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2022 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 2022 Formularies
PDPs MAPDs
AMARYL 1MG TABLET
(Glimepiride)
100 BOT 00039022110 2
PDPs
3
MAPDs
AMARYL 2MG TABLET
(Glimepiride)
100 BOT 00039022210 2
PDPs
3
MAPDs
AMARYL 4MG TABLET
(Glimepiride)
100 BOT 00039022310 2
PDPs
3
MAPDs
BAQSIMI 3 MG SPRAY ONE PACK
(Glucagon)
2 UNITS   00002614511 31
PDPs
207
MAPDs
BEVESPI AEROSPHERE INHALER
(Glycopyrrolate and formoterol fumarate)
10.700 GM   00310460012 16
PDPs
142
MAPDs
BREZTRI AEROSPHERE INHALER HFA AER AD
(Budesonide, Glycopyrrolate, Formoterol)
10.7 GRAMS   00310461612 32
PDPs
297
MAPDs
COPAXONE 20MG/ML 30 BLISTER PACK IN 1 CRTN
(Glatiramer Acetate)
    68546031730 42
PDPs
170
MAPDs
COPAXONE 40 MG/ML SYRINGE
(Glatiramer Acetate)
1 ML   68546032512 42
PDPs
173
MAPDs
CROMOLYN 100 MG/5 ML ORAL CONC [Gastrocrom]
(Cromolyn )
480 MLS   42571013252 63
PDPs
402
MAPDs
CUVPOSA 1 MG/5 ML SOLUTION
(Glycopyrrolate)
    00259050116 3
PDPs
61
MAPDs
DAURISMO 100 MG TABLET
(Glasdegib)
tablets   00069153130 63
PDPs
402
MAPDs
DAURISMO 25 MG TABLET
(Glasdegib)
tablets   00069029860 63
PDPs
402
MAPDs
EMGALITY 120 MG/ML PEN INJCTR
(Galcanezumab)
1 ml   00002143611 43
PDPs
285
MAPDs
EMGALITY 120 MG/ML SYRINGE
(Galcanezumab)
1 ml   00002237711 39
PDPs
284
MAPDs
EMGALITY 300 MG (100 MG X3SYR) SYRINGE
(Galcanezumab)
3 mls   00002311509 32
PDPs
221
MAPDs
ENDARI 5 GRAM POWDER PACKET
(Glutamine Powder (For Sickle Cell Disease))
1 unit   42457042060 14
PDPs
230
MAPDs
GABAPENTIN 100 MG CAPSULE [Neurontin]
()
90 CAPSULES   67877022210 63
PDPs
402
MAPDs
GABAPENTIN 250 MG/5 ML SOLUTION [Neurontin]
()
30 MLS   42192060816 63
PDPs
402
MAPDs
GABAPENTIN 300 MG CAPSULE [Neurontin]
()
90 CAPSULES   67877022310 63
PDPs
402
MAPDs
GABAPENTIN 400 MG CAPSULE [Neurontin]
(Gabapentin)
90 capsules   67877022405 63
PDPs
402
MAPDs
GABAPENTIN 600 MG TABLET
(Gabapentin)
500.000 EA   68462012605 63
PDPs
402
MAPDs
GABAPENTIN 800 MG TABLET
(Gabapentin)
500.000 EA   68462012705 63
PDPs
402
MAPDs
GABITRIL 12 MG TABLET
(Tiagabine HCl)
30 EA   63459041230 2
PDPs
2
MAPDs
GABITRIL 16mg/1
(Tiagabine HCl)
    63459041630 2
PDPs
2
MAPDs
GABITRIL 2mg/1
(Tiagabine HCl)
    63459040230 2
PDPs
2
MAPDs
GABITRIL 4mg/1
(Tiagabine HCl)
    63459040430 2
PDPs
2
MAPDs
GALAFOLD 123 MG CAPSULE
(Migalastat)
capsules   71904010001 9
PDPs
173
MAPDs
GALANTAMINE 4 MG/ML ORAL SOLUTION
(Galantamine Hydrobromide)
100 mL in 1 BOTTLE   00054013749 60
PDPs
378
MAPDs
GALANTAMINE ER 16 MG CAPSULE 24H PEL [Reminyl]
()
30 UNITS   65862074530 61
PDPs
391
MAPDs
GALANTAMINE ER 24 MG CAPSULE 24H PEL [Reminyl]
()
30 UNITS   65862074630 61
PDPs
391
MAPDs
GALANTAMINE ER 8 MG CAPSULE 24H PEL [Reminyl]
()
30 UNITS   65862074430 61
PDPs
391
MAPDs
GALANTAMINE HBR 12 MG TABLET [Reminyl]
()
