQUICK 1.2MG
(Somatropin For)
7 VIALPAT 00013265402 26
PDPs
222
MAPDs
GENOTROPIN MINIQUICK 1.4MG
(Somatropin For)
7 VIALPAT 00013265502 26
PDPs
222
MAPDs
GENOTROPIN MINIQUICK 1.6MG
(Somatropin For)
7 VIALPAT 00013265602 26
PDPs
222
MAPDs
GENOTROPIN MINIQUICK 1.8MG
(Somatropin For)
7 VIALPAT 00013265702 26
PDPs
222
MAPDs
GENOTROPIN MINIQUICK 1MG
(Somatropin For)
7 X 1.0 MG VIALPAT 00013265302 26
PDPs
222
MAPDs
GENOTROPIN MINIQUICK 2MG
(Somatropin For)
7 X 2.0 MG VIALPAT 00013265802 26
PDPs
222
MAPDs
GENTAK 3MG/GM EYE OINTMENT
(Gentamicin Sulfate Ophth)
3.5 GM TUBE 17478028435 66
PDPs
366
MAPDs
GENTAMICIN 3 MG/ML EYE DROPS
(Gentamicin Sulfate Ophth)
5 ML   60758018805 67
PDPs
384
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 67
PDPs
383
MAPDs
GENTAMICIN SULFATE CREAM USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE 45802005635 67
PDPs
386
MAPDs
Gentamicin Sulfate in Sodium Chloride 60mg/50mL 50 mL in 1 BAG
(Gentamicin Sulfate)
50 mL in 1 BAG   00338050741 55
PDPs
315
MAPDs
GENTAMICIN SULFATE OINTMENT USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE 45802004635 67
PDPs
377
MAPDs
GENVOYA TABLET
(Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide Fumarate)
    61958190101 67
PDPs
388
MAPDs
GEODON 20 MG CAPSULE
(Ziprasidone HCl)
30 capsules   00049005260 3
PDPs
7
MAPDs
GEODON 20MG VIAL
(Ziprasidone HCl)
1 VIAL VIALSD 00049392083 67
PDPs
388
MAPDs
GEODON 40 MG CAPSULE
(Ziprasidone)
60 capsules   00049005460 3
PDPs
7
MAPDs
GEODON 60 MG CAPSULE
(Ziprasidone HCl)
30 capsules   00049005660 3
PDPs
7
MAPDs
GEODON 80 MG CAPSULE
(Ziprasidone HCl)
30 capsules   00049005860 3
PDPs
7
MAPDs
GIANVI 3 MG-0.02 MG TABLET
(Drospirenone-Ethinyl Estradiol)
28 EA   00093542362 59
PDPs
312
MAPDs
GILENYA 0.5 MG CAPSULE
(FINGOLIMOD HCL)
30 EA   00078060715 57
PDPs
381
MAPDs
GILOTRIF 20 MG TABLET
(afatinib)
30 EA   00597014130 67
PDPs
388
MAPDs
GILOTRIF 30 MG TABLET
(afatinib)
30 EA   00597013730 67
PDPs
388
MAPDs
GILOTRIF 40 MG TABLET
(afatinib)
30 EA   00597013830 67
PDPs
388
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 6
PDPs
139
MAPDs
GLATIRAMER 20 MG/ML SYRINGE [Glatopa]
(Glatiramer)
mls   00378696093 56
PDPs
357
MAPDs
GLATIRAMER 40 MG/ML SYRINGE [Copaxone]
(Glatiramer Acetate)
1 ML   00378696112 54
PDPs
349
MAPDs
Glatopa 20 mg/ml syringe
(Glatiramer Acetate)
    00781323434 51
PDPs
311
MAPDs
GLATOPA 40 MG/ML SYRINGE
(Glatiramer)
12 mls   00781325089 52
PDPs
306
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT 00078040134 3
PDPs
13
MAPDs
GLEEVEC 400 MG TABLET
(Imatinib Mesylate)
30 EA   00078064930 3
PDPs
13
MAPDs
GLEOSTINE 10 MG CAPSULE
(Lomustine)
    58181304005 67
PDPs
388
MAPDs
GLEOSTINE 100 MG CAPSULE
(Lomustine)
    58181304205 67
PDPs
385
MAPDs
GLEOSTINE 40 MG CAPSULE
(Lomustine)
    58181304105 67
PDPs
385
MAPDs
GLIMEPIRIDE 1 MG TABLET
(Glimepiride)
