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2021 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:
A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z
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 2021 Formularies
PDPs MAPDs
ALOGLIPTIN-PIOGLIT 12.5-15 MG [Oseni]
(Alogliptin / Pioglitazone)		     45802023865 1
PDPs		 26
MAPDs
ALOGLIPTIN-PIOGLIT 12.5-30 MG [Oseni]
(Alogliptin / Pioglitazone)		     45802026065 1
PDPs		 26
MAPDs
ALOGLIPTIN-PIOGLIT 12.5-45 MG [Oseni]
(Alogliptin / Pioglitazone)		     45802030465 1
PDPs		 26
MAPDs
ALOGLIPTIN-PIOGLIT 25-15 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)		     45802035165 1
PDPs		 26
MAPDs
ALOGLIPTIN-PIOGLIT 25-30 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)		     45802040265 1
PDPs		 26
MAPDs
ALOGLIPTIN-PIOGLIT 25-45 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)		     45802049965 1
PDPs		 26
MAPDs
AZELASTINE HCL 0.05% EYE DROPS [Optivar]
(Azelastine HCl Ophth)		 6 mls   60505057804 68
PDPs		 392
MAPDs
BENICAR 20 MG TABLET
(Olmesartan Medoxomil)		 30.000 EA   65597010330 3
PDPs		 13
MAPDs
BENICAR 40 MG TABLET
(Olmesartan Medoxomil)		 30.000 EA   65597010430 3
PDPs		 13
MAPDs
BENICAR 5MG TABLET
(Olmesartan Medoxomil)		 30 BOT 65597010130 3
PDPs		 13
MAPDs
BENICAR HCT 20-12.5 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)		 30.000 EA   65597010530 3
PDPs		 13
MAPDs
BENICAR HCT 40-25 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)		 30.000 EA   65597010730 3
PDPs		 13
MAPDs
BENICAR HCT TABLET 12.5-40MG (30 CT)
(Olmesartan Medoxomil-Hydrochlorothiazide)		 30 BOT 65597010630 3
PDPs		 13
MAPDs
BUTALBITAL-ACETAMINOPHN 50-300 TABLET [ORBIVAN CF]
(Butalbital, Acetaminophen)		 30 TABLETS   68682030601 1
PDPs		 17
MAPDs
CEFDINIR 125 MG/5 ML ORAL SUSPENSION [Omnicef]
()		 60 MLS   68180072205 67
PDPs		 395
MAPDs
CEFDINIR 250 MG/5 ML ORAL SUSPENSION [Omnicef]
()		 60 MLS   00781607861 67
PDPs		 395
MAPDs
CLOBAZAM 10 MG TABLET [ONFI]
(Clobazam)		 60 tablets   51991090001 68
PDPs		 397
MAPDs
CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [ONFI]
(Clobazam)		 120 mls   69238153502 68
PDPs		 397
MAPDs
CLOBAZAM 20 MG TABLET [ONFI]
(Clobazam)		 60 tablets   51991090101 68
PDPs		 397
MAPDs
CLOBETASOL EMOLLNT 0.05% FOAM [Olux-E]
(Clobetasol)		 50 grams   45802063733 11
PDPs		 125
MAPDs
CLOBETASOL PROP 0.05% FOAM [Olux]
(Clobetasol Propionate)		 50 grams   50742030450 19
PDPs		 188
MAPDs
DAYPRO 600MG CAPLET
(Oxaprozin)		 100 BOT 00025138131 3
PDPs		 8
MAPDs
DIPENTUM 250 MG CAPSULE
(Olsalazine Sodium)		     00037686010 21
PDPs		 214
MAPDs
DITROPAN XL 10 MG TABLET
(Oxybutynin Chloride)		 100 EA   50458081001 3
PDPs		 8
MAPDs
DITROPAN XL 5 MG TABLET
(Oxybutynin Chloride)		 100 EA   50458080501 3
PDPs		 8
MAPDs
DOXYCYCLINE MONO 75 MG CAPSULE [Okebo]
(Doxycycline Monohydrate)		 30 CAPSULES   51862004101 14
PDPs		 108
MAPDs
ENDOCET 10MG-325MG TABLET
(Oxycodone w/ Acetaminophen)		 100 BOT 60951071270 68
PDPs		 386
MAPDs
ENDOCET 5/325 TABLET
(Oxycodone w/ Acetaminophen)		 500 BOT 60951060285 68
PDPs		 388
MAPDs
ENDOCET 7.5-325MG TABLET
(Oxycodone w/ Acetaminophen)		 100 BOT 60951070070 68
PDPs		 385
MAPDs
FLURBIPROFEN 0.03% EYE DROPS [Ocufen]
(Flurbiprofen Sodium Ophth)		 2.5 mls   69292072225 65
PDPs		 394
MAPDs
GELNIQUE 10% GEL SACHET PACKET
(Oxybutynin Chloride)		 GRAM   00023586111 2
PDPs		 28
MAPDs
ISTURISA 1 MG TABLET
(Osilodrostat)		 20 TABLETS   55292032060 7
PDPs		 137
MAPDs
ISTURISA 10 MG TABLET
(Osilodrostat)		 20 TABLETS   55292032260 7
PDPs		 137
MAPDs
ISTURISA 5 MG TABLET
(Osilodrostat)		 20 TABLETS   55292032160 7
PDPs		 137
MAPDs
KESIMPTA 20 MG/0.4 ML PEN INJECTOR
(Ofatumumab)		 MLS   00078100768 8
PDPs		 179
MAPDs
KETOPROFEN 25 MG CAPSULE [Orudis]
(Ketoprofen)		 90 capsules   69336012710 18
PDPs		 155
MAPDs
KETOPROFEN 50 MG CAPSULE [Orudis]
(Ketoprofen)		 15 CAPSULES   23155002101 16
PDPs		 159
MAPDs
KETOPROFEN 75 MG CAPSULE [Orudis]
(Ketoprofen)		 CAPSULES   23155002201 16
