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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 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 2020 Formularies
PDPs MAPDs
ALOGLIPTIN-PIOGLIT 12.5-15 MG [Oseni]
(Alogliptin / Pioglitazone)
    45802023865 2
PDPs
34
MAPDs
ALOGLIPTIN-PIOGLIT 12.5-30 MG [Oseni]
(Alogliptin / Pioglitazone)
    45802026065 2
PDPs
34
MAPDs
ALOGLIPTIN-PIOGLIT 12.5-45 MG [Oseni]
(Alogliptin / Pioglitazone)
    45802030465 2
PDPs
34
MAPDs
ALOGLIPTIN-PIOGLIT 25-15 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)
    45802035165 2
PDPs
34
MAPDs
ALOGLIPTIN-PIOGLIT 25-30 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)
    45802040265 2
PDPs
34
MAPDs
ALOGLIPTIN-PIOGLIT 25-45 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)
    45802049965 2
PDPs
34
MAPDs
ANADROL-50 TABLET
(Oxymetholone)
100 EA   68220005510 65
PDPs
370
MAPDs
AZELASTINE HCL 0.05% EYE DROPS [Optivar]
(Azelastine HCl Ophth)
6 mls   60505057804 67
PDPs
384
MAPDs
BENICAR 20 MG TABLET
(Olmesartan Medoxomil)
30.000 EA   65597010330 4
PDPs
15
MAPDs
BENICAR 40 MG TABLET
(Olmesartan Medoxomil)
30.000 EA   65597010430 4
PDPs
15
MAPDs
BENICAR 5MG TABLET
(Olmesartan Medoxomil)
30 BOT 65597010130 4
PDPs
15
MAPDs
BENICAR HCT 20-12.5 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)
30.000 EA   65597010530 4
PDPs
15
MAPDs
BENICAR HCT 40-25 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)
30.000 EA   65597010730 4
PDPs
15
MAPDs
BENICAR HCT TABLET 12.5-40MG (30 CT)
(Olmesartan Medoxomil-Hydrochlorothiazide)
30 BOT 65597010630 4
PDPs
15
MAPDs
CLOBAZAM 10 MG TABLET [ONFI]
(Clobazam)
60 tablets   51991090001 67
PDPs
388
MAPDs
CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [ONFI]
(Clobazam)
120 mls   69238153502 67
PDPs
388
MAPDs
CLOBAZAM 20 MG TABLET [ONFI]
(Clobazam)
60 tablets   51991090101 67
PDPs
388
MAPDs
CLOBETASOL EMOLLNT 0.05% FOAM [Olux-E]
(Clobetasol)
50 grams   45802063733 12
PDPs
162
MAPDs
CLOBETASOL PROP 0.05% FOAM [Olux]
(Clobetasol Propionate)
50 grams   50742030450 13
PDPs
155
MAPDs
DAYPRO 600MG CAPLET
(Oxaprozin)
100 BOT 00025138131 3
PDPs
7
MAPDs
DIPENTUM 250 MG CAPSULE
(Olsalazine Sodium)
    00037686010 23
PDPs
227
MAPDs
DITROPAN XL 10 MG TABLET
(Oxybutynin Chloride)
100 EA   50458081001 3
PDPs
7
MAPDs
DITROPAN XL 5 MG TABLET
(Oxybutynin Chloride)
100 EA   50458080501 3
PDPs
7
MAPDs
ENDOCET 10MG-325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 60951071270 66
PDPs
373
MAPDs
ENDOCET 5/325 TABLET
(Oxycodone w/ Acetaminophen)
500 BOT 60951060285 66
PDPs
374
MAPDs
ENDOCET 7.5-325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 60951070070 66
PDPs
372
MAPDs
FLURBIPROFEN 0.03% EYE DROPS [Ocufen]
(Flurbiprofen Sodium Ophth)
2.5 mls   69292072225 65
PDPs
385
MAPDs
GELNIQUE 10% GEL SACHET PACKET
(Oxybutynin Chloride)
GRAM   00023586111 2
PDPs
32
MAPDs
KETOPROFEN 25 MG CAPSULE [Orudis]
(Ketoprofen)
90 capsules   69336012710 23
PDPs
211
MAPDs
KETOPROFEN 50 MG CAPSULE [Orudis]
(Ketoprofen)
30 capsules   23155002101 26
PDPs
168
MAPDs
KETOPROFEN 75 MG CAPSULE [Orudis]
(Ketoprofen)
30 capsules   23155002201 26
PDPs
172
MAPDs
LOVAZA 1 GM CAPSULE
(Omega-3-acid Ethyl Esters)
120 EA   00173088408 3
PDPs
7
MAPDs
LOW-OGESTREL-28 TABLET [Low-Ogestrel]
(Inert;Norgestrel, Ethinyl Estradiol)
28 tablets   51862056406 64
PDPs
362
MAPDs
LYNPARZA 100 MG TABLET
(Olaparib)
120 EA   00310066812 67
PDPs
388
MAPDs
LYNPARZA 150 MG TABLET
(Olaparib)
120 EA   00310067912 67
PDPs
388
MAPDs
NUZYRA 100 MG VIAL
(Omadacycline)
ml   71715000102 4
PDPs
39
MAPDs
NUZYRA 150 MG TABLET
(Omadacycline)
tablets   71715000221 9
PDPs
107
MAPDs
OCALIVA 10 MG TABLET
(OBETICHOLIC ACID)
30.000 EA   69516001030 30
