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2021 Medicare Part D Formulary Search By Drug Letter

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 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 2021 Formularies
PDPs MAPDs
AMARYL 1MG TABLET
(Glimepiride)
100 BOT 00039022110 3
PDPs
10
MAPDs
AMARYL 2MG TABLET
(Glimepiride)
100 BOT 00039022210 3
PDPs
10
MAPDs
AMARYL 4MG TABLET
(Glimepiride)
100 BOT 00039022310 3
PDPs
10
MAPDs
BAQSIMI 3 MG SPRAY TWO PACK
(Glucagon)
2 units   00002614527 29
PDPs
217
MAPDs
BEVESPI AEROSPHERE INHALER
(Glycopyrrolate and formoterol fumarate)
10.700 GM   00310460012 20
PDPs
131
MAPDs
BREZTRI AEROSPHERE INHALER HFA AER AD
(Budesonide, Glycopyrrolate, Formoterol)
10.7 GRAMS   00310461612 30
PDPs
286
MAPDs
COPAXONE 20MG/ML 30 BLISTER PACK IN 1 CRTN
(Glatiramer Acetate)
    68546031730 47
PDPs
168
MAPDs
COPAXONE 40 MG/ML SYRINGE
(Glatiramer Acetate)
1 ML   68546032512 47
PDPs
181
MAPDs
CROMOLYN 100 MG/5 ML ORAL CONC [Gastrocrom]
(Cromolyn )
480 MLS   42571013252 68
PDPs
397
MAPDs
CUVPOSA 1 MG/5 ML SOLUTION
(Glycopyrrolate)
    00259050116 4
PDPs
65
MAPDs
DAURISMO 100 MG TABLET
(Glasdegib)
tablets   00069153130 68
PDPs
397
MAPDs
DAURISMO 25 MG TABLET
(Glasdegib)
tablets   00069029860 68
PDPs
397
MAPDs
EMGALITY 120 MG/ML PEN INJCTR
(Galcanezumab)
1 ml   00002143611 40
PDPs
280
MAPDs
EMGALITY 120 MG/ML SYRINGE
(Galcanezumab)
1 ml   00002237711 34
PDPs
279
MAPDs
EMGALITY 300 MG (100 MG X3SYR) SYRINGE
(Galcanezumab)
3 mls   00002311509 31
PDPs
260
MAPDs
ENDARI 5 GRAM POWDER PACKET
(Glutamine Powder (For Sickle Cell Disease))
1 unit   42457042060 24
PDPs
242
MAPDs
GABAPENTIN 100 MG CAPSULE [Neurontin]
(Gabapentin)
90 capsules   69097081312 68
PDPs
397
MAPDs
GABAPENTIN 250 MG/5 ML SOLUTION [Neurontin]
(Gabapentin)
30 mls   65162069890 68
PDPs
397
MAPDs
GABAPENTIN 300 MG CAPSULE [Neurontin]
(Gabapentin)
90 capsules   69097094312 68
PDPs
397
MAPDs
GABAPENTIN 400 MG CAPSULE [Neurontin]
(Gabapentin)
90 capsules   67877022405 68
PDPs
397
MAPDs
GABAPENTIN 600 MG TABLET
(Gabapentin)
500.000 EA   68462012605 68
PDPs
397
MAPDs
GABAPENTIN 800 MG TABLET
(Gabapentin)
500.000 EA   68462012705 68
PDPs
397
MAPDs
GABITRIL 12 MG TABLET
(Tiagabine HCl)
30 EA   63459041230 3
PDPs
12
MAPDs
GABITRIL 16mg/1
(Tiagabine HCl)
    63459041630 3
PDPs
9
MAPDs
GABITRIL 2mg/1
(Tiagabine HCl)
    63459040230 3
PDPs
9
MAPDs
GABITRIL 4mg/1
(Tiagabine HCl)
    63459040430 3
PDPs
9
MAPDs
GALAFOLD 123 MG CAPSULE
(Migalastat)