PDPs		 160
MAPDs
LOVAZA 1 GM CAPSULE [Triklo]
(Omega-3-Acid Ethyl Esters, Eicosapentaenoic Acid (EPA), Docosahexaenoic Acid (DHA))		 120 CAPSULES   69784042012 3
PDPs		 8
MAPDs
LOW-OGESTREL-28 TABLET [Low-Ogestrel]
(Inert;Norgestrel, Ethinyl Estradiol)		 28 tablets   51862056406 66
PDPs		 370
MAPDs
LYNPARZA 100 MG TABLET
(Olaparib)		 120 EA   00310066812 68
PDPs		 397
MAPDs
LYNPARZA 150 MG TABLET
(Olaparib)		 120 EA   00310067912 68
PDPs		 397
MAPDs
MYCAPSSA DR 20 MG CAPSULE DR
(Octreotide)		 UNITS   69880012028 4
PDPs		 57
MAPDs
NITISINONE 10 MG CAPSULE [Orfadin]
()		 CAPSULES   00254302202 66
PDPs		 379
MAPDs
NITISINONE 2 MG CAPSULE [Orfadin]
()		 CAPSULES   00254302002 66
PDPs		 379
MAPDs
NITISINONE 5 MG CAPSULE [Orfadin]
()		 CAPSULES   00254302102 66
PDPs		 379
MAPDs
NORGESIC FORTE 50-770-60 MG TABLET [Orphengesic Forte]
(Aspirin, Caffeine, Orphenadrine Citrate)		 20 TABLETS   50991099960 0
PDPs		 2
MAPDs
NUZYRA 100 MG VIAL
(Omadacycline)		 ml   71715000102 5
PDPs		 27
MAPDs
NUZYRA 150 MG TABLET
(Omadacycline)		 tablets   71715000221 10
PDPs		 116
MAPDs
OCALIVA 10 MG TABLET
(OBETICHOLIC ACID)		 30.000 EA   69516001030 30
PDPs		 232
MAPDs
OCALIVA 5 MG TABLET
(OBETICHOLIC ACID)		 30.000 EA   69516000530 29
PDPs		 231
MAPDs
OCELLA 3MG/0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)		 3 X 28 PKG 00555913167 60
PDPs		 306
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)		     68982085001 31
PDPs		 279
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)		     68982084001 31
PDPs		 279
MAPDs
OCTREOTIDE 1,000 MCG/ML VIAL [Sandostatin]
()		 15 MLS   00703334301 68
PDPs		 393
MAPDs
OCTREOTIDE ACET 0.05 MG/ML VL
(Octreotide Acetate)		 1.000 ML   00703330104 68
PDPs		 396
MAPDs
OCTREOTIDE ACET 100 MCG/ML VIAL [Sandostatin]
()		 90 MLS   63323037601 68
PDPs		 396
MAPDs
OCTREOTIDE ACET 200 MCG/ML VIAL [Sandostatin]
()		 10 mls   00703333301 68
PDPs		 394
MAPDs
OCTREOTIDE ACET 500 MCG/ML VL
(Octreotide Acetate)		 1.000 ML   63323037701 66
PDPs		 396
MAPDs
OCUFLOX 0.3% EYE DROPS
(Ofloxacin Ophth)		 5 ML BOT 11980077905 3
PDPs		 10
MAPDs
OCUTRICIN EYE OINTMENT 400UNT/3.5MG/10UNT
(Bacitracin-Polymyxin-Neomycin Ophth)		 3.5 GRAM TUBE 24208078055 57
PDPs		 379
MAPDs
ODACTRA 12 SQ-HDM SUBLIGUAL TABLET
(Dermatophagoides farinae, Dermatophagoides pteronyssinus)		 30 TABLETS   52709170103 2
PDPs		 40
MAPDs
ODEFSEY TABLET
(Emtricitabine, Rilpivirine Hydrochloride, and Tenofovir Alafenamide Fumarate)		     61958210101 68
PDPs		 397
MAPDs
ODOMZO 200 MG CAPSULE
(Sonidegib)		     47335030383 68
PDPs		 397
MAPDs
OFEV 100 MG CAPSULE
(Nintedanib)		 60 EA   00597014360 62
PDPs		 396
MAPDs
OFEV 150 MG CAPSULE
(Nintedanib)		 60 EA   00597014560 68
PDPs		 397
MAPDs
OFLOXACIN 0.3 % DRP
(Ofloxacin Ophth)		 5 ML   17478071310 65
PDPs		 397
MAPDs
OFLOXACIN 0.3% EAR DROPS [Floxin]
(Ofloxacin)		 5 mls   60505036301 64
PDPs		 397
MAPDs
OFLOXACIN 300 MG TABLET [Floxin]
(Ofloxacin)		 14 TABLETS   75834011950 15
PDPs		 159
MAPDs
OFLOXACIN 400 MG TABLET [Floxin]
(Ofloxacin)		 10 TABLETS   75834011250 28
PDPs		 254
MAPDs
OLANZAPINE 10 MG TABLET [Zyprexa]
(Olanzapine)		 30 TABLETS   33342007007 68
PDPs		 397
MAPDs
OLANZAPINE 10 MG VIAL
(Olanzapine)		     00517095501 68
PDPs		 396
MAPDs
OLANZAPINE 15 MG TABLET [Zyprexa]
(Olanzapine)		 30 EA   55111016730 68
PDPs		 397
MAPDs
OLANZAPINE 2.5 MG TABLET [Zyprexa]
(Olanzapine)		 30 TABLETS   33342006707 68
PDPs		 397
MAPDs
OLANZAPINE 20 MG TABLET [Zyprexa]
(Olanzapine)		 30 TABLETS   33342007207 68
PDPs		 397
MAPDs
OLANZAPINE 5 MG TABLET [Zyprexa]
(Olanzapine)		 30 TABLETS   33342006807 68
PDPs		 397
MAPDs
OLANZAPINE 7.5 MG TABLET [Zyprexa]
(Olanzapine)		 30.000 EA   43598016530 68
PDPs		 397
MAPDs
OLANZAPINE ODT 10 MG TABLET RAPDIS [Zyprexa Zydis]
()		 30 EA   33342008407 68
PDPs		 397
MAPDs
OLANZAPINE ODT 15 MG TABLET RAPDIS [Zyprexa Zydis]
()		 30 UNITS   60505327703 68
PDPs		 397
MAPDs
OLANZAPINE ODT 20 MG TABLET RAPDIS [Zyprexa Zydis]
()		 30 EA   33342008607 68