PDPs
223
MAPDs
OCALIVA 5 MG TABLET
(OBETICHOLIC ACID)
30.000 EA   69516000530 29
PDPs
222
MAPDs
OCELLA 3MG/0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)
3 X 28 PKG 00555913167 57
PDPs
294
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)
    68982085001 33
PDPs
274
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)
    68982084001 33
PDPs
274
MAPDs
OCTREOTIDE 1,000 MCG/ML VIAL
(Octreotide Acetate)
5.000 ML   63323037905 67
PDPs
384
MAPDs
OCTREOTIDE ACET 0.05 MG/ML VL
(Octreotide Acetate)
1.000 ML   00703330104 67
PDPs
388
MAPDs
OCTREOTIDE ACET 100 MCG/ML VIAL [Sandostatin]
(Octreotide Acetate)
90 mls   25021045201 67
PDPs
388
MAPDs
OCTREOTIDE ACET 200 MCG/ML VIAL [Sandostatin]
(Octreotide Acetate)
10 mls   00703333301 67
PDPs
386
MAPDs
OCTREOTIDE ACET 500 MCG/ML VL
(Octreotide Acetate)
1.000 ML   63323037701 65
PDPs
388
MAPDs
OCUFLOX 0.3% EYE DROPS
(Ofloxacin Ophth)
5 ML BOT 11980077905 4
PDPs
9
MAPDs
OCUTRICIN EYE OINTMENT 400UNT/3.5MG/10UNT
(Bacitracin-Polymyxin-Neomycin Ophth)
3.5 GRAM TUBE 24208078055 59
PDPs
378
MAPDs
ODACTRA 12 SQ-HDM SUBLIGUAL TABLET
(Dermatophagoides farinae, Dermatophagoides pteronyssinus)
30 TABLETS   52709170103 3
PDPs
29
MAPDs
ODEFSEY TABLET
(Emtricitabine, Rilpivirine Hydrochloride, and Tenofovir Alafenamide Fumarate)
    61958210101 67
PDPs
388
MAPDs
ODOMZO 200 MG CAPSULE
(Sonidegib)
    47335030383 67
PDPs
388
MAPDs
OFEV 100 MG CAPSULE
(Nintedanib)
60 EA   00597014360 61
PDPs
387
MAPDs
OFEV 150 MG CAPSULE
(Nintedanib)
60 EA   00597014560 67
PDPs
388
MAPDs
OFLOXACIN 0.3 % DRP
(Ofloxacin Ophth)
5 ML   17478071310 65
PDPs
388
MAPDs
OFLOXACIN 0.3% EAR DROPS [Floxin]
(Ofloxacin)
5 mls   60505036301 64
PDPs
388
MAPDs
OFLOXACIN 300 MG TABLET
(Ofloxacin)
50 EA   75834011950 16
PDPs
164
MAPDs
OFLOXACIN 400 MG TABLET [Floxin]
(Ofloxacin)
3 tablets   75834011250 28
PDPs
247
MAPDs
OGESTREL TABLET 0.05MG/0.5MG
(Norgestrel & Ethinyl Estradiol)
3X28 BLPK 52544084828 23
PDPs
178
MAPDs
OLANZAPINE 10 MG TABLET [Zyprexa]
(Olanzapine)
30.000 EA   43598016630 67
PDPs
388
MAPDs
OLANZAPINE 10 MG VIAL
(Olanzapine)
    00517095501 67
PDPs
387
MAPDs
OLANZAPINE 15 MG TABLET [Zyprexa]
(Olanzapine)
30 EA   55111016730 67
PDPs
388
MAPDs
OLANZAPINE 2.5 MG TABLET [Zyprexa]
(Olanzapine)
30 tablets   55111016330 67
PDPs
388
MAPDs
OLANZAPINE 20 MG TABLET [Zyprexa]
(Olanzapine)
30 EA   55111016830 67
PDPs
388
MAPDs
OLANZAPINE 5 MG TABLET [Zyprexa]
(Olanzapine)
30 EA   43598016430 67
PDPs
388
MAPDs
OLANZAPINE 7.5 MG TABLET [Zyprexa]
(Olanzapine)
30.000 EA   43598016530 67
PDPs
388
MAPDs
OLANZAPINE ODT 10 MG TABLET RAPDIS [Zyprexa Zydis]
(Olanzapine)
30 EA   33342008407 67
PDPs
388
MAPDs
OLANZAPINE ODT 15 MG TABLET RAPDIS [Zyprexa Zydis]
(Olanzapine)
    33342008507 67
PDPs
388
MAPDs
OLANZAPINE ODT 20 MG TABLET RAPDIS [Zyprexa Zydis]
(Olanzapine)
30 EA   33342008607 67
PDPs
388
MAPDs
OLANZAPINE ODT 5 MG TABLET RAPDIS [Zyprexa Zydis]
(Olanzapine)
30 EA   33342008307 67
PDPs
388
MAPDs
OLANZAPINE-FLUOXETINE 12-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025211 8
PDPs
196
MAPDs
OLANZAPINE-FLUOXETINE 12-50 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025311 8
PDPs
196
MAPDs
OLANZAPINE-FLUOXETINE 3-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
    49884027711 7
PDPs
194
MAPDs
OLANZAPINE-FLUOXETINE 6-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025011 8
PDPs
196
MAPDs
OLANZAPINE-FLUOXETINE 6-50 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025111 8
PDPs
196
MAPDs
OLMESARTAN MEDOXOMIL 20 MG TABLET [Benicar]
(Olmesartan Medoxomil)
30 tablets   62332013230 63
PDPs
365
MAPDs
OLMESARTAN MEDOXOMIL 40 MG TABLET [Benicar]
(Olmesartan Medoxomil)