100.000 EA   16729000101 67
PDPs
388
MAPDs
GLIMEPIRIDE 2 MG TABLET
(Glimepiride)
100.000 EA   16729000201 67
PDPs
388
MAPDs
GLIMEPIRIDE 4 MG TABLET
(Glimepiride)
100.000 EA   16729000301 67
PDPs
388
MAPDs
GLIPIZIDE 10 MG TABLET
(Glipizide)
1000.000 EA   60505014201 67
PDPs
388
MAPDs
GLIPIZIDE 5 MG TABLET
(Glipizide)
1000.000 EA   60505014101 67
PDPs
388
MAPDs
GLIPIZIDE ER 10 MG TABLET ER 24 [Glucotrol XL]
(Glipizide)
30 units   10370074601 67
PDPs
388
MAPDs
GLIPIZIDE ER 2.5MG TABLET SR OSMOTIC PUSH 24HR
(Glipizide)
30 BOTPL 00591090030 67
PDPs
388
MAPDs
GLIPIZIDE ER 5 MG TABLET ER 24 [Glucotrol XL]
(Glipizide)
30 units   10370074501 67
PDPs
388
MAPDs
GLIPIZIDE-METFORMIN 2.5-250 MG
(Glipizide-Metformin HCl)
100.000 EA   00093745501 60
PDPs
380
MAPDs
GLIPIZIDE-METFORMIN 2.5-500MG TABLET
(Glipizide)
100 BOT 00093745601 60
PDPs
380
MAPDs
GLIPIZIDE-METFORMIN 5-500 MG
(Glipizide)
100 EA   00093745701 60
PDPs
380
MAPDs
GLOPERBA 0.6 MG/5 ML SOLUTION
(Colchicine)
150 mls   75854080101 0
PDPs
15
MAPDs
GLUCAGEN 1MG HYPOKIT
(Glucagon HCl (rDNA) For)
1 X 1 MG PKGCOM 00169706515 67
PDPs
379
MAPDs
GLUCAGON 1MG EMERGENCY KIT
(Glucagon (rDNA) For)
1 KIT PKGCOM 00002803101 56
PDPs
325
MAPDs
GLUCOPHAGE XR 500MG TABLET SA
(Metformin HCl)
100 BOT 00087606313 4
PDPs
12
MAPDs
GLUCOPHAGE XR 750MG TABLET SA
(Metformin HCl)
100 BOT 00087606413 4
PDPs
12
MAPDs
Glucose 50 MG/ML / Potassium Chloride 0.02 MEQ/ML / Sodium Chloride 0.154 MEQ/ML Injectable Solution
()
    00338080304 47
PDPs
295
MAPDs
GLUCOTROL 10MG TABLET
(Glipizide)
100 BOT 00049412066 4
PDPs
15
MAPDs
GLUCOTROL 5MG TABLET
(Glipizide)
100 BOT 00049411066 4
PDPs
15
MAPDs
GLUCOTROL XL 10 MG TABLET
(Glipizide)
100.000 EA   00049017807 4
PDPs
15
MAPDs
GLUCOTROL XL 2.5 MG TABLET
(Glipizide)
30 EA 00049017001 4
PDPs
15
MAPDs
GLUCOTROL XL 5 MG TABLET ER 24
(Glipizide)
    00049017402 4
PDPs
15
MAPDs
GLUMETZA ER 500 MG TABLET TABERGR24H
(Metformin Hydrochloride)
30 units   68012000450 0
PDPs
3
MAPDs
GLYBURID-METFORMIN 1.25-250 MG [Glucovance]
(Glyburide-Metformin)
100.000 EA   65862008001 16
PDPs
235
MAPDs
GLYBURIDE 1.25MG TABLETS
(Glyburide)
100 TABLETS BOT 00093834201 19
PDPs
186
MAPDs
GLYBURIDE 2.5MG TABLET (100 CT)
(Glyburide)
100 TABLETS BOT 00093834301 19
PDPs
186
MAPDs
GLYBURIDE 5 MG TABLET
(Glyburide)
1000.000 EA   00093834410 19
PDPs
188
MAPDs
GLYBURIDE MICRO 1.5 MG TABLET [Glynase PresTab]
(Glyburide)
30 tablets   00143991801 17
PDPs
180
MAPDs
GLYBURIDE MICRO 3 MG TABLET [Glynase PresTab]
(Glyburide)
90 tablets   00143991901 17
PDPs
180
MAPDs
GLYBURIDE MICRO 6 MG TABLET [Glynase PresTab]
(Glyburide)
30 tablets   00143992001 17
PDPs
180
MAPDs
GLYBURIDE-METFORMIN 2.5-500 MG
(Glyburide)
100.000 EA   65862008101 16
PDPs
235
MAPDs
GLYBURIDE-METFORMIN 5-500 MG
(Glyburide)
100.000 EA   65862008201 18
PDPs
235
MAPDs
GLYCOPYRROLATE 1 MG TABLET [Robinul]