PDPs		 397
MAPDs
OLANZAPINE ODT 5 MG TABLET RAPDIS [Zyprexa Zydis]
()		 30 UNITS   60505327503 68
PDPs		 397
MAPDs
OLANZAPINE-FLUOXETINE 12-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)		 30.000 EA   49884025211 7
PDPs		 199
MAPDs
OLANZAPINE-FLUOXETINE 12-50 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)		 30.000 EA   49884025311 7
PDPs		 199
MAPDs
OLANZAPINE-FLUOXETINE 3-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)		     49884027711 6
PDPs		 197
MAPDs
OLANZAPINE-FLUOXETINE 6-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)		 30.000 EA   49884025011 7
PDPs		 199
MAPDs
OLANZAPINE-FLUOXETINE 6-50 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)		 30.000 EA   49884025111 7
PDPs		 199
MAPDs
OLMESARTAN MEDOXOMIL 20 MG TABLET [Benicar]
(Olmesartan Medoxomil)		 30 tablets   62332013230 64
PDPs		 382
MAPDs
OLMESARTAN MEDOXOMIL 40 MG TABLET [Benicar]
(Olmesartan Medoxomil)		 30 tablets   62332013330 64
PDPs		 382
MAPDs
OLMESARTAN MEDOXOMIL 5 MG TABLET [Benicar]
(Olmesartan Medoxomil)		 30 TABLETS   68462043630 64
PDPs		 382
MAPDs
OLMESARTAN-HCTZ 20-12.5 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)		 30 TABLETS   62332014930 63
PDPs		 381
MAPDs
OLMESARTAN-HCTZ 40-12.5 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)		 30 TABLETS   62332015030 63
PDPs		 381
MAPDs
OLMESARTAN-HCTZ 40-25 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)		 30 TABLETS   62332015130 63
PDPs		 381
MAPDs
OLMSRTN-AMLDPN-HCTZ 20-5-12.5 TABLET [Tribenzor]
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 30 TABLETS   57664079699 37
PDPs		 261
MAPDs
OLMSRTN-AMLDPN-HCTZ 40-10-12.5 TABLET [Tribenzor]
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 30 TABLETS   57664079899 37
PDPs		 261
MAPDs
OLMSRTN-AMLDPN-HCTZ 40-10-25MG TABLET [Tribenzor]
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 30 TABLETS   57664080099 37
PDPs		 261
MAPDs
OLMSRTN-AMLDPN-HCTZ 40-5-12.5 TABLET [Tribenzor]
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 30 TABLETS   57664079799 37
PDPs		 261
MAPDs
OLMSRTN-AMLDPN-HCTZ 40-5-25 MG TABLET [Tribenzor]
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 30 TABLETS   57664079999 37
PDPs		 261
MAPDs
OLOPATADINE 665 MCG NASAL SPRY SPRAY/PUMP [Patanase]
(Olopatadine Hydrochloride)		 30.5 GRAMS   45802010401 22
PDPs		 219
MAPDs
OLOPATADINE HCL 0.1% EYE DROPS
(OLOPATADINE HCL)		 5 ML   60505057501 41
PDPs		 308
MAPDs
OLOPATADINE HCL 0.2% EYE DROPS [Pataday]
(Olopatadine Hydrochloride)		 2.5 MLS   60505058604 53
PDPs		 349
MAPDs
OLUMIANT 1 MG TABLET
(Baricitinib)		 tablets   00002473230 2
PDPs		 126
MAPDs
OLUMIANT 2 MG TABLET
(Baricitinib)		 tablets   00002418230 2
PDPs		 126
MAPDs
OLUX 0.05% FOAM
(Clobetasol Propionate)		 50 grams   00378818250 1
PDPs		 1
MAPDs
OLUX-E 0.05% FOAM
(Clobetasol Propionate)		 100 grams   00378814750 0
PDPs		 1
MAPDs
OMECLAMOX-PAK COMBO PACK
(Omeprazole, Clarithromycin, Amoxicillin)		 80 EA   66220042202 0
PDPs		 10
MAPDs
OMEGA-3 ETHYL ESTERS 1 GM CAPSULE [Lovaza]
(Omega-3-acid Ethyl Esters)		 120 EA   60505317007 49
PDPs		 329
MAPDs
OMEPRAZOLE DR 10 MG CAPSULE DR [Prilosec]
()		 30 UNITS   00781285931 68
PDPs		 397
MAPDs
OMEPRAZOLE DR 20 MG CAPSULE DR [Prilosec]
()		 30 units   55111015810 68
PDPs		 397
MAPDs
OMEPRAZOLE DR 40 MG CAPSULE DR [Prilosec]
()		 1000 EA   68462039710 68
PDPs		 397
MAPDs
OMEPRAZOLE-BICARB 20-1,100 CAPSULE [Zegerid]
(Omeprazole, Sodium Bicarbonate)		 90 capsules   27241003103 1
PDPs		 64
MAPDs
OMEPRAZOLE-BICARB 20-1,680 PACKET [Zegerid]
(Omeprazole, Sodium Bicarbonate)		 8 UNITS   27241002931 0
PDPs		 8
MAPDs
OMEPRAZOLE-BICARB 40-1,100 CAPSULE [Zegerid]
(Omeprazole, Sodium Bicarbonate)		 30 CAPSULES   27241003203 1
PDPs		 59
MAPDs
OMEPRAZOLE-BICARB 40-1,680 PACKET [Zegerid]
(Omeprazole, Sodium Bicarbonate)		 30 units   27241003031 0
PDPs		 8
MAPDs
OMNARIS 50 MCG NASAL SPRAY/PUMP
(Ciclesonide Nasal)		 12.5 grams   70515070101 3
PDPs		 34
MAPDs