capsules   71904010001 13
PDPs
179
MAPDs
GALANTAMINE 4 MG/ML ORAL SOLUTION
(Galantamine Hydrobromide)
100 mL in 1 BOTTLE   00054013749 65
PDPs
377
MAPDs
GALANTAMINE ER 16 MG CAPSULE 24H PEL [Reminyl]
()
30 UNITS   65862074530 65
PDPs
389
MAPDs
GALANTAMINE ER 24 MG CAPSULE 24H PEL [Reminyl]
()
30 UNITS   65862074630 65
PDPs
389
MAPDs
GALANTAMINE ER 8 MG CAPSULE 24H PEL [Reminyl]
()
30 UNITS   65862074430 65
PDPs
389
MAPDs
GALANTAMINE HBR 12 MG TABLET [Reminyl]
()
180 TABLETS   57237005160 66
PDPs
390
MAPDs
GALANTAMINE HBR 4 MG TABLET [Reminyl]
()
60 tablets   57237004960 66
PDPs
390
MAPDs
GALANTAMINE HBR 8 MG TABLET [Reminyl]
()
60 TABLETS   57237005060 66
PDPs
390
MAPDs
GAMMAGARD LIQUID 10% VIAL
(Immune Globulin (Human) IV)
1 BOTTLE, GLASS in CARTON   00944270003 34
PDPs
325
MAPDs
GAMMAGARD S-D 10 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)
    00944265804 35
PDPs
310
MAPDs
GAMMAGARD S-D 5 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)
    00944265603 35
PDPs
310
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)
10 ML   76125090001 20
PDPs
236
MAPDs
GAMMAPLEX 10 GRAM/100 ML VIAL
(immune globulin)
    64208823506 39
PDPs
303
MAPDs
GAMMAPLEX 10 GRAM/200 ML VIAL
(immune globulin)
100 MLS   64208823403 37
PDPs
304
MAPDs
GAMMAPLEX 20 GRAM/200 ML VIAL
(immune globulin)
    64208823507 39
PDPs
304
MAPDs
GAMMAPLEX 5 GRAM/50 ML VIAL
(immune globulin)
    64208823505 39
PDPs
304
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS   13533080012 52
PDPs
338
MAPDs
GARDASIL 9 SYRINGE
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
    00006412102 68
PDPs
397
MAPDs
GARDASIL 9 VIAL
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
    00006411903 68
PDPs
397
MAPDs
GASTROCROM 100 MG/5 ML CONC
(Cromolyn Sodium Oral)
    00037067896 0
PDPs
1
MAPDs
GATIFLOXACIN 0.5% EYE DROPS [Zymaxid]
()
2.5 MLS   60758061525 26
PDPs
309
MAPDs
GATTEX 5 MG 30-VIAL KIT
(teduglutide)
1.000 EA   68875010201 68
PDPs
394
MAPDs
GAVILYTE-C SOLUTION
(Polyethylene Glycol 3350 Oral)
278.26 g in 1 BOTTLE   43386006019 68
PDPs
391
MAPDs
GAVILYTE-G SOLUTION
(Polyethylene Glycol 3350 Oral)
274.31 g in 1 BOTTLE   43386009019 59
PDPs
370
MAPDs
GAVILYTE-N SOLUTION
(Polyethylene Glycol 3350 Oral)
438.4 g in 1 BOTTLE   43386005019 68
PDPs
391
MAPDs
GAVRETO 100 MG CAPSULE
(Pralsetinib)
60 CAPSULES   50242021060 68
PDPs
397
MAPDs
GELNIQUE 10% GEL SACHET PACKET
(Oxybutynin Chloride)
GRAM   00023586111 2
PDPs
28
MAPDs
GEMFIBROZIL 600 MG TABLET