30 tablets   62332013330 63
PDPs
365
MAPDs
OLMESARTAN MEDOXOMIL 5 MG TABLET [Benicar]
(Olmesartan Medoxomil)
30 tablets   67877044530 63
PDPs
365
MAPDs
OLMESARTAN-HCTZ 20-12.5 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)
30 tablets   43547039103 63
PDPs
364
MAPDs
OLMESARTAN-HCTZ 40-12.5 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)
30 tablets   43547039203 63
PDPs
364
MAPDs
OLMESARTAN-HCTZ 40-25 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)
30 tablets   43547039303 63
PDPs
364
MAPDs
olmsrtn-amldpn-hctz 20-5-12.5 [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    49884078609 27
PDPs
239
MAPDs
olmsrtn-amldpn-hctz 40-10-12.5 [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    49884078909 27
PDPs
239
MAPDs
olmsrtn-amldpn-hctz 40-10-25mg [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    49884079009 27
PDPs
239
MAPDs
olmsrtn-amldpn-hctz 40-5-12.5 [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    49884078709 27
PDPs
239
MAPDs
olmsrtn-amldpn-hctz 40-5-25 mg [TRIBENZOR]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    49884078809 29
PDPs
239
MAPDs
Olopatadine 2 MG/ML Ophthalmic Solution
(Olopatadine HCl Nasal)
    00093768432 53
PDPs
361
MAPDs
OLOPATADINE 665 MCG NASAL SPRY
(Olopatadine HCl Nasal)
30.5 GM   60505084505 26
PDPs
211
MAPDs
OLOPATADINE HCL 0.1% EYE DROPS
(OLOPATADINE HCL)
5 ML   60505057501 38
PDPs
322
MAPDs
OLUMIANT 1 MG TABLET
(Baricitinib)
tablets   00002473230 3
PDPs
125
MAPDs
OLUMIANT 2 MG TABLET
(Baricitinib)
tablets   00002418230 3
PDPs
125
MAPDs
OLUX 0.05% FOAM
(Clobetasol Propionate)
50 grams   00378818250 3
PDPs
3
MAPDs
OLUX-E 0.05% FOAM
(Clobetasol Propionate)
100 grams   00378814750 0
PDPs
3
MAPDs
OMECLAMOX-PAK COMBO PACK
(Omeprazole, Clarithromycin, Amoxicillin)
80 EA   66220042202 0
PDPs
12
MAPDs
OMEGA-3 ETHYL ESTERS 1 GM CAPSULE [Lovaza]
(Omega-3-acid Ethyl Esters)
120 EA   60505317007 43
PDPs
309
MAPDs
OMEPRAZOLE DR 10 MG CAPSULE DR [Prilosec]
(Omeprazole)
30 units   51991064233 67
PDPs
388
MAPDs
OMEPRAZOLE DR 20 MG CAPSULE DR [Prilosec]
(Omeprazole)
30 units   55111015810 67
PDPs
388
MAPDs
OMEPRAZOLE DR 40 MG CAPSULE DR [Prilosec]
(Omeprazole)
1000 EA   68462039710 67
PDPs
388
MAPDs
OMEPRAZOLE-BICARB 20-1,100 CAPSULE [Zegerid]
(Omeprazole-Sodium Bicarbonate)
90 capsules   27241003103 2
PDPs
65
MAPDs
OMEPRAZOLE-BICARB 20-1,680 PACKET [Zegerid]
(Omeprazole-Sodium Bicarbonate)
30 units   68682099030 2
PDPs
23
MAPDs
OMEPRAZOLE-BICARB 40-1,100 CAPSULE [Zegerid]
(Omeprazole-Sodium Bicarbonate)
30 capsules   69097091402 2
PDPs
74
MAPDs
OMEPRAZOLE-BICARB 40-1,680 PACKET [Zegerid]
(Omeprazole-Sodium Bicarbonate)
30 units   27241003031 2
PDPs
24
MAPDs
OMNARIS 50 MCG NASAL SPRAY/PUMP
(Ciclesonide Nasal)
12.5 grams   70515070101 4
PDPs
36
MAPDs
OMNITROPE FOR INJECTION KIT 5.8MG 1 BOX PKGCOM
(Somatropin For)
1 BOX PKGCOM 00781400436 25
PDPs
193
MAPDs
OMNITROPE INJECTION 10MG/1.5ML 10MG X 1.5ML CTG
(Somatropin For)
10MG X 1.5ML CTG 00781300407 25
PDPs
206
MAPDs
OMNITROPE INJECTION 5MG/1.5ML 1.5 ML CTG
(Somatropin For)
1.5 ML CTG 00781300107 25
PDPs
207
MAPDs
ONDANSETRON 4 MG/5 ML SOLUTION [Zofran]
(Ondansetron)
50 mls   51672409103 60
PDPs
355
MAPDs
ONDANSETRON HCL 24 MG TABLET
(Ondansetron HCl)
1 EA   55111015611 67
PDPs
380
MAPDs
ONDANSETRON HCL 4 MG TABLET [Zofran]
(Ondansetron)
30 tablets   65862018730 67
PDPs
388
MAPDs
ONDANSETRON HCL 8 MG TABLET [Zofran]
(Ondansetron)
30 tablets   65862018830 67
PDPs
388
MAPDs
ONDANSETRON ODT 4 MG TABLET
(Ondansetron Orally Disintegrating)
30 EA   57237007710 67
PDPs
388
MAPDs
ONDANSETRON ODT 8 MG TABLET
(Ondansetron Orally Disintegrating)
30 EA   57237007810 67
PDPs
388
MAPDs
ONEXTON GEL PUMP