OMNITROPE FOR INJECTION KIT 5.8MG 1 BOX PKGCOM
(Somatropin For)		 1 BOX PKGCOM 00781400436 30
PDPs		 190
MAPDs
OMNITROPE INJECTION 10MG/1.5ML 10MG X 1.5ML CTG
(Somatropin For)		 10MG X 1.5ML CTG 00781300407 30
PDPs		 203
MAPDs
OMNITROPE INJECTION 5MG/1.5ML 1.5 ML CTG
(Somatropin For)		 1.5 ML CTG 00781300107 30
PDPs		 204
MAPDs
ONDANSETRON 4 MG/5 ML SOLUTION [Zofran]
(Ondansetron)		 50 MLS   65162069179 59
PDPs		 363
MAPDs
ONDANSETRON HCL 24 MG TABLET
(Ondansetron HCl)		 1 EA   55111015611 67
PDPs		 365
MAPDs
ONDANSETRON HCL 4 MG TABLET [Zofran]
(Ondansetron)		 30 tablets   65862018730 68
PDPs		 397
MAPDs
ONDANSETRON HCL 8 MG TABLET [Zofran]
(Ondansetron)		 30 tablets   65862018830 68
PDPs		 397
MAPDs
ONDANSETRON ODT 4 MG TABLET
(Ondansetron Orally Disintegrating)		 30 EA   57237007710 68
PDPs		 397
MAPDs
ONDANSETRON ODT 8 MG TABLET RAPDIS [Zofran ODT]
()		 10 UNITS   65862039110 68
PDPs		 397
MAPDs
ONEXTON GEL PUMP
(Clindamycin / Benzoyl Peroxide)		     00187305050 0
PDPs		 4
MAPDs
ONFI 10 MG TABLET
(Clobazam)		 100 EA   67386031401 3
PDPs		 12
MAPDs
ONFI 2.5 MG/ML SUSPENSION
(Clobazam)		 120 ML   67386031321 3
PDPs		 12
MAPDs
ONFI 20 MG TABLET
(Clobazam)		 100 EA   67386031501 3
PDPs		 12
MAPDs
ONGENTYS 25 MG CAPSULE
(Opicapone)		 CAPSULES   70370302502 2
PDPs		 83
MAPDs
ONGENTYS 50 MG CAPSULE
(Opicapone)		 90 CAPSULES   70370305002 2
PDPs		 83
MAPDs
ONGLYZA 2.5 MG TABLET
(Saxagliptin HCl)		 30.000 EA   00310610030 23
PDPs		 92
MAPDs
ONGLYZA 5 MG TABLET
(Saxagliptin HCl)		 30.000 EA   00310610530 23
PDPs		 92
MAPDs
ONUREG 200 MG TABLET
(Azacitidine)		 7 TABLETS   59572073014 68
PDPs		 397
MAPDs
ONUREG 300 MG TABLET
(Azacitidine)		 7 TABLETS   59572074014 68
PDPs		 397
MAPDs
ONZETRA XSAIL 11 MG/NOSEPIECE AER POW BA
(Sumatriptan)		 UNITS   42847031108 1
PDPs		 8
MAPDs
OPSUMIT 10 MG TABLET
(macitentan)		 30 EA   66215050130 56
PDPs		 373
MAPDs
ORACEA CAPSULES 40MG 30 BOT
(Doxycycline (Rosacea))		 30 BOT 00299382230 10
PDPs		 43
MAPDs
ORALAIR 300 IR SUBLINGUAL TAB
(Grass Pollen Allergen Extract)		 30 EA   59617001502 18
PDPs		 62
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		 51
MAPDs
ORENCIA 125 MG/ML SYRINGE
(Abatacept For IV)		 1 ML   00003218811 32
PDPs		 234
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.4 mL in 1 SYRINGE, GLASS
(Abatacept For IV)		     00003281411 32
PDPs		 233
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.7 mL in 1 SYRINGE, GLASS
(Abatacept For IV)		     00003281811 32
PDPs		 233
MAPDs
ORENCIA CLICKJECT 125 MG/ML
(Abatacept For IV)		     00003218851 31
PDPs		 231
MAPDs
Orenitram 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(treprostinil)		     66302035001 9
PDPs		 126
MAPDs
ORENITRAM ER 0.125 MG TABLET
(treprostinil)		     66302030001 9
PDPs		 125
MAPDs
ORENITRAM ER 0.25 MG TABLET
(treprostinil)		     66302030201 9
PDPs		 126
MAPDs
ORENITRAM ER 1 MG TABLET
(treprostinil)		     66302031001 9
PDPs		 126
MAPDs
ORENITRAM ER 2.5 MG TABLET
(treprostinil)		     66302032501 9
PDPs		 126
MAPDs
ORFADIN 10 MG CAPSULE
(Nitisinone)		 60 EA   66658011060 4
PDPs		 17
MAPDs
ORFADIN 2 MG CAPSULE
(Nitisinone)		 60 EA   66658010260 4
PDPs		 17
MAPDs
ORFADIN 20 MG CAPSULE
(Nitisinone)		 60   66658012060 46
PDPs		 278
MAPDs
ORFADIN 4 MG/ML SUSPENSION
(Nitisinone)		 90 ML   66658020490 47
PDPs		 265
MAPDs
ORFADIN 5 MG CAPSULE
(Nitisinone)		 60 EA   66658010560 4
PDPs		 17
MAPDs
ORGOVYX 120 MG TABLET
(Relugolix)		 30 TABLETS   72974012001 68
PDPs		 397
MAPDs
ORIAHNN 300-1-0.5MG/300MG CAPSULE SEQ
(Elagolix;Elagolix, Estradiol, Norethindrone Acetate)		 56 UNITS   00074101756 4
PDPs		 99
MAPDs
ORILISSA 150 MG TABLET
(Elagolix)		 28 tablets   00074003828 5
PDPs		 157
MAPDs
ORILISSA 200 MG TABLET
(Elagolix)		 56 tablets   00074003956 5
PDPs		 157
MAPDs
ORKAMBI 100 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)		 112.000 EA   51167070002 66
PDPs		 389
MAPDs
ORKAMBI 100-125 MG GRANULE PKT GRAN PACK
(Lumacaftor and Ivacaftor)		 units   51167090001 60