180 TABLETS   57237005160 61
PDPs
392
MAPDs
GALANTAMINE HBR 4 MG TABLET [Reminyl]
()
60 tablets   57237004960 61
PDPs
392
MAPDs
GALANTAMINE HBR 8 MG TABLET [Reminyl]
()
60 TABLETS   57237005060 61
PDPs
392
MAPDs
GAMMAGARD LIQUID 10% VIAL
(Immune Globulin (Human) IV)
1 BOTTLE, GLASS in CARTON   00944270003 25
PDPs
319
MAPDs
GAMMAGARD S-D 10 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)
    00944265804 27
PDPs
313
MAPDs
GAMMAGARD S-D 5 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)
    00944265603 31
PDPs
313
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)
10 ML   76125090001 16
PDPs
233
MAPDs
GAMMAPLEX 10 GRAM/100 ML VIAL
(immune globulin)
    64208823506 31
PDPs
297
MAPDs
GAMMAPLEX 10 GRAM/200 ML VIAL
(immune globulin)
100 MLS   64208823403 29
PDPs
299
MAPDs
GAMMAPLEX 20 GRAM/200 ML VIAL
(immune globulin)
    64208823507 31
PDPs
298
MAPDs
GAMMAPLEX 5 GRAM/50 ML VIAL
(immune globulin)
    64208823505 31
PDPs
298
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS   13533080012 40
PDPs
336
MAPDs
GARDASIL 9 SYRINGE
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
    00006412102 63
PDPs
402
MAPDs
GARDASIL 9 VIAL
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
    00006411903 63
PDPs
402
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 24
PDPs
312
MAPDs
GATTEX 5 MG 30-VIAL KIT
(teduglutide)
1.000 EA   68875010201 59
PDPs
399
MAPDs
GAVILYTE-C SOLUTION
(Polyethylene Glycol 3350 Oral)
278.26 g in 1 BOTTLE   43386006019 63
PDPs
395
MAPDs
GAVILYTE-G SOLUTION
(Polyethylene Glycol 3350 Oral)
274.31 g in 1 BOTTLE   43386009019 58
PDPs
387
MAPDs
GAVILYTE-N SOLUTION
(Polyethylene Glycol 3350 Oral)
438.4 g in 1 BOTTLE   43386005019 63
PDPs
396
MAPDs
GAVRETO 100 MG CAPSULE
(Pralsetinib)
60 CAPSULES   50242021060 63
PDPs
402
MAPDs
GELNIQUE 10% GEL SACHET PACKET
(Oxybutynin Chloride)
GRAM   00023586111 1
PDPs
24
MAPDs
GEMFIBROZIL 600 MG TABLET
(Gemfibrozil)
500 EA   69097082112 63
PDPs
402
MAPDs
GEMMILY 1 MG-20 MCG CAPSULE [Taytulla]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)
28 CAPSULES   70700015285 11
PDPs
49
MAPDs
GEMTESA 75 MG TABLET
(Vibegron)
30 TABLETS   73336007530 3
PDPs
25
MAPDs
GENERESS FE CHEWABLE TABLET
(norethindrone and ethinyl estradiol and ferrous fumarate)
28 chewable tablets   00023603003 0
PDPs
3
MAPDs
GENERLAC 10 GM/15 ML SOLUTION
(Lactulose (Encephalopathy))
473.000 ML   60432003816 63
PDPs
398
MAPDs
GENGRAF 100 MG CAPSULE
(Cyclosporine Modified)
30 EA   00074310932 63
PDPs
396
MAPDs
GENGRAF 100MG/ML SOLUTION
(Cyclosporine Modified)
50 ML BOTGL 00074726950 63
PDPs
397
MAPDs
GENGRAF 25 MG CAPSULE
(Cyclosporine Modified)
30 EA   00074310832 63
PDPs
396
MAPDs
GENOTROPIN 13.8MG CARTRIDGE
(Somatropin For)
1 X 13.8 MG CTG 00013264681 21
PDPs
198
MAPDs
GENOTROPIN 5 MG CARTRIDGE
(Somatropin For)