(Clindamycin / Benzoyl Peroxide)
    00187305050 0
PDPs
23
MAPDs
ONFI 10 MG TABLET
(Clobazam)
100 EA   67386031401 4
PDPs
26
MAPDs
ONFI 2.5 MG/ML SUSPENSION
(Clobazam)
120 ML   67386031321 4
PDPs
26
MAPDs
ONFI 20 MG TABLET
(Clobazam)
100 EA   67386031501 4
PDPs
26
MAPDs
ONGLYZA 2.5 MG TABLET
(Saxagliptin HCl)
30.000 EA   00310610030 23
PDPs
94
MAPDs
ONGLYZA 5 MG TABLET
(Saxagliptin HCl)
30.000 EA   00310610530 23
PDPs
94
MAPDs
ONZETRA XSAIL 11 MG
(Sumatriptan)
    64597031108 1
PDPs
10
MAPDs
OPSUMIT 10 MG TABLET
(macitentan)
30 EA   66215050130 54
PDPs
375
MAPDs
ORACEA CAPSULES 40MG 30 BOT
(Doxycycline (Rosacea))
30 BOT 00299382230 9
PDPs
49
MAPDs
ORALAIR 300 IR SUBLINGUAL TAB
(Grass Pollen Allergen Extract)
30 EA   59617001502 16
PDPs
59
MAPDs
ORAPRED ODT 10 MG TABLET
(Prednisolone Sod Phosphate Oral)
    59212070048 0
PDPs
9
MAPDs
ORAPRED ODT 15 MG TABLET
(Prednisolone Sod Phosphate Oral)
    59212070148 0
PDPs
6
MAPDs
ORAPRED ODT 30 MG TABLET
(Prednisolone Sod Phosphate Oral)
    59212070248 0
PDPs
6
MAPDs
ORAVIG 50 MG BUCCAL TABLET
(Miconazole)
    89141025014 0
PDPs
58
MAPDs
ORENCIA 125 MG/ML SYRINGE
(Abatacept For IV)
1 ML   00003218811 34
PDPs
230
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.4 mL in 1 SYRINGE, GLASS
(Abatacept For IV)
    00003281411 34
PDPs
227
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.7 mL in 1 SYRINGE, GLASS
(Abatacept For IV)
    00003281811 34
PDPs
227
MAPDs
ORENCIA CLICKJECT 125 MG/ML
(Abatacept For IV)
    00003218851 34
PDPs
230
MAPDs
Orenitram 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(treprostinil)
    66302035001 9
PDPs
160
MAPDs
ORENITRAM ER 0.125 MG TABLET
(treprostinil)
    66302030001 9
PDPs
159
MAPDs
ORENITRAM ER 0.25 MG TABLET
(treprostinil)
    66302030201 9
PDPs
160
MAPDs
ORENITRAM ER 1 MG TABLET
(treprostinil)
    66302031001 9
PDPs
160
MAPDs
ORENITRAM ER 2.5 MG TABLET
(treprostinil)
    66302032501 9
PDPs
160
MAPDs
ORFADIN 10 MG CAPSULE
(Nitisinone)
60 EA   66658011060 63
PDPs
365
MAPDs
ORFADIN 2 MG CAPSULE
(Nitisinone)
60 EA   66658010260 63
PDPs
365
MAPDs
ORFADIN 20 MG CAPSULE
(Nitisinone)
60   66658012060 63
PDPs
359
MAPDs
ORFADIN 4 MG/ML SUSPENSION
(Nitisinone)
90 ML   66658020490 63
PDPs
340
MAPDs
ORFADIN 5 MG CAPSULE
(Nitisinone)
60 EA   66658010560 63
PDPs
365
MAPDs
ORILISSA 150 MG TABLET
(Elagolix)
28 tablets   00074003828 4
PDPs
158
MAPDs
ORILISSA 200 MG TABLET
(Elagolix)
56 tablets   00074003956 4
PDPs
158
MAPDs
ORKAMBI 100 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)
112.000 EA   51167070002 65
PDPs
380
MAPDs
ORKAMBI 100-125 MG GRANULE PKT GRAN PACK
(Lumacaftor and Ivacaftor)
units   51167090001 59
PDPs
367
MAPDs
ORKAMBI 150-188 MG GRANULE PKT GRAN PACK
(Lumacaftor and Ivacaftor)
units   51167050002 59
PDPs
367
MAPDs
ORKAMBI 200 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)
112 EA   51167080901 65
PDPs
385
MAPDs
ORPHENADRINE ER 100 MG TABLET [Norflex]
(Orphenadrine Citrate)
100.000 EA   00115201101 7
PDPs
135
MAPDs
ORTHO-NOVUM 1-35-28 TABLET
(Norethindrone & Ethinyl Estradiol)
28 tablets   50458017628 3
PDPs
9
MAPDs
ORTHO-NOVUM 7/7/7 28 Day Pack
(Ethinyl Estradiol-Norethindrone Triphasic)
    50458017828 4
PDPs
22
MAPDs
OSELTAMIVIR 6 MG/ML SUSPENSION [Tamiflu]
(Oseltamivir Phosphate)
60 ML   47781038426 67
PDPs
383
MAPDs
OSELTAMIVIR PHOS 30 MG CAPSULE [Tamiflu]
(Oseltamivir Phosphate)
10.000 EA   47781046813 67
PDPs
388
MAPDs
OSELTAMIVIR PHOS 45 MG CAPSULE [Tamiflu]
(Oseltamivir Phosphate)
10.000 EA   47781046913 67
PDPs
388
MAPDs
OSELTAMIVIR PHOS 75 MG CAPSULE [Tamiflu]
(Oseltamivir Phosphate)
10.000 EA   47781047013 67
PDPs
388
MAPDs
OSENI 12.5-15 MG TABLET
(alogliptin / pioglitazone)
    64764012103 1