PDPs		 374
MAPDs
ORKAMBI 150-188 MG GRANULE PKT GRAN PACK
(Lumacaftor and Ivacaftor)		 units   51167050002 60
PDPs		 374
MAPDs
ORKAMBI 200 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)		 112 EA   51167080901 66
PDPs		 392
MAPDs
ORLADEYO 110 MG CAPSULE
(Berotralstat)		 CAPSULES   72769010201 6
PDPs		 116
MAPDs
ORLADEYO 150 MG CAPSULE
(Berotralstat)		 CAPSULES   72769010101 6
PDPs		 115
MAPDs
ORPHENADRINE ER 100 MG TABLET [Norflex]
()		 60 TABLETS   43386048024 10
PDPs		 135
MAPDs
ORTIKOS ER 6 MG CAPSULE
(Budesonide)		 30 CAPSULES   55566100201 2
PDPs		 22
MAPDs
ORTIKOS ER 9 MG CAPSULE
(Budesonide)		 30 CAPSULES   55566102001 2
PDPs		 22
MAPDs
OSELTAMIVIR 6 MG/ML SUSPENSION [Tamiflu]
(Oseltamivir Phosphate)		 60 ML   47781038426 68
PDPs		 392
MAPDs
OSELTAMIVIR PHOS 30 MG CAPSULE [Tamiflu]
()		 6 CAPSULES   68180067511 68
PDPs		 397
MAPDs
OSELTAMIVIR PHOS 45 MG CAPSULE [Tamiflu]
()		 CAPSULES   69238126501 68
PDPs		 397
MAPDs
OSELTAMIVIR PHOS 75 MG CAPSULE [Tamiflu]
()		 10 CAPSULES   68180067711 68
PDPs		 397
MAPDs
OSENI 12.5-15 MG TABLET
(alogliptin / pioglitazone)		     64764012103 1
PDPs		 6
MAPDs
OSENI 12.5-30 MG TABLET
(alogliptin / pioglitazone)		     64764012303 1
PDPs		 6
MAPDs
OSENI 12.5-45 MG TABLET
(alogliptin / pioglitazone)		     64764012403 1
PDPs		 6
MAPDs
OSENI 25-15 MG TABLET
(alogliptin / pioglitazone)		     64764025103 1
PDPs		 6
MAPDs
OSENI 25-30 MG TABLET
(alogliptin / pioglitazone)		     64764025303 1
PDPs		 6
MAPDs
OSENI 25-45 MG TABLET
(alogliptin / pioglitazone)		     64764025403 1
PDPs		 6
MAPDs
OSMOLEX ER 129 MG TABLET BP 24H
(Amantadine)		 30 units   68025007530 3
PDPs		 52
MAPDs
OSMOLEX ER 193 MG TABLET BP 24H
(Amantadine)		 units   68025007630 3
PDPs		 52
MAPDs
OSMOLEX ER 258 MG TABLET BP 24H
(Amantadine)		 30 units   68025007730 3
PDPs		 52
MAPDs
OSMOLEX ER 322 MG DAILY DOSE TABLET BP 24H
(Amantadine)		 UNITS   68025007462 1
PDPs		 47
MAPDs
OSMOPREP TABLET 1.5GM
(Sod Phos Mono-Sod Phos Di)		 100 BOT 65649070141 2
PDPs		 39
MAPDs
OSPHENA 60 MG TABLET
(Ospemifene)		 30 tablets   59630058090 26
PDPs		 221
MAPDs
OTEZLA 28 DAY STARTER PACK TAB DS PK
(Apremilast)		 UNITS   55513036955 22
PDPs		 217
MAPDs
OTEZLA 30 MG TABLET
(Apremilast)		 60 TABLETS   55513013760 22
PDPs		 224
MAPDs
OTOVEL 0.3%-0.025% EAR DROPS
(Ciprofloxacin and fluocinolone otic)		     24338008014 1
PDPs		 6
MAPDs
OTREXUP 10 MG/0.4 ML AUTO-INJ
(methotrexate)		 .400 ML   54436001004 2
PDPs		 23
MAPDs
OTREXUP 12.5 MG/0.4 ML AUTOINJ
(methotrexate)		     54436001204 2
PDPs		 25
MAPDs
OTREXUP 15 MG/0.4 ML AUTO-INJ
(methotrexate)		 .400 ML   54436001504 2
PDPs		 23
MAPDs
OTREXUP 17.5 MG/0.4 ML AUTOINJ
(methotrexate)		     54436001704 2
PDPs		 25
MAPDs
OTREXUP 20 MG/0.4 ML AUTO-INJ
(methotrexate)		 .400 ML   54436002004 2
PDPs		 23
MAPDs
OTREXUP 22.5 MG/0.4 ML AUTOINJ
(methotrexate)		     54436002204 2
PDPs		 25
MAPDs
OTREXUP 25 MG/0.4 ML AUTO-INJ
(methotrexate)		 .400 ML   54436002504 2
PDPs		 23
MAPDs
OVIDE 0.5% LOTION
(Malathion)		 59 ML   51672529304 3
PDPs		 10
MAPDs
OXACILLIN 1 GM VIAL
(Oxacillin)		 ml   55150012715 30
PDPs		 278
MAPDs
OXACILLIN 10 GM VIAL
(Oxacillin)		 ml   25021016399 28
PDPs		 280
MAPDs
OXACILLIN 1GM/50ML INJ
(Oxacillin Sodium For)		 50 ML BAG 00338101341 14
PDPs		 194
MAPDs
OXACILLIN 2 GM VIAL
(Oxacillin Sodium For)		 ML   63323081220 30
PDPs		 278
MAPDs
OXACILLIN 2GM/50ML INJ
(Oxacillin Sodium For)		 50 ML BAG 00338101541 7
PDPs		 190
MAPDs
OXANDROLONE 10 MG TABLET
(Oxandrolone)		 60.000 EA   49884030202 66
PDPs		 375
MAPDs
OXANDROLONE 2.5 MG TABLET
(Oxandrolone)		 100.000 EA   49884030101 68
PDPs		 375
MAPDs
OXAPROZIN 600 MG TABLET
(Oxaprozin)		 100 EA   55111017001 40
PDPs		 250
MAPDs
OXAZEPAM 10 MG CAPSULE
(Oxazepam)		 100 EA   00228206710 19
PDPs		 227
MAPDs
OXAZEPAM 15 MG CAPSULE
(Oxazepam)		 100 EA   00228206910 19
PDPs		 227
MAPDs
OXAZEPAM 30 MG CAPSULE
(Oxazepam)		 100.000 EA   00228207310 19
PDPs		 224
MAPDs
OXBRYTA 500 MG TABLET
(Voxelotor)		 TABLETS   72786010101 5