(Gemfibrozil)
500 EA   69097082112 68
PDPs
397
MAPDs
GEMMILY 1 MG-20 MCG CAPSULE [Taytulla]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)
28 CAPSULES   70700015284 12
PDPs
62
MAPDs
GEMTESA 75 MG TABLET
(Vibegron)
30 TABLETS   73336007530 3
PDPs
27
MAPDs
GENERESS FE CHEWABLE TABLET
(norethindrone and ethinyl estradiol and ferrous fumarate)
28 chewable tablets   00023603003 0
PDPs
4
MAPDs
GENERLAC 10 GM/15 ML SOLUTION
(Lactulose (Encephalopathy))
473.000 ML   60432003816 68
PDPs
389
MAPDs
GENGRAF 100 MG CAPSULE
(Cyclosporine Modified)
30 EA   00074310932 68
PDPs
389
MAPDs
GENGRAF 100MG/ML SOLUTION
(Cyclosporine Modified)
50 ML BOTGL 00074726950 68
PDPs
390
MAPDs
GENGRAF 25 MG CAPSULE
(Cyclosporine Modified)
30 EA   00074310832 68
PDPs
389
MAPDs
GENOTROPIN 13.8MG CARTRIDGE
(Somatropin For)
1 X 13.8 MG CTG 00013264681 25
PDPs
235
MAPDs
GENOTROPIN 5 MG CARTRIDGE
(Somatropin For)
1 PKGCOM 00013262681 25
PDPs
235
MAPDs
GENOTROPIN MINIQUICK 0.2MG
(Somatropin For)
7 X 0.2 MG VIALPAT 00013264902 25
PDPs
232
MAPDs
GENOTROPIN MINIQUICK 0.4MG
(Somatropin For)
7 X 0.4 MG VIALPAT 00013265002 25
PDPs
232
MAPDs
GENOTROPIN MINIQUICK 0.6MG
(Somatropin For)
7 X 0.6 MG VIALPAT 00013265102 25
PDPs
232
MAPDs
GENOTROPIN MINIQUICK 0.8MG
(Somatropin For)
7 X 0.8 MG VIALPAT 00013265202 25
PDPs
232
MAPDs
GENOTROPIN MINIQUICK 1.2MG
(Somatropin For)
7 VIALPAT 00013265402 25
PDPs
235
MAPDs
GENOTROPIN MINIQUICK 1.4MG
(Somatropin For)
7 VIALPAT 00013265502 25
PDPs
235
MAPDs
GENOTROPIN MINIQUICK 1.6MG
(Somatropin For)
7 VIALPAT 00013265602 25
PDPs
235
MAPDs
GENOTROPIN MINIQUICK 1.8MG
(Somatropin For)
7 VIALPAT 00013265702 25
PDPs
235
MAPDs
GENOTROPIN MINIQUICK 1MG
(Somatropin For)
7 X 1.0 MG VIALPAT 00013265302 25
PDPs
235
MAPDs
GENOTROPIN MINIQUICK 2MG
(Somatropin For)
7 X 2.0 MG VIALPAT 00013265802 25
PDPs
235
MAPDs
GENTAK 3MG/GM EYE OINTMENT
(Gentamicin Sulfate Ophth)
3.5 GM TUBE 17478028435 68
PDPs
382
MAPDs
GENTAMICIN 3 MG/ML EYE DROPS
(Gentamicin Sulfate Ophth)
5 ML   60758018805 68
PDPs
392
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 68
PDPs
391
MAPDs
GENTAMICIN SULFATE CREAM USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE 45802005635 68
PDPs
397
MAPDs
Gentamicin Sulfate in Sodium Chloride 60mg/50mL 50 mL in 1 BAG
(Gentamicin Sulfate)
50 mL in 1 BAG   00338050741 51
PDPs
310
MAPDs
GENTAMICIN SULFATE OINTMENT USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE 45802004635 68
PDPs
392
MAPDs
GENVOYA TABLET
(Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide Fumarate)
    61958190101 68
PDPs
397
MAPDs
GEODON 20 MG CAPSULE
(Ziprasidone HCl)
30 capsules   00049005260 3
PDPs
8
MAPDs
GEODON 20MG VIAL
(Ziprasidone HCl)
1 VIAL VIALSD 00049392083 22
PDPs
90
MAPDs
GEODON 40 MG CAPSULE
(Ziprasidone)
60 capsules   00049005460 3
PDPs
8
MAPDs
GEODON 60 MG CAPSULE
(Ziprasidone HCl)
30 capsules   00049005660 3
PDPs
8
MAPDs
GEODON 80 MG CAPSULE
(Ziprasidone HCl)
30 capsules   00049005860 3
PDPs
8
MAPDs
GILENYA 0.5 MG CAPSULE
(FINGOLIMOD HCL)
30 EA   00078060715 54
PDPs
389
MAPDs
GILOTRIF 20 MG TABLET
(afatinib)
30 EA   00597014130 68
PDPs
397
MAPDs
GILOTRIF 30 MG TABLET
(afatinib)
30 EA   00597013730 68
PDPs
397
MAPDs
GILOTRIF 40 MG TABLET
(afatinib)
30 EA   00597013830 68
PDPs
397
MAPDs
GIMOTI 15 MG NASAL SPRAY SPRAY/PUMP
(Metoclopramide)
MLS   72089030715 2
PDPs
21
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 2
PDPs
126
MAPDs
GLATIRAMER 20 MG/ML SYRINGE [Glatopa]
(Glatiramer)
mls   00378696093 45
PDPs
349
MAPDs
GLATIRAMER 40 MG/ML SYRINGE [Copaxone]
(Glatiramer Acetate)
1 ML   00378696112 45
PDPs
345
MAPDs
Glatopa 20 mg/ml syringe
(Glatiramer Acetate)
    00781323434 45
PDPs
309
MAPDs
GLATOPA 40 MG/ML SYRINGE
(Glatiramer)
12 mls   00781325089 45
PDPs
310
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT 00078040134 3
PDPs
9
MAPDs
GLEEVEC 400 MG TABLET
(Imatinib Mesylate)
30 EA   00078064930 3
PDPs
9
MAPDs
GLIMEPIRIDE 1 MG TABLET
(Glimepiride)
100.000 EA   16729000101 68
PDPs
397
MAPDs
GLIMEPIRIDE 2 MG TABLET
(Glimepiride)
100.000 EA   16729000201 68
PDPs
397
MAPDs
GLIMEPIRIDE 4 MG TABLET
(Glimepiride)
100.000 EA   16729000301 68
PDPs
397
MAPDs
GLIPIZIDE 10 MG TABLET
(Glipizide)
1000.000 EA   60505014201 68
PDPs
397
MAPDs
GLIPIZIDE 5 MG TABLET
(Glipizide)
1000.000 EA   60505014101 68
PDPs
397
MAPDs
GLIPIZIDE ER 10 MG TABLET ER 24 [Glucotrol XL]
()
30 UNITS   00591084501 68
PDPs
397
MAPDs
GLIPIZIDE ER 2.5MG TABLET SR OSMOTIC PUSH 24HR
(Glipizide)
30 BOTPL 00591090030 68
PDPs
397
MAPDs
GLIPIZIDE ER 5 MG TABLET ER 24 [Glucotrol XL]
()
90 UNITS   00591084401 68
PDPs
397
MAPDs
GLIPIZIDE-METFORMIN 2.5-250 MG TABLET [Metaglip]
(Glipizide, Metformin Hydrochloride)
360 TABLETS   23155011501 60
PDPs
386
MAPDs
GLIPIZIDE-METFORMIN 2.5-500 MG TABLET [Metaglip]
(Glipizide, Metformin Hydrochloride)
60 TABLETS   68382018501 60
PDPs
386
MAPDs
GLIPIZIDE-METFORMIN 5-500 MG TABLET [Metaglip]
(Glipizide, Metformin Hydrochloride)
60 TABLETS   68382018601 60