PDPs
5
MAPDs
OSENI 12.5-30 MG TABLET
(alogliptin / pioglitazone)
    64764012303 1
PDPs
5
MAPDs
OSENI 12.5-45 MG TABLET
(alogliptin / pioglitazone)
    64764012403 1
PDPs
5
MAPDs
OSENI 25-15 MG TABLET
(alogliptin / pioglitazone)
    64764025103 1
PDPs
5
MAPDs
OSENI 25-30 MG TABLET
(alogliptin / pioglitazone)
    64764025303 1
PDPs
5
MAPDs
OSENI 25-45 MG TABLET
(alogliptin / pioglitazone)
    64764025403 1
PDPs
5
MAPDs
OSMOLEX ER 129 MG TABLET BP 24H
(Amantadine)
30 units   68025007530 0
PDPs
52
MAPDs
OSMOLEX ER 193 MG TABLET BP 24H
(Amantadine)
units   68025007630 0
PDPs
52
MAPDs
OSMOLEX ER 258 MG TABLET BP 24H
(Amantadine)
30 units   68025007730 0
PDPs
52
MAPDs
OSMOPREP TABLET 1.5GM
(Sod Phos Mono-Sod Phos Di)
100 BOT 65649070141 2
PDPs
47
MAPDs
OSPHENA 60 MG TABLET
(Ospemifene)
30 tablets   59630058090 31
PDPs
217
MAPDs
OTEZLA 28 DAY STARTER PACK
(Apremilast)
    59572063255 22
PDPs
209
MAPDs
OTEZLA 30 MG TABLET
(Apremilast)
60 EA   59572063106 22
PDPs
214
MAPDs
OTOVEL 0.3%-0.025% EAR DROPS
(Ciprofloxacin and fluocinolone otic)
    24338008014 1
PDPs
24
MAPDs
OTREXUP 10 MG/0.4 ML AUTO-INJ
(methotrexate)
.400 ML   54436001004 2
PDPs
51
MAPDs
OTREXUP 12.5 MG/0.4 ML AUTOINJ
(methotrexate)
    54436001204 2
PDPs
52
MAPDs
OTREXUP 15 MG/0.4 ML AUTO-INJ
(methotrexate)
.400 ML   54436001504 2
PDPs
51
MAPDs
OTREXUP 17.5 MG/0.4 ML AUTOINJ
(methotrexate)
    54436001704 2
PDPs
52
MAPDs
OTREXUP 20 MG/0.4 ML AUTO-INJ
(methotrexate)
.400 ML   54436002004 2
PDPs
53
MAPDs
OTREXUP 22.5 MG/0.4 ML AUTOINJ
(methotrexate)
    54436002204 2
PDPs
52
MAPDs
OTREXUP 25 MG/0.4 ML AUTO-INJ
(methotrexate)
.400 ML   54436002504 2
PDPs
51
MAPDs
OVIDE 0.5% LOTION
(Malathion)
59 ML   51672529304 3
PDPs
10
MAPDs
OXACILLIN 1 GM VIAL
(Oxacillin)
ml   55150012715 29
PDPs
267
MAPDs
OXACILLIN 10 GM VIAL
(Oxacillin)
ml   25021016399 27
PDPs
269
MAPDs
OXACILLIN 1GM/50ML INJ
(Oxacillin Sodium For)
50 ML BAG 00338101341 15
PDPs
185
MAPDs
OXACILLIN 2 GM VIAL
(Oxacillin)
ml   25021016224 29
PDPs
265
MAPDs
OXACILLIN 2GM/50ML INJ
(Oxacillin Sodium For)
50 ML BAG 00338101541 10
PDPs
184
MAPDs
OXANDROLONE 10 MG TABLET
(Oxandrolone)
60.000 EA   49884030202 65
PDPs
362
MAPDs
OXANDROLONE 2.5 MG TABLET
(Oxandrolone)
100.000 EA   49884030101 67
PDPs
363
MAPDs
OXAPROZIN 600 MG TABLET
(Oxaprozin)
100 EA   55111017001 36
PDPs
242
MAPDs
OXAZEPAM 10 MG CAPSULE
(Oxazepam)
100 EA   00228206710 9
PDPs
199
MAPDs
OXAZEPAM 15 MG CAPSULE
(Oxazepam)
100 EA   00228206910 9
PDPs
199
MAPDs
OXAZEPAM 30 MG CAPSULE
(Oxazepam)
100.000 EA   00228207310 9
PDPs
197
MAPDs
OXBRYTA 500 MG TABLET
(Voxelotor)
TABLETS   72786010101 7
PDPs
64
MAPDs
OXCARBAZEPINE 150 MG TABLET
(Oxcarbazepine)
100.000 EA   51991029201 67
PDPs
388
MAPDs
OXCARBAZEPINE 300 MG TABLET
(Oxcarbazepine)
100.000 EA   51991029301 67
PDPs
388
MAPDs
OXCARBAZEPINE 300 MG/5 ML SUSP
(Oxcarbazepine)
    65162064978 67
PDPs
388
MAPDs
OXCARBAZEPINE 600 MG TABLET
(Oxcarbazepine)
100.000 EA   51991029401 67
PDPs
388
MAPDs
OXERVATE 0.002% EYE DROPS
(Cenegermin)
ml   71981002007 15
PDPs
135
MAPDs
OXICONAZOLE NITRATE 1% CREAM (g) [Oxistat]
(Oxiconazole Nitrate)
30 grams   51672135908 11
PDPs
98
MAPDs
OXISTAT 1% CREAM (g)
(Oxiconazole Nitrate)
30 grams   10337035860 3
PDPs
3
MAPDs
OXISTAT 1% LOTION
(Oxiconazole Nitrate)
30.000 ML   10337035930 5
PDPs
55
MAPDs
OXSORALEN-ULTRA 10MG CAP
(Methoxsalen)
50 BOT 00187065042 1
PDPs
13
MAPDs
OXTELLAR XR 150 MG TABLET
(oxcarbazepine)
100 EA   17772012101 1
PDPs
144
MAPDs
OXTELLAR XR 300 MG TABLET
(oxcarbazepine)
100 EA   17772012201 1
PDPs
144
MAPDs
OXTELLAR XR 600 MG TABLET
(oxcarbazepine)
100 EA   17772012301 1
PDPs
144
MAPDs
OXYBUTYNIN 5 MG TABLET [Ditropan]
(Oxybutynin)