PDPs		 126
MAPDs
OXCARBAZEPINE 150 MG TABLET [Trileptal]
()		 60 TABLETS   62756018388 68
PDPs		 397
MAPDs
OXCARBAZEPINE 300 MG TABLET [Trileptal]
()		 60 TABLETS   62756018488 68
PDPs		 397
MAPDs
OXCARBAZEPINE 300 MG/5 ML SUSP
(Oxcarbazepine)		     65162064978 68
PDPs		 397
MAPDs
OXCARBAZEPINE 600 MG TABLET
(Oxcarbazepine)		 100.000 EA   51991029401 68
PDPs		 397
MAPDs
OXERVATE 0.002% EYE DROPS
(Cenegermin)		 ml   71981002007 17
PDPs		 150
MAPDs
OXICONAZOLE NITRATE 1% CREAM (g) [Oxistat]
(Oxiconazole Nitrate)		 30 grams   51672135908 6
PDPs		 95
MAPDs
OXISTAT 1% CREAM (g)
(Oxiconazole Nitrate)		 30 grams   10337035860 2
PDPs		 2
MAPDs
OXISTAT 1% LOTION
(Oxiconazole Nitrate)		 30.000 ML   10337035930 5
PDPs		 51
MAPDs
OXTELLAR XR 150 MG TABLET
(oxcarbazepine)		 100 EA   17772012101 2
PDPs		 135
MAPDs
OXTELLAR XR 300 MG TABLET
(oxcarbazepine)		 100 EA   17772012201 2
PDPs		 135
MAPDs
OXTELLAR XR 600 MG TABLET
(oxcarbazepine)		 100 EA   17772012301 2
PDPs		 135
MAPDs
OXYBUTYNIN 5 MG TABLET [Ditropan]
(Oxybutynin)		 60 TABLETS   10702020101 68
PDPs		 397
MAPDs
OXYBUTYNIN 5 MG/5 ML SYRUP
(Oxybutynin)		 473.000 ML   60432009216 68
PDPs		 388
MAPDs
OXYBUTYNIN CL ER 10 MG TABLET ER 24 [Ditropan XL]
(Oxybutynin Chloride)		 30 UNITS   16729031801 68
PDPs		 397
MAPDs
OXYBUTYNIN CL ER 15 MG TABLET ER 24 [Ditropan XL]
(Oxybutynin Chloride)		 30 UNITS   16729031901 68
PDPs		 397
MAPDs
OXYBUTYNIN CL ER 5 MG TABLET ER 24 [Ditropan XL]
(Oxybutynin Chloride)		 30 UNITS   16729031701 68
PDPs		 397
MAPDs
OXYCODON-ACETAMINOPHEN 7.5-325 TABLET [Percocet]
()		 90 TABLETS   00406052201 68
PDPs		 396
MAPDs
OXYCODONE HCL 10 MG TABLET [Dazidox]
(Oxycodone HCl)		 100 TABLET in 1 BOTTLE   10702005601 67
PDPs		 394
MAPDs
OXYCODONE HCL 100 MG/5 ML ORAL CONC [Roxicodone]
(Oxycodone HCl)		 30 mls   43386092060 36
PDPs		 305
MAPDs
OXYCODONE HCL 15 MG TABLET [Roxybond]
(Oxycodone HCl)		 120 tablets   00406851501 67
PDPs		 394
MAPDs
OXYCODONE HCL 20 MG TABLET [Roxicodone]
(Oxycodone HCl)		 100 TABLET in 1 BOTTLE   10702005701 67
PDPs		 394
MAPDs
OXYCODONE HCL 30 MG TABLET [Roxybond]
(Oxycodone HCl)		 120 tablets   00406853001 67
PDPs		 392
MAPDs
OXYCODONE HCL 5 MG CAPSULE [OxyIR]
()		 30 CAPSULES   62559016701 25
PDPs		 293
MAPDs
OXYCODONE HCL 5 MG TABLET [Roxybond]
(Oxycodone HCl)		 100 EA   10702001801 67
PDPs		 394
MAPDs
OXYCODONE HCL 5 MG/5 ML SOLUTION [Roxicodone]
(Oxycodone HCl)		 500 ML   00054039063 47
PDPs		 338
MAPDs
OXYCODONE HCL ER 10 MG TABLET 12H [OxyContin]
(Oxycodone HCl)		 100.000 EA   00093573101 2
PDPs		 107
MAPDs
OXYCODONE HCL ER 15 MG TABLET 12H [OxyContin]
(Oxycodone HCl)		     00115155701 2
PDPs		 107
MAPDs
OXYCODONE HCL ER 20 MG TABLET 12H [OxyContin]
(Oxycodone HCl)		 100.000 EA   00093573201 2
PDPs		 107
MAPDs
OXYCODONE HCL ER 30 MG TABLET 12H [OxyContin]
(Oxycodone HCl)		     00115155901 2
PDPs		 104
MAPDs
OXYCODONE HCL ER 40 MG TABLET 12H [OxyContin]
(Oxycodone HCl)		 100 EA   00093573301 2
PDPs		 107
MAPDs
OXYCODONE HCL ER 60 MG TABLET 12H [OxyContin]
(Oxycodone HCl)		     00115156101 2
PDPs		 104
MAPDs
OXYCODONE HCL ER 80 MG TABLET ER 12H [OxyContin]
(Oxycodone HCl)		 60 tablets   00093573401 2
PDPs		 104
MAPDs
OXYCODONE-ACETAMINOPHEN 10-325 TABLET [Percocet]
(Oxycodone, Acetaminophen)		 120 TABLETS   00406052301 68
PDPs		 397
MAPDs
OXYCODONE-ACETAMINOPHEN 5-325 TABLET [Roxicet]
(Oxycodone-Acetaminophen )		 30 TABLETS   00406051201 68
PDPs		 397
MAPDs
OXYCODONE-ACETAMINOPHN 2.5-325 TABLET [Percocet]
()		 30 TABLETS   10702018401 65
PDPs		 388
MAPDs
OxyContin 10mg/1
(Oxycodone HCl)		     59011041010 9
PDPs		 98
MAPDs
OxyContin 15mg/1
(Oxycodone HCl)		     59011041510 8
PDPs		 93
MAPDs
OxyContin 20mg/1
(Oxycodone HCl)		     59011042010 9
PDPs		 98
MAPDs
OxyContin 30mg/1
(Oxycodone HCl)		     59011043010 8
PDPs		 93
MAPDs
OxyContin 40mg/1
(Oxycodone HCl)		     59011044010 9
PDPs		 98
MAPDs
OxyContin 60mg/1
(Oxycodone HCl)		     59011046010 8
PDPs		 93
MAPDs