PDPs
386
MAPDs
GLOPERBA 0.6 MG/5 ML SOLUTION
(Colchicine)
150 MLS   75854080101 0
PDPs
22
MAPDs
GLUCAGEN 1MG HYPOKIT
(Glucagon HCl (rDNA) For)
1 X 1 MG PKGCOM 00169706515 55
PDPs
258
MAPDs
GLUCAGON 1 MG EMERGENCY KIT VIAL
(Glucagon (rDNA) For)
1 ML   00548585000 41
PDPs
250
MAPDs
Glucose 50 MG/ML / Potassium Chloride 0.02 MEQ/ML / Sodium Chloride 0.154 MEQ/ML Injectable Solution
()
    00338080304 42
PDPs
289
MAPDs
GLUCOTROL XL 10 MG TABLET
(Glipizide)
100.000 EA   00049017807 3
PDPs
10
MAPDs
GLUCOTROL XL 2.5 MG TABLET
(Glipizide)
30 EA 00049017001 3
PDPs
10
MAPDs
GLUCOTROL XL 5 MG TABLET ER 24
(Glipizide)
    00049017402 3
PDPs
10
MAPDs
GLUMETZA ER 1,000 MG TABLETERGR24H
(Metformin Hydrochloride)
30 UNITS   68012000316 1
PDPs
2
MAPDs
GLUMETZA ER 500 MG TABLETERGR24H
(Metformin Hydrochloride)
30 units   68012000450 1
PDPs
2
MAPDs
GLYBURID-METFORMIN 1.25-250 MG [Glucovance]
(Glyburide-Metformin)
100.000 EA   65862008001 26
PDPs
233
MAPDs
GLYBURIDE 1.25MG TABLETS
(Glyburide)
100 TABLETS BOT 00093834201 39
PDPs
234
MAPDs
GLYBURIDE 2.5MG TABLET (100 CT)
(Glyburide)
100 TABLETS BOT 00093834301 39
PDPs
234
MAPDs
GLYBURIDE 5 MG TABLET [Micronase]
()
30 TABLETS   23155005810 39
PDPs
234
MAPDs
GLYBURIDE MICRO 1.5 MG TABLET [Glynase PresTab]
(Glyburide)
20 TABLETS   00093803401 37
PDPs
230
MAPDs
GLYBURIDE MICRO 3 MG TABLET [Glynase PresTab]
(Glyburide)
90 TABLETS   00093803501 37
PDPs
230
MAPDs
GLYBURIDE MICRO 6 MG TABLET [Glynase PresTab]
(Glyburide)
60 TABLETS   00093803601 37
PDPs
230
MAPDs
GLYBURIDE-METFORMIN 2.5-500 MG
(Glyburide)
100.000 EA   65862008101 26
PDPs
233
MAPDs
GLYBURIDE-METFORMIN 5-500 MG
(Glyburide)
100.000 EA   65862008201 26
PDPs
233
MAPDs
GLYCOPYRROLATE 1 MG TABLET [Robinul]
(Glycopyrrolate)
60 tablets   13107001401 64
PDPs
389
MAPDs
GLYCOPYRROLATE TABLET 2MG (100 CT)
(Glycopyrrolate)
100 BOT 49884006601 64
PDPs
389
MAPDs
GLYXAMBI 10 MG-5 MG TABLET
(Empagliflozin and Linagliptin)
    00597018230 44
PDPs
263
MAPDs
GLYXAMBI 25 MG-5 MG TABLET
(Empagliflozin and Linagliptin)
    00597016430 44
PDPs
263
MAPDs
GOCOVRI ER 137 MG CAPSULE
(Amantadine)
    70482017060 9
PDPs
90
MAPDs
GOCOVRI ER 68.5 MG CAPSULE
(Amantadine)
    70482008560 9
PDPs
90
MAPDs
GOLYTELY SOLUTION 236 GM/2.97 GM/6 GM
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
4 L BOT 52268010001 14
PDPs
103
MAPDs
GONITRO 0.4 MG SUBLINGUAL PWD POWDER PACK
(Nitroglycerin)
1 UNIT   28595070536 0
PDPs
7
MAPDs
GRALISE ER 300 MG TABLET ER 24H