60 tablets   00832003800 67
PDPs
388
MAPDs
OXYBUTYNIN 5 MG/5 ML SYRUP
(Oxybutynin)
473.000 ML   60432009216 67
PDPs
381
MAPDs
OXYBUTYNIN CL ER 10 MG TABLET ER 24 [Ditropan XL]
(Oxybutynin Chloride)
30 units   62175027137 61
PDPs
382
MAPDs
OXYBUTYNIN CL ER 15 MG TABLET
(Oxybutynin)
100.000 EA   62175027237 61
PDPs
382
MAPDs
OXYBUTYNIN CL ER 5 MG TABLET ER 24 [Ditropan XL]
(Oxybutynin Chloride)
30 units   62175027037 61
PDPs
382
MAPDs
OXYCODON-ACETAMINOPHEN 2.5-325
(Oxycodone-Acetaminophen )
100.000 EA   00603497821 65
PDPs
379
MAPDs
OXYCODON-ACETAMINOPHEN 7.5-325 TABLET [Percocet]
(Oxycodone, Acetaminophen)
90 tablets   31722019301 67
PDPs
387
MAPDs
OXYCODONE HCL 10 MG TABLET [Dazidox]
(Oxycodone HCl)
100 TABLET in 1 BOTTLE   10702005601 66
PDPs
385
MAPDs
OXYCODONE HCL 100 MG/5 ML ORAL CONC [Roxicodone]
(Oxycodone HCl)
30 mls   43386092060 35
PDPs
293
MAPDs
OXYCODONE HCL 15 MG TABLET [Roxybond]
(Oxycodone HCl)
120 tablets   00406851501 66
PDPs
385
MAPDs
OXYCODONE HCL 20 MG TABLET [Roxicodone]
(Oxycodone HCl)
100 TABLET in 1 BOTTLE   10702005701 66
PDPs
385
MAPDs
OXYCODONE HCL 30 MG TABLET [Roxybond]
(Oxycodone HCl)
120 tablets   00406853001 66
PDPs
383
MAPDs
OXYCODONE HCL 5 MG CAPSULE [OxyIR]
(Oxycodone HCl)
12 capsules   68462020401 26
PDPs
289
MAPDs
OXYCODONE HCL 5 MG TABLET [Roxybond]
(Oxycodone HCl)
100 EA   10702001801 66
PDPs
385
MAPDs
OXYCODONE HCL 5 MG/5 ML SOLN Solution [Roxicodone]
(Oxycodone HCl)
500 ML   00054039063 49
PDPs
328
MAPDs
OXYCODONE HCL ER 10 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
100.000 EA   00093573101 1
PDPs
117
MAPDs
OXYCODONE HCL ER 15 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
    00115155701 1
PDPs
117
MAPDs
OXYCODONE HCL ER 20 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
100.000 EA   00093573201 1
PDPs
117
MAPDs
OXYCODONE HCL ER 30 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
    00115155901 1
PDPs
114
MAPDs
OXYCODONE HCL ER 40 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
100 EA   00093573301 1
PDPs
117
MAPDs
OXYCODONE HCL ER 60 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
    00115156101 1
PDPs
114
MAPDs
OXYCODONE HCL ER 80 MG TABLET ER 12H [OxyContin]
(Oxycodone HCl)
60 tablets   00093573401 1
PDPs
114
MAPDs
OXYCODONE-ACETAMINOPHEN 10-325 TABLET [Percocet]
(Oxycodone, Acetaminophen)
120 tablets   31722019401 67
PDPs
388
MAPDs
OXYCODONE-ACETAMINOPHEN 5-325 TABLET [Roxicet]
(Oxycodone-Acetaminophen )
30 tablets   42858010201 67
PDPs
388
MAPDs
OXYCODONE-ASPIRIN 4.8355-325 TABLET [Percodan]
(Oxycodone, Aspirin)
60 TABLETS   68308084501 38
PDPs
297
MAPDs
OXYCODONE-IBUPROFEN 5-400 TAB
(Oxycodone-Ibuprofen)
100 EA   00228402911 14
PDPs
201
MAPDs
OxyContin 10mg/1
(Oxycodone HCl)
    59011041010 4
PDPs
96
MAPDs
OxyContin 15mg/1
(Oxycodone HCl)
    59011041510 4
PDPs
98
MAPDs
OxyContin 20mg/1
(Oxycodone HCl)
    59011042010 4
PDPs
96
MAPDs
OxyContin 30mg/1
(Oxycodone HCl)
    59011043010 4
PDPs
98
MAPDs
OxyContin 40mg/1
(Oxycodone HCl)
    59011044010 4
PDPs
96
MAPDs
OxyContin 60mg/1
(Oxycodone HCl)
    59011046010 4
PDPs
96
MAPDs
OxyContin 80mg/1
(Oxycodone HCl)
    59011048010 4
PDPs
95
MAPDs
OXYMORPHONE HCL 10 MG TABLET
(Oxymorphone HCl)
100 EA   10702007101 4
PDPs
176
MAPDs
OXYMORPHONE HCL 5 MG TABLET
(Oxymorphone HCl)
100 EA   10702007001 4
PDPs
176
MAPDs
OXYMORPHONE HCL ER 10 MG TABLET ER 12H [Opana]
(Oxymorphone HCl)
60 TABLETS   64896069701 9
PDPs
75
MAPDs
OXYMORPHONE HCL ER 15 MG TABLET ER 12H [Opana]
(Oxymorphone HCl)
60 TABLETS   64896069801 9
PDPs
85
MAPDs
OXYMORPHONE HCL ER 20 MG TABLET ER 12H [Opana]
(Oxymorphone HCl)
60 TABLETS   64896069913 9
PDPs
77
MAPDs
OXYMORPHONE HCL ER 30 MG TABLET ER 12H [Opana]