OxyContin 80mg/1
(Oxycodone HCl)		     59011048010 8
PDPs		 93
MAPDs
OXYMORPHONE HCL 10 MG TABLET [Opana]
()		 120 TABLETS   13107010401 4
PDPs		 174
MAPDs
OXYMORPHONE HCL 5 MG TABLET [Opana]
()		 60 TABLETS   13107010301 4
PDPs		 174
MAPDs
OXYMORPHONE HCL ER 10 MG TABLET ER 12H [Opana]
()		 60 TABLETS   64896069701 11
PDPs		 80
MAPDs
OXYMORPHONE HCL ER 15 MG TABLET ER 12H [Opana]
()		 60 TABLETS   64896069801 11
PDPs		 85
MAPDs
OXYMORPHONE HCL ER 20 MG TABLET ER 12H [Opana]
()		 60 TABLETS   64896069913 11
PDPs		 80
MAPDs
OXYMORPHONE HCL ER 30 MG TABLET ER 12H [Opana]
()		 60 TABLETS   64896070001 11
PDPs		 80
MAPDs
OXYMORPHONE HCL ER 40 MG TABLET ER 12H [Opana]
()		 60 TABLETS   64896070101 11
PDPs		 79
MAPDs
OXYMORPHONE HCL ER 5 MG TABLET ER 12H [Opana]
()		 60 TABLETS   64896069513 11
PDPs		 80
MAPDs
OXYMORPHONE HCL ER 7.5 MG TABLET ER 12H [Opana]
()		 60 TABLETS   64896069613 11
PDPs		 85
MAPDs
OXYTROL 3.9 MG/24HR PATCH TDSW
(Oxybutynin TD)		 8 units   00023615308 3
PDPs		 35
MAPDs
OZEMPIC 0.25-0.5 MG DOSE PEN
(Semaglutide)		 1.5   00169413212 62
PDPs		 371
MAPDs
OZEMPIC 1 MG DOSE PEN
(Semaglutide)		 3   00169413602 62
PDPs		 371
MAPDs
OZEMPIC 1 MG/DOSE (4 MG/3 ML) PEN INJECTOR
(Semaglutide)		 3 MLS   00169413013 62
PDPs		 368
MAPDs
PATANASE 665ug/1 240 SPRAY, METERED in 1 BOTTLE
(Olopatadine HCl Nasal)		 240 SPRAY, METERED   00065033230 3
PDPs		 8
MAPDs
PERCOCET 10/325MG TABLET
(Oxycodone w/ Acetaminophen)		 100 BOT 63481062970 0
PDPs		 3
MAPDs
PERCOCET 2.5/325MG TABLET
(Oxycodone w/ Acetaminophen)		 100 BOT 63481062770 0
PDPs		 3
MAPDs
PERCOCET 5-325 MG TABLET
(Oxycodone w/ Acetaminophen)		 100.000 EA   63481062370 0
PDPs		 3
MAPDs
PERCOCET 7.5/325MG TABLET
(Oxycodone w/ Acetaminophen)		 100 BOT 63481062870 0
PDPs		 3
MAPDs
PIMOZIDE 1 MG TABLET [Orap]
(Pimozide)		     49884034701 68
PDPs		 397
MAPDs
PIMOZIDE 2 MG TABLET [Orap]
(Pimozide)		     49884034801 68
PDPs		 397
MAPDs
PREDNISOLONE ODT 10 MG TABLET RAPDIS [Orapred ODT]
(Prednisolone)		 12 units   66993084462 6
PDPs		 136
MAPDs
PREDNISOLONE ODT 15 MG TABLET RAPDIS [Orapred ODT]
(Prednisolone)		 6 units   66993084562 6
PDPs		 138
MAPDs
PREDNISOLONE ODT 30 MG TABLET RAPDIS [Orapred ODT]
(Prednisolone)		 5 units   66993084662 6
PDPs		 136
MAPDs
PRILOSEC DR 10 MG SUSPENSION
(Omeprazole)		     70515061001 9
PDPs		 34
MAPDs
PRILOSEC DR 2.5 MG SUSPENSION
(Omeprazole)		     70515062501 9
PDPs		 34
MAPDs
PROLATE 10-300 MG TABLET
(Oxycodone, Acetaminophen)		 30 tablets   72245068310 1
PDPs		 21
MAPDs
PROLATE 5-300 MG TABLET
(Oxycodone, Acetaminophen)		 tablets   72245068110 1
PDPs		 21
MAPDs
PROLATE 7.5-300 MG TABLET
(Oxycodone, Acetaminophen)		 25 tablets   72245068210 1
PDPs		 21
MAPDs
RHOFADE 1% CREAM (G)
(Oxymetazoline)		 30 GRAMS   71403000330 0
PDPs		 5
MAPDs
ROXICODONE 15 MG TABLET
(Oxycodone HCl)		 100 EA   23635058110 3
PDPs		 8
MAPDs
ROXICODONE 30 MG TABLET
(Oxycodone HCl)		     23635058210 3
PDPs		 8
MAPDs
ROXICODONE 5 MG TABLET
(Oxycodone HCl)		 100 EA   23635058010 3
PDPs		 8
MAPDs
SANDOSTATIN 0.05MG/ML AMPUL
(Octreotide Acetate)		 10 AMP 00078018001 0
PDPs		 2
MAPDs
Sandostatin 100ug/mL 10 AMPULE in 1 PACKAGE / 1 mL in 1 AMPULE
(Octreotide Acetate)		 10 AMPULE in 1 PACKAGE   00078018101 0
PDPs		 2
MAPDs
Sandostatin 500ug/mL 10 AMPULE in 1 PACKAGE / 1 mL in 1 AMPULE
(Octreotide Acetate)		 10 AMPULE in 1 PACKAGE   00078018201 0
PDPs		 2
MAPDs
STRIVERDI RESPIMAT INHAL SPRAY
(Olodaterol Respimat)		 4 GM   00597019261 7
PDPs		 138
MAPDs
Symbyax 25; 3mg/1; mg/1 30 CAPSULE BOTTLE
(Olanzapine-Fluoxetine HCl)		 30 CAPSULE in 1 BOTTLE   00002323030 0
PDPs		 1
MAPDs
SYMBYAX 6-25MG CAPSULE
(Olanzapine-Fluoxetine HCl)		 30 BOT 00002323130 0
PDPs		 1
MAPDs
SYNRIBO 3.5 MG/ML VIAL
(omacetaxine mepesuccinate)		     63459017714 68
PDPs		 397
MAPDs
TAGRISSO 40 MG TABLET
(Osimertinib)		     00310134930 68
PDPs		 397
MAPDs
TAGRISSO 80 MG TABLET
(Osimertinib)		     00310135030 68
PDPs		 397
MAPDs
TALICIA DR 10-250-12.5 MG CAPSULE IR