(Glycopyrrolate)
60 tablets   13107001401 64
PDPs
379
MAPDs
GLYCOPYRROLATE TABLET 2MG (100 CT)
(Glycopyrrolate)
100 BOT 49884006601 64
PDPs
379
MAPDs
GLYNASE 1.5MG PRESTAB
(Glyburide Micronized)
100 BOT 00009034101 1
PDPs
0
MAPDs
GLYNASE 3 MG PRESTAB
(Glyburide Micronized)
100.000 EA   00009035201 1
PDPs
0
MAPDs
GLYNASE 6 MG PRESTABLET
(Glyburide, Micronized)
30 tablets   00009344901 1
PDPs
0
MAPDs
GLYSET 100MG TABLET
(Miglitol)
100 BOTPL 00009501401 0
PDPs
7
MAPDs
GLYSET 25MG TABLET
(Miglitol)
100 BOT 00009501201 0
PDPs
7
MAPDs
GLYSET 50MG TABLET
(Miglitol)
100 BOTPL 00009501301 0
PDPs
7
MAPDs
GLYXAMBI 10 MG-5 MG TABLET
(Empagliflozin and Linagliptin)
    00597018230 46
PDPs
257
MAPDs
GLYXAMBI 25 MG-5 MG TABLET
(Empagliflozin and Linagliptin)
    00597016430 46
PDPs
257
MAPDs
GOCOVRI ER 137 MG CAPSULE
(Amantadine)
    70482017060 3
PDPs
99
MAPDs
GOCOVRI ER 68.5 MG CAPSULE
(Amantadine)
    70482008560 3
PDPs
99
MAPDs
GOLYTELY PACKET 227.1 GM/2.82 GM
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
263 GM PKT 52268070001 21
PDPs
143
MAPDs
GOLYTELY SOLUTION 236 GM/2.97 GM/6 GM
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
4 L BOT 52268010001 20
PDPs
96
MAPDs
GONITRO 0.4 MG SUBLINGUAL PWD POWDER PACK
(Nitroglycerin)
1 unit   70007040036 1
PDPs
14
MAPDs
Gralise 600 MG 90 FILM COATED TABLETS in BOTTLE
(Gabapentin)
90 TABLET, FILM COATED   13913000519 4
PDPs
70
MAPDs
GRALISE ER 300 MG TABLET
(Gabapentin)
    13913000419 4
PDPs
70
MAPDs
Gralise Starter Pack 1 KIT per BLISTER PACK
(Gabapentin)
1 KIT in 1 BLISTER PACK   13913000616 4
PDPs
69
MAPDs
GRANISETRON HCL 1 MG TABLET
(Granisetron HCl)
20.000 EA   00054014308 57
PDPs
370
MAPDs
GRANIX 300 MCG/0.5 ML SYRINGE
(Tbo-Filgrastim)
5 mls   63459091017 22
PDPs
169
MAPDs
GRANIX 300 MCG/ML VIAL
(tbo-filgrastim)
ml   63459091853 20
PDPs
158
MAPDs
GRANIX 480 MCG/0.8 ML SYRINGE
(Tbo-Filgrastim)
5.6 mls   63459091217 22
PDPs
169
MAPDs
GRANIX 480 MCG/1.6 ML VIAL
(tbo-filgrastim)
mls   63459092053 20
PDPs
158
MAPDs
GRASTEK 2,800 BAU SUBLIGUAL TABLET
(timothy grass pollen allergen extract)
TABLETS   52709150103 7
PDPs
34
MAPDs
GRISEOFULVIN 125 MG/5 ML ORAL SUSPENSION [Grifulvin V]
(Griseofulvin Microsize)
120 mls   69097036108 67
PDPs
385
MAPDs
GRISEOFULVIN MICRO 500 MG TABLET
(Griseofulvin Microsize)
100 EA   00781551501 46
PDPs
322
MAPDs
GRISEOFULVIN ULTRA 125 MG TABLET [Gris-Peg]
(Griseofulvin, Ultramicrocrystalline)
84 tablets   00115172401 60
PDPs
337
MAPDs
GRISEOFULVIN ULTRA 250 MG TABLET [Gris-Peg]
(Griseofulvin, Ultramicrocrystalline)
30 tablets   00115172501 60
PDPs
337
MAPDs
GUANFACINE 1 MG TABLET [Tenex]
(Guanfacine HCl)
30 tablets   00378116001 16
PDPs
179
MAPDs
GUANFACINE 2 MG TABLET
(Guanfacine HCl)
100.000 EA   65162071310 16
PDPs
179
MAPDs
Guanfacine hcl er 1 mg tablet
(Guanfacine HCl)
    00228285011 33
PDPs
299
MAPDs