(Gabapentin)
90 TABLETS   52427080390 3
PDPs
60
MAPDs
GRALISE ER 600 MG TABLET ER 24H
(Gabapentin)
90 TABLETS   52427080690 3
PDPs
60
MAPDs
GRANISETRON HCL 1 MG TABLET [Kytril]
()
30 TABLETS   51991073520 53
PDPs
377
MAPDs
GRANIX 300 MCG/0.5 ML SYRINGE
(Tbo-Filgrastim)
5 mls   63459091017 21
PDPs
136
MAPDs
GRANIX 300 MCG/ML VIAL
(tbo-filgrastim)
ml   63459091853 20
PDPs
142
MAPDs
GRANIX 480 MCG/0.8 ML SYRINGE
(Tbo-Filgrastim)
5.6 mls   63459091217 21
PDPs
136
MAPDs
GRANIX 480 MCG/1.6 ML VIAL
(tbo-filgrastim)
mls   63459092053 20
PDPs
142
MAPDs
GRASTEK 2,800 BAU SUBLIGUAL TABLET
(timothy grass pollen allergen extract)
TABLETS   52709150103 3
PDPs
22
MAPDs
GRISEOFULVIN 125 MG/5 ML ORAL SUSPENSION [Grifulvin V]
(Griseofulvin Microsize)
120 mls   69097036108 68
PDPs
393
MAPDs
GRISEOFULVIN MICRO 500 MG TABLET
(Griseofulvin Microsize)
100 EA   00781551501 44
PDPs
330
MAPDs
GRISEOFULVIN ULTRA 125 MG TABLET [Gris-Peg]
(Griseofulvin, Ultramicrocrystalline)
84 tablets   00115172401 59
PDPs
348
MAPDs
GRISEOFULVIN ULTRA 250 MG TABLET [Gris-Peg]
(Griseofulvin, Ultramicrocrystalline)
30 tablets   00115172501 59
PDPs
348
MAPDs
GUANFACINE 1 MG TABLET [Tenex]
(Guanfacine HCl)
30 TABLETS   65162071110 31
PDPs
284
MAPDs
GUANFACINE 2 MG TABLET
(Guanfacine HCl)
100.000 EA   65162071310 31
PDPs
284
MAPDs
GUANFACINE HCL ER 1 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053301 33
PDPs
317
MAPDs
GUANFACINE HCL ER 2 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053401 33
PDPs
317
MAPDs
GUANFACINE HCL ER 3 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053601 33
PDPs
317
MAPDs
GUANFACINE HCL ER 4 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053801 33
PDPs
317
MAPDs
GVOKE 0.5 MG/0.1 ML SYRINGE
(Glucagon)
0.2 ml   72065013012 39
PDPs
283
MAPDs
GVOKE 1 MG/0.2 ML SYRINGE
(Glucagon)
0.4 ml   72065013112 39
PDPs
285
MAPDs
GVOKE HYPOPEN 2-PK 1 MG/0.2 ML AUTO INJECTOR
(Glucagon)
0.4 ML   72065012112 41
PDPs
294
MAPDs
GVOKE HYPOPEN 2PK 0.5MG/0.1 ML AUTO INJECTOR
(Glucagon)
0.1 ML   72065012012 41
PDPs
292
MAPDs
GYNAZOLE-1 2% CREAM
(Butoconazole Nitrate (One Dose) Vaginal)
5 GM   45802039601 0
PDPs
23
MAPDs
HORIZANT ER 300 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010301 1
PDPs
17
MAPDs
HORIZANT ER 600 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010101 1
PDPs
17
MAPDs
IMATINIB MESYLATE 100 MG TABLET [Gleevec]
()
90 TABLETS   47335047281 68
PDPs
397
MAPDs
IMATINIB MESYLATE 400 MG TABLET [Gleevec]
()
30 tablets   00093763056 68