(Oxymorphone HCl)
60 TABLETS   64896070001 9
PDPs
77
MAPDs
OXYMORPHONE HCL ER 40 MG TABLET ER 12H [Opana]
(Oxymorphone HCl)
60 TABLETS   64896070101 9
PDPs
76
MAPDs
OXYMORPHONE HCL ER 5 MG TABLET ER 12H [Opana]
(Oxymorphone HCl)
60 TABLETS   64896069513 9
PDPs
75
MAPDs
OXYMORPHONE HCL ER 7.5 MG TABLET ER 12H [Opana]
(Oxymorphone HCl)
60 TABLETS   64896069613 9
PDPs
85
MAPDs
OXYTROL 3.9 MG/24HR PATCH TDSW
(Oxybutynin TD)
8 units   00023615308 4
PDPs
35
MAPDs
OZEMPIC 0.25-0.5 MG DOSE PEN
(Semaglutide)
1.5   00169413212 54
PDPs
341
MAPDs
OZEMPIC 1 MG DOSE PEN
(Semaglutide)
3   00169413602 54
PDPs
341
MAPDs
PATANASE 665ug/1 240 SPRAY, METERED in 1 BOTTLE
(Olopatadine HCl Nasal)
240 SPRAY, METERED   00065033230 3
PDPs
7
MAPDs
PAZEO 0.7% EYE DROPS
(Olopatadine)
    00065427325 49
PDPs
224
MAPDs
PERCOCET 10/325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 63481062970 0
PDPs
5
MAPDs
PERCOCET 2.5/325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 63481062770 0
PDPs
5
MAPDs
PERCOCET 5-325 MG TABLET
(Oxycodone w/ Acetaminophen)
100.000 EA   63481062370 0
PDPs
5
MAPDs
PERCOCET 7.5/325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 63481062870 0
PDPs
5
MAPDs
PIMOZIDE 1 MG TABLET [Orap]
(Pimozide)
    49884034701 67
PDPs
388
MAPDs
PIMOZIDE 2 MG TABLET [Orap]
(Pimozide)
    49884034801 67
PDPs
388
MAPDs
PREDNISOLONE ODT 10 MG TABLET RAPDIS [Orapred ODT]
(Prednisolone)
12 units   66993084462 8
PDPs
160
MAPDs
PREDNISOLONE ODT 15 MG TABLET RAPDIS [Orapred ODT]
(Prednisolone)
6 units   66993084562 8
PDPs
162
MAPDs
PREDNISOLONE ODT 30 MG TABLET RAPDIS [Orapred ODT]
(Prednisolone)
5 units   66993084662 8
PDPs
161
MAPDs
PRILOSEC DR 10 MG SUSPENSION
(Omeprazole)
    70515061001 8
PDPs
33
MAPDs
PRILOSEC DR 2.5 MG SUSPENSION
(Omeprazole)
    70515062501 8
PDPs
33
MAPDs
PRIMLEV 10-300 MG TABLET
(Oxycodone)
    24090068388 1
PDPs
25
MAPDs
PRIMLEV 5-300 MG TABLET
(Oxycodone)
    24090068188 1
PDPs
25
MAPDs
PRIMLEV 7.5-300 MG TABLET
(Oxycodone)
    24090068288 1
PDPs
25
MAPDs
RHOFADE 1% CREAM (G)
(Oxymetazoline)
30 GRAMS   71180000330 0
PDPs
8
MAPDs
ROXICODONE 15 MG TABLET
(Oxycodone HCl)
100 EA   23635058110 3
PDPs
7
MAPDs
ROXICODONE 30 MG TABLET
(Oxycodone HCl)
    23635058210 3
PDPs
7
MAPDs
ROXICODONE 5 MG TABLET
(Oxycodone HCl)
100 EA   23635058010 3
PDPs
7
MAPDs
SANDOSTATIN 0.05MG/ML AMPUL
(Octreotide Acetate)
10 AMP 00078018001 0
PDPs
4
MAPDs
Sandostatin 100ug/mL 10 AMPULE in 1 PACKAGE / 1 mL in 1 AMPULE
(Octreotide Acetate)
10 AMPULE in 1 PACKAGE   00078018101 0
PDPs
4
MAPDs
Sandostatin 500ug/mL 10 AMPULE in 1 PACKAGE / 1 mL in 1 AMPULE
(Octreotide Acetate)
10 AMPULE in 1 PACKAGE   00078018201 0
PDPs
4
MAPDs
STRIVERDI RESPIMAT INHAL SPRAY
(Olodaterol Respimat)
4 GM   00597019261 7
PDPs
144
MAPDs
SYMBYAX 12-50MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT 00002323430 0
PDPs
6
MAPDs
Symbyax 25; 3mg/1; mg/1 30 CAPSULE BOTTLE
(Olanzapine-Fluoxetine HCl)
30 CAPSULE in 1 BOTTLE   00002323030 0
PDPs
6
MAPDs
SYMBYAX 6-25MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT 00002323130 0
PDPs
3
MAPDs
SYMBYAX 6-50MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT 00002323330 0
PDPs
6
MAPDs
SYNRIBO 3.5 MG/ML VIAL
(omacetaxine mepesuccinate)
    63459017714 67
PDPs
388
MAPDs
TAGRISSO 40 MG TABLET
(Osimertinib)
    00310134930 67
PDPs
388
MAPDs
TAGRISSO 80 MG TABLET
(Osimertinib)
    00310135030 67
PDPs
388
MAPDs
TALICIA DR 10-250-12.5 MG CAPSULE IR DR
(Omeprazole Magnesium, Amoxicillin and Rifabutin)
168 units   57841115002 0
PDPs
9
MAPDs
TAMIFLU 30 MG 1 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Oseltamivir Phosphate)
BLISTER PACK   00004080285 3
PDPs
11
MAPDs