Guanfacine hcl er 2 mg tablet
(Guanfacine HCl)
    00228285111 33
PDPs
299
MAPDs
Guanfacine hcl er 3 mg tablet
(Guanfacine HCl)
    00228285311 33
PDPs
299
MAPDs
Guanfacine hcl er 4 mg tablet
(Guanfacine HCl)
    00228285511 33
PDPs
299
MAPDs
guanidine hcl 125 mg tablet
(Guanidine HCl)
    00085049201 44
PDPs
325
MAPDs
GVOKE 0.5 MG/0.1 ML SYRINGE
(Glucagon)
0.2 ml   72065013012 43
PDPs
268
MAPDs
GVOKE 1 MG/0.2 ML SYRINGE
(Glucagon)
0.4 ml   72065013112 43
PDPs
271
MAPDs
GYNAZOLE-1 2% CREAM
(Butoconazole Nitrate (One Dose) Vaginal)
5 GM   45802039601 1
PDPs
24
MAPDs
HORIZANT ER 300 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010301 1
PDPs
25
MAPDs
HORIZANT ER 600 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010101 1
PDPs
22
MAPDs
IMATINIB MESYLATE 100 MG TABLET [Gleevec]
(Imatinib Mesylate)
90 tablets   00093762998 67
PDPs
388
MAPDs
IMATINIB MESYLATE 400 MG TABLET [Gleevec]
(Imatinib Mesylate)
30 tablets   00093763056 67
PDPs
388
MAPDs
IRESSA 250 MG TABLET
(Gefitinib)
30 EA   00310048230 67
PDPs
388
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG 00338050348 53
PDPs
318
MAPDs
ISOTONIC GENTAMICIN 100 MG/100 ML
(Gentamicin in Saline)
100 ML   00338050548 55
PDPs
325
MAPDs
ISOTONIC GENTAMICIN 80 MG/50 ML
(Gentamicin in Saline)
50 ML   00338050941 55
PDPs
315
MAPDs
LONHALA MAGNAIR 25 MCG REFILL VIAL-NEB
(Glycopyrrolate)
mls   63402030101 4
PDPs
108
MAPDs
LOPID 600 MG TABLET
(Gemfibrozil)
60 EA   00071073720 3
PDPs
10
MAPDs
MAVYRET 100-40 MG TABLET
(Glecaprevir and Pibrentasvir)
84 EA   00074262528 46
PDPs
311
MAPDs
METFORMIN ER 1,000 MG GASTR-TB TABERGR24H [Glumetza]
(Metformin HCl)
180 units   68682001890 4
PDPs
11
MAPDs
METFORMIN ER 500 MG GASTRC-TB TABERGR24H [Glumetza]
(Metformin HCl)
90 UNITS   68180033801 4
PDPs
19
MAPDs
METFORMIN HCL ER 750 MG TABLET ER 24H [Glucophage XR]
(Metformin HCl)
60 tablets   33342024011 67
PDPs
388
MAPDs
MIGLITOL 100 MG TABLET [Glyset]
(Miglitol)
    57664068688 7
PDPs
219
MAPDs
MIGLITOL 25 MG TABLET [Glyset]
(Miglitol)
    57664068488 7
PDPs
221
MAPDs
MIGLITOL 50 MG TABLET [Glyset]
(Miglitol)
    57664068588 7
PDPs
219
MAPDs
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M
(Neomycin-Polymyxin B-Gramicidin Ophth)
10 ML BOT 24208079062 67
PDPs
384
MAPDs
NEURONTIN 100MG CAPSULE
(Gabapentin)
100 BOT 00071080324 3
PDPs
7
MAPDs
NEURONTIN 250 MG/5 ML SOLUTION
(Gabapentin)
60 MLS   00071201244 3
PDPs
7
MAPDs
NEURONTIN 300MG CAPSULE
(Gabapentin)
100 BOT 00071080524 3
PDPs
7
MAPDs
NEURONTIN 400MG CAPSULE
(Gabapentin)
100 BOT 00071080624 3
PDPs
7
MAPDs
NEURONTIN 600MG TABLET
(Gabapentin)
100 BOT 00071051324 3
PDPs
7
MAPDs
NEURONTIN 800MG TABLET
(Gabapentin)
100 BOT 00071040124 3
PDPs
7
MAPDs
ORALAIR 300 IR SUBLINGUAL TAB
(Grass Pollen Allergen Extract)
30 EA   59617001502 16
PDPs
59
MAPDs
PIOGLITAZONE-GLIMEPIRIDE 30-2 TABLET [Duetact]