PDPs
397
MAPDs
IRESSA 250 MG TABLET
(Gefitinib)
30 EA   00310048230 68
PDPs
397
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG 00338050348 52
PDPs
315
MAPDs
ISOTONIC GENTAMICIN 100 MG/100 ML
(Gentamicin in Saline)
100 ML   00338050548 51
PDPs
317
MAPDs
ISOTONIC GENTAMICIN 80 MG/50 ML
(Gentamicin in Saline)
50 ML   00338050941 51
PDPs
310
MAPDs
LONHALA MAGNAIR 25 MCG REFILL VIAL-NEB
(Glycopyrrolate)
mls   63402030101 5
PDPs
84
MAPDs
LOPID 600 MG TABLET
(Gemfibrozil)
60 EA   00071073720 3
PDPs
8
MAPDs
MAVYRET 100-40 MG TABLET
(Glecaprevir and Pibrentasvir)
84 EA   00074262528 29
PDPs
304
MAPDs
METFORMIN ER 1,000 MG GASTR-TB TABERGR24H [Glumetza]
(Metformin Hydrochloride)
180 units   68682001890 1
PDPs
6
MAPDs
METFORMIN ER 500 MG GASTRC-TB TABERGR24H [Glumetza]
(Metformin Hydrochloride)
90 UNITS   68682002150 2
PDPs
13
MAPDs
METFORMIN ER 500 MG OSMOTIC TABLET ER 24 [Glumetza]
(Metformin HCl)
30 UNITS   50742063360 4
PDPs
23
MAPDs
METFORMIN HCL 850 MG TABLET [Glucophage]
(Metformin Hydrochloride)
180 TABLETS   23155010305 68
PDPs
397
MAPDs
METFORMIN HCL ER 750 MG TABLET ER 24H [Glucophage XR]
(Metformin Hydrochloride)
60 TABLETS   62756014301 68
PDPs
397
MAPDs
MIGLITOL 100 MG TABLET [Glyset]
(Miglitol)
    57664068688 7
PDPs
218
MAPDs
MIGLITOL 25 MG TABLET [Glyset]
(Miglitol)
    57664068488 7
PDPs
221
MAPDs
MIGLITOL 50 MG TABLET [Glyset]
(Miglitol)
    57664068588 7
PDPs
218
MAPDs
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M
(Neomycin-Polymyxin B-Gramicidin Ophth)
10 ML BOT 24208079062 68
PDPs
393
MAPDs
NEURONTIN 100MG CAPSULE
(Gabapentin)
100 BOT 00071080324 3
PDPs
8
MAPDs
NEURONTIN 250 MG/5 ML SOLUTION
(Gabapentin)
60 MLS   00071201244 3
PDPs
8
MAPDs
NEURONTIN 300MG CAPSULE
(Gabapentin)
100 BOT 00071080524 3
PDPs
8
MAPDs
NEURONTIN 400MG CAPSULE
(Gabapentin)
100 BOT 00071080624 3
PDPs
8
MAPDs
NEURONTIN 600MG TABLET
(Gabapentin)
100 BOT 00071051324 3
PDPs
8
MAPDs
NEURONTIN 800MG TABLET
(Gabapentin)
100 BOT 00071040124 3
PDPs
8
MAPDs
ORALAIR 300 IR SUBLINGUAL TAB
(Grass Pollen Allergen Extract)
30 EA   59617001502 18
PDPs
62
MAPDs
PIOGLITAZONE-GLIMEPIRIDE 30-2 TABLET [Duetact]
(Pioglitazone, Glimepiride)
tablets   66993082130 21
PDPs
175
MAPDs
PIOGLITAZONE-GLIMEPIRIDE 30-4 Tablet [Duetact]
(Pioglitazone, Glimepiride)
30 tablets   66993082230 21
PDPs
175
MAPDs
PRED G OPHTHALMIC SUSPENSION 1;0.3%;% 5 ML BOTDR
(Gentamicin-Prednisolone Ace Ophth)
5 ML BOTDR 00023010605 7
PDPs
146
MAPDs