TAMIFLU 45 MG 1 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Oseltamivir Phosphate)
BLISTER PACK   00004080185 3
PDPs
11
MAPDs
TAMIFLU 6 MG/ML SUSPENSION
(Oseltamivir Phosphate)
60 ML   00004082205 3
PDPs
21
MAPDs
TAMIFLU 75 MG CAPSULE UD
(Oseltamivir Phosphate)
10 BLPK 00004080085 3
PDPs
11
MAPDs
TOVET EMOLLIENT 0.05% FOAM [Olux-E]
(Clobetasol)
100 grams   43538095210 7
PDPs
91
MAPDs
TRIAMCINOLONE 0.1% PASTE (G) [Oralone]
(Triamcinolone)
5 grams   51672126705 59
PDPs
378
MAPDs
TRIBENZOR 20/5/12.5MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 BOT 65597011430 4
PDPs
10
MAPDs
TRIBENZOR 40/10/12.5MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 BOT 65597011730 4
PDPs
10
MAPDs
TRIBENZOR 40/10/25MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 BOT 65597011830 4
PDPs
10
MAPDs
Tribenzor 5; 12.5; 40mg/1; mg/1; mg/1
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    65597011530 4
PDPs
10
MAPDs
Tribenzor 5; 25; 40mg/1; mg/1; mg/1
(Olmesartan-Amlodipine-Hydrochlorothiazide)
    65597011630 4
PDPs
10
MAPDs
TRILEPTAL 150MG TABLET
(Oxcarbazepine)
100 BOT 00078045605 3
PDPs
8
MAPDs
TRILEPTAL 300MG TABLET
(Oxcarbazepine)
100 BOT 00078033705 3
PDPs
8
MAPDs
TRILEPTAL 300MG/5ML SUSP
(Oxcarbazepine)
250 ML BOT 00078035752 3
PDPs
9
MAPDs
TRILEPTAL 600MG TABLET
(Oxcarbazepine)
100 BOT 00078045705 3
PDPs
8
MAPDs
XEPI 1% CREAM (g)
(Ozenoxacin)
grams   70363001130 0
PDPs
18
MAPDs
XOLAIR 150 MG/ML SYRINGE
(Omalizumab (Hamster))
2 mls   50242021501 61
PDPs
365
MAPDs
XOLAIR 150MG VIAL
(Omalizumab For)
1 X VIAL 50242004062 67
PDPs
388
MAPDs
XOLAIR 75 MG/0.5 ML SYRINGE
(Omalizumab (Hamster))
ml   50242021401 61
PDPs
365
MAPDs
XTAMPZA ER 13.5 MG CAPSULE
(Oxycodone)
    24510011510 18
PDPs
169
MAPDs
XTAMPZA ER 18 MG CAPSULE
(Oxycodone)
    24510012010 18
PDPs
169
MAPDs
XTAMPZA ER 27 MG CAPSULE
(Oxycodone)
    24510013010 18
PDPs
169
MAPDs
XTAMPZA ER 36 MG CAPSULE
(Oxycodone)
    24510014010 18
PDPs
169
MAPDs
XTAMPZA ER 9 MG CAPSULE
(Oxycodone)
    24510011010 18
PDPs
169
MAPDs
ZOFRAN 8 MG TABLET
(Ondansetron HCl)
30   00078067615 3
PDPs
8
MAPDs
ZUPLENZ 4 MG SOLUBLE FILM
(Ondansetron Orally Disintegrating)
60 units   89141044430 1
PDPs
12
MAPDs
ZUPLENZ 8 MG SOLUBLE FILM
(Ondansetron Orally Disintegrating)
15 units   89141044830 1
PDPs
12
MAPDs
ZYPREXA 10 MG TABLET
(Olanzapine)
30 EA   00002411730 3
PDPs
7
MAPDs
ZYPREXA 10MG VIAL
(Olanzapine)
1 VIAL 00002759701 3
PDPs
11
MAPDs
ZYPREXA 15 MG TABLET
(Olanzapine)
30 EA   00002441530 3
PDPs
7
MAPDs
ZYPREXA 2.5MG 30 TABLET BOTTLE
(Olanzapine)
30 TABLET in 1 BOTTLE   00002411230 3
PDPs
7
MAPDs
ZYPREXA 20MG TABLET
(Olanzapine)
30 BOT 00002442030 3
PDPs
7
MAPDs
ZYPREXA 5MG TABLET (30 BOT)
(Olanzapine)
30 BOT 00002411530 3
PDPs
7
MAPDs
ZYPREXA 7.5 MG TABLET
(Olanzapine)
30 EA   00002411630 3
PDPs
7
MAPDs
ZYPREXA Relprevv 1 KIT in 1 CARTON
(Olanzapine Pamoate)
1 KIT in 1 CARTON   00002763511 67
PDPs
382
MAPDs
ZYPREXA ZYDIS 10MG TABLET
(Olanzapine)
30 BLPK 00002445485 3
PDPs
7
MAPDs
ZYPREXA ZYDIS 15MG TABLET
(Olanzapine)
30 BLPK 00002445585 3
PDPs
7
MAPDs
ZYPREXA ZYDIS 20MG TABLET
(Olanzapine)
30 BLPK 00002445685 3
PDPs
7
MAPDs
ZYPREXA ZYDIS 5MG TABLET (30 BLPK)
(Olanzapine)
30 BLPK 00002445385 3
PDPs
7
MAPDs



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


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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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  • 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.
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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.
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  • 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.