(Pioglitazone, Glimepiride)
tablets   66993082130 20
PDPs
185
MAPDs
PIOGLITAZONE-GLIMEPIRIDE 30-4 Tablet [Duetact]
(Pioglitazone, Glimepiride)
30 tablets   66993082230 20
PDPs
185
MAPDs
PRED G OPHTHALMIC SUSPENSION 1;0.3%;% 5 ML BOTDR
(Gentamicin-Prednisolone Ace Ophth)
5 ML BOTDR 00023010605 6
PDPs
142
MAPDs
PRED-G S.O.P. EYE OINTMENT
(Gentamicin-Prednisolone Ace Ophth)
3.5 GM TUBE 00023006604 7
PDPs
110
MAPDs
QBREXZA 2.4% CLOTH TOWELETTE
(Glycopyrronium)
30 units   70428001112 0
PDPs
12
MAPDs
RAVICTI 1.1 GRAM/ML LIQUID
(Glycerol Phenylbutyrate)
25 ML   75987005006 22
PDPs
257
MAPDs
RAZADYNE ER 16MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038830 3
PDPs
7
MAPDs
RAZADYNE ER 24MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038930 3
PDPs
7
MAPDs
RAZADYNE ER 8MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038730 3
PDPs
7
MAPDs
SANCUSO TRANSDERMAL SYSTEM 3.1MG/24HRS 1 PATCH CRTN
(Granisetron Transdermal)
1 PATCH CRTN 42747072601 14
PDPs
130
MAPDs
SEEBRI NEOHALER 15.6 MCG INHAL CAPSULE W/DEV
(Glycopyrrolate)
6 units   63402081560 0
PDPs
13
MAPDs
SIMPONI 100 MG/ML PEN INJECTOR
(Golimumab Subcutaneous)
1 ML   57894007102 3
PDPs
164
MAPDs
SIMPONI 100 MG/ML SYRINGE
(Golimumab Subcutaneous)
1 ML   57894007101 3
PDPs
160
MAPDs
SIMPONI 50 MG/0.5 ML PEN INJEC
(Golimumab Subcutaneous)
0.5 ML   57894007002 3
PDPs
162
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
164
MAPDs
TIAGABINE HCL 12 MG TABLET [Gabitril]
()
30 tablets   00093807256 67
PDPs
388
MAPDs
TIAGABINE HCL 16 MG TABLET [Gabitril]
()
tablets   00093807656 67
PDPs
388
MAPDs
TIAGABINE HCL 2 MG TABLET [Gabitril]
()
tablets   00093503056 67
PDPs
388
MAPDs
TIAGABINE HCL 4 MG TABLET [Gabitril]
()
30 tablets   00093503156 67
PDPs
388
MAPDs
TREMFYA 100 MG/ML AUTOINJECTOR
(Guselkumab)
ml   57894064011 19
PDPs
115
MAPDs
TREMFYA 100 MG/ML SYRINGE
(Guselkumab)
    57894064001 19
PDPs
115
MAPDs
UTIBRON NEOHALER 27.5-15.6 MCG CAPSULE W/DEV
(Indacaterol and glycopyrrolate)
60 units   63402068160 0
PDPs
15
MAPDs
XOSPATA 40 MG TABLET
(Gilteritinib)
tablets   00469142590 67
PDPs
388
MAPDs
ZIPRASIDONE HCL 20 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025660 67
PDPs
388
MAPDs
ZIPRASIDONE HCL 40 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025760 67
PDPs
388
MAPDs
ZIPRASIDONE HCL 60 MG CAPSULE [Geodon]
(Ziprasidone HCl)
    55111025860 67
PDPs
388
MAPDs
ZIPRASIDONE HCL 80 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025960 67
PDPs
388
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 50
PDPs
353
MAPDs
ZYMAXID 5mg/mL 1 BOTTLE, DROPPER per CARTON / 2.5 mL in 1 BOTTLE, DROPPER
(Gatifloxacin Ophth)
1 BOTTLE, DROPPER   00023361525 0
PDPs
3
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data June 2020)


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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.