PRED-G S.O.P. EYE OINTMENT
(Gentamicin-Prednisolone Ace Ophth)
3.5 GM TUBE 00023006604 8
PDPs
110
MAPDs
QBREXZA 2.4% CLOTH TOWELETTE
(Glycopyrronium)
30 units   70428001112 0
PDPs
15
MAPDs
RAVICTI 1.1 GRAM/ML LIQUID
(Glycerol Phenylbutyrate)
25 ML   75987005006 23
PDPs
258
MAPDs
RAZADYNE ER 16MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038830 3
PDPs
8
MAPDs
RAZADYNE ER 24MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038930 3
PDPs
8
MAPDs
RAZADYNE ER 8MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038730 3
PDPs
8
MAPDs
SANCUSO TRANSDERMAL SYSTEM 3.1MG/24HRS 1 PATCH CRTN
(Granisetron Transdermal)
1 PATCH CRTN 42747072601 13
PDPs
137
MAPDs
SIMPONI 100 MG/ML PEN INJECTOR
(Golimumab Subcutaneous)
1 ML   57894007102 2
PDPs
157
MAPDs
SIMPONI 100 MG/ML SYRINGE
(Golimumab Subcutaneous)
1 ML   57894007101 2
PDPs
153
MAPDs
SIMPONI 50 MG/0.5 ML PEN INJEC
(Golimumab Subcutaneous)
0.5 ML   57894007002 2
PDPs
154
MAPDs
SIMPONI GOLIMUMAB INJECTION 50MG/0.5ML 1 50 MG SINGLE DOSE SYR SYR
(Golimumab Subcutaneous)
1 50 MG SINGLE DOSE SYR SYR 57894007001 2
PDPs
157
MAPDs
TIAGABINE HCL 12 MG TABLET [Gabitril]
()
30 tablets   00093807256 68
PDPs
397
MAPDs
TIAGABINE HCL 16 MG TABLET [Gabitril]
()
tablets   00093807656 68
PDPs
397
MAPDs
TIAGABINE HCL 2 MG TABLET [Gabitril]
()
60 TABLETS   62756020083 68
PDPs
397
MAPDs
TIAGABINE HCL 4 MG TABLET [Gabitril]
()
30 tablets   00093503156 68
PDPs
397
MAPDs
TREMFYA 100 MG/ML AUTOINJECTOR
(Guselkumab)
ml   57894064011 17
PDPs
165
MAPDs
TREMFYA 100 MG/ML SYRINGE
(Guselkumab)
    57894064001 17
PDPs
165
MAPDs
XOSPATA 40 MG TABLET
(Gilteritinib)
tablets   00469142590 68
PDPs
397
MAPDs
ZIPRASIDONE 20 MG/ML VIAL [Geodon]
()
1 ML   43598084858 68
PDPs
392
MAPDs
ZIPRASIDONE HCL 20 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025660 68
PDPs
397
MAPDs
ZIPRASIDONE HCL 40 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025760 68
PDPs
397
MAPDs
ZIPRASIDONE HCL 60 MG CAPSULE [Geodon]
(Ziprasidone HCl)
    55111025860 68
PDPs
397
MAPDs
ZIPRASIDONE HCL 80 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025960 68
PDPs
397
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 49
PDPs
352
MAPDs
ZYMAXID 5mg/mL 1 BOTTLE, DROPPER per CARTON / 2.5 mL in 1 BOTTLE, DROPPER
(Gatifloxacin Ophth)
1 BOTTLE, DROPPER   00023361525 0
PDPs
1
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2021)


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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.