()		 168 UNITS   57841115002 0
PDPs		 12
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		 8
MAPDs
TAMIFLU 6 MG/ML SUSPENSION
(Oseltamivir Phosphate)		 60 ML   00004082205 3
PDPs		 11
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 8
PDPs		 72
MAPDs
TRIAMCINOLONE 0.1% PASTE PASTE (G) [Oralone]
(Triamcinolone)		 5 GRAMS   00713065540 57
PDPs		 384
MAPDs
TRIBENZOR 20/5/12.5MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 30 BOT 65597011430 3
PDPs		 13
MAPDs
TRIBENZOR 40/10/12.5MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 30 BOT 65597011730 3
PDPs		 13
MAPDs
TRIBENZOR 40/10/25MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 30 BOT 65597011830 3
PDPs		 13
MAPDs
Tribenzor 5; 12.5; 40mg/1; mg/1; mg/1
(Olmesartan-Amlodipine-Hydrochlorothiazide)		     65597011530 3
PDPs		 13
MAPDs
Tribenzor 5; 25; 40mg/1; mg/1; mg/1
(Olmesartan-Amlodipine-Hydrochlorothiazide)		     65597011630 3
PDPs		 13
MAPDs
TRILEPTAL 150MG TABLET
(Oxcarbazepine)		 100 BOT 00078045605 3
PDPs		 9
MAPDs
TRILEPTAL 300MG TABLET
(Oxcarbazepine)		 100 BOT 00078033705 3
PDPs		 9
MAPDs
TRILEPTAL 300MG/5ML SUSP
(Oxcarbazepine)		 250 ML BOT 00078035752 3
PDPs		 10
MAPDs
TRILEPTAL 600MG TABLET
(Oxcarbazepine)		 100 BOT 00078045705 3
PDPs		 9
MAPDs
XEPI 1% CREAM (g)
(Ozenoxacin)		 grams   70363001130 0
PDPs		 14
MAPDs
XOLAIR 150 MG/ML SYRINGE
(Omalizumab (Hamster))		 2 mls   50242021501 62
PDPs		 380
MAPDs
XOLAIR 150MG VIAL
(Omalizumab For)		 1 X VIAL 50242004062 68
PDPs		 397
MAPDs
XOLAIR 75 MG/0.5 ML SYRINGE
(Omalizumab (Hamster))		 ml   50242021401 62
PDPs		 380
MAPDs
XTAMPZA ER 13.5 MG CAPSULE
(Oxycodone)		     24510011510 21
PDPs		 173
MAPDs
XTAMPZA ER 18 MG CAPSULE
(Oxycodone)		     24510012010 21
PDPs		 173
MAPDs
XTAMPZA ER 27 MG CAPSULE
(Oxycodone)		     24510013010 21
PDPs		 173
MAPDs
XTAMPZA ER 36 MG CAPSULE
(Oxycodone)		     24510014010 21
PDPs		 173
MAPDs
XTAMPZA ER 9 MG CAPSULE
(Oxycodone)		     24510011010 21
PDPs		 173
MAPDs
XYWAV 0.5 GM/ML ORAL SOLUTION
(Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate (Gamma Hydroxybutyrate Or Ghb))		 MLS   68727015001 25
PDPs		 158
MAPDs
ZEPOSIA 0.23-0.46 MG START PCK CAP DS PK
(Ozanimod)		 UNITS   59572081007 4
PDPs		 145
MAPDs
ZEPOSIA 0.23-0.46-0.92 MG KIT CAP DS PK
(Ozanimod)		 UNITS   59572089091 4
PDPs		 145
MAPDs
ZEPOSIA 0.92 MG CAPSULE
(Ozanimod)		 CAPSULES   59572082030 4
PDPs		 145
MAPDs
ZUPLENZ 4 MG SOLUBLE FILM
(Ondansetron Orally Disintegrating)		 60 units   89141044430 1
PDPs		 11
MAPDs
ZUPLENZ 8 MG SOLUBLE FILM
(Ondansetron Orally Disintegrating)		 15 units   89141044830 1
PDPs		 11
MAPDs
ZYPREXA 10 MG TABLET
(Olanzapine)		 30 EA   00002411730 3
PDPs		 8
MAPDs
ZYPREXA 10MG VIAL
(Olanzapine)		 1 VIAL 00002759701 3
PDPs		 13
MAPDs
ZYPREXA 15 MG TABLET
(Olanzapine)		 30 EA   00002441530 3
PDPs		 8
MAPDs
ZYPREXA 2.5MG 30 TABLET BOTTLE
(Olanzapine)		 30 TABLET in 1 BOTTLE   00002411230 3
PDPs		 8
MAPDs
ZYPREXA 20MG TABLET
(Olanzapine)		 30 BOT 00002442030 3
PDPs		 8
MAPDs
ZYPREXA 5MG TABLET (30 BOT)
(Olanzapine)		 30 BOT 00002411530 3
PDPs		 8
MAPDs
ZYPREXA 7.5 MG TABLET
(Olanzapine)		 30 EA   00002411630 3
PDPs		 8
MAPDs
ZYPREXA Relprevv 1 KIT in 1 CARTON
(Olanzapine Pamoate)		 1 KIT in 1 CARTON   00002763511 68
PDPs		 390
MAPDs
ZYPREXA ZYDIS 10MG TABLET
(Olanzapine)		 30 BLPK 00002445485 3
PDPs		 8
MAPDs
ZYPREXA ZYDIS 15MG TABLET
(Olanzapine)		 30 BLPK 00002445585 3
PDPs		 8
MAPDs
ZYPREXA ZYDIS 20MG TABLET
(Olanzapine)		 30 BLPK 00002445685 3
PDPs		 8
MAPDs
ZYPREXA ZYDIS 5MG TABLET (30 BLPK)
(Olanzapine)		 30 BLPK 00002445385 3
PDPs		 8
MAPDs



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




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  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.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.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • 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.
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