1 PKGCOM 00013262681 21
PDPs
196
MAPDs
GENOTROPIN MINIQUICK 0.2MG
(Somatropin For)
7 X 0.2 MG VIALPAT 00013264902 21
PDPs
193
MAPDs
GENOTROPIN MINIQUICK 0.4MG
(Somatropin For)
7 X 0.4 MG VIALPAT 00013265002 21
PDPs
195
MAPDs
GENOTROPIN MINIQUICK 0.6MG
(Somatropin For)
7 X 0.6 MG VIALPAT 00013265102 21
PDPs
195
MAPDs
GENOTROPIN MINIQUICK 0.8MG
(Somatropin For)
7 X 0.8 MG VIALPAT 00013265202 21
PDPs
195
MAPDs
GENOTROPIN MINIQUICK 1.2MG
(Somatropin For)
7 VIALPAT 00013265402 21
PDPs
198
MAPDs
GENOTROPIN MINIQUICK 1.4MG
(Somatropin For)
7 VIALPAT 00013265502 21
PDPs
198
MAPDs
GENOTROPIN MINIQUICK 1.6MG
(Somatropin For)
7 VIALPAT 00013265602 21
PDPs
198
MAPDs
GENOTROPIN MINIQUICK 1.8MG
(Somatropin For)
7 VIALPAT 00013265702 21
PDPs
198
MAPDs
GENOTROPIN MINIQUICK 1MG
(Somatropin For)
7 X 1.0 MG VIALPAT 00013265302 21
PDPs
198
MAPDs
GENOTROPIN MINIQUICK 2MG
(Somatropin For)
7 X 2.0 MG VIALPAT 00013265802 21
PDPs
198
MAPDs
GENTAK 3MG/GM EYE OINTMENT
(Gentamicin Sulfate Ophth)
3.5 GM TUBE 17478028435 63
PDPs
385
MAPDs
GENTAMICIN 3 MG/ML EYE DROPS
(Gentamicin Sulfate Ophth)
5 ML   60758018805 63
PDPs
397
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 63
PDPs
398
MAPDs
GENTAMICIN SULFATE CREAM USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE 45802005635 63
PDPs
402
MAPDs
Gentamicin Sulfate in Sodium Chloride 60mg/50mL 50 mL in 1 BAG
(Gentamicin Sulfate)
50 mL in 1 BAG   00338050741 41
PDPs
318
MAPDs
GENTAMICIN SULFATE OINTMENT USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE 45802004635 63
PDPs
402
MAPDs
GENVOYA TABLET
(Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide Fumarate)
    61958190101 63
PDPs
402
MAPDs
GEODON 20 MG CAPSULE
(Ziprasidone HCl)
30 capsules   00049005260 2
PDPs
1
MAPDs
GEODON 20MG VIAL
(Ziprasidone HCl)
1 VIAL VIALSD 00049392083 5
PDPs
17
MAPDs
GEODON 40 MG CAPSULE
(Ziprasidone)
60 capsules   00049005460 2
PDPs
1
MAPDs
GEODON 60 MG CAPSULE
(Ziprasidone HCl)
30 capsules   00049005660 2
PDPs
1
MAPDs
GEODON 80 MG CAPSULE
(Ziprasidone HCl)
30 capsules   00049005860 2
PDPs
1
MAPDs
GILENYA 0.5 MG CAPSULE
(FINGOLIMOD HCL)
30 EA   00078060715 56
PDPs
392
MAPDs
GILOTRIF 20 MG TABLET
(afatinib)
30 EA   00597014130 63
PDPs
402
MAPDs
GILOTRIF 30 MG TABLET
(afatinib)
30 EA   00597013730 63
PDPs
402
MAPDs
GILOTRIF 40 MG TABLET
(afatinib)
30 EA   00597013830 63
PDPs
402
MAPDs
GIMOTI 15 MG NASAL SPRAY SPRAY/PUMP
(Metoclopramide)
MLS   72089030715 0
PDPs
8
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
107
MAPDs
GLATIRAMER 20 MG/ML SYRINGE [Glatopa]
(Glatiramer)
mls   00378696093 37
PDPs
339
MAPDs
GLATIRAMER 40 MG/ML SYRINGE [Copaxone]
(Glatiramer Acetate)
1 ML   00378696112 37
PDPs
337
MAPDs
Glatopa 20 mg/ml syringe
(Glatiramer Acetate)
    00781323434 33
PDPs
304
MAPDs
GLATOPA 40 MG/ML SYRINGE
(Glatiramer)
12 mls   00781325089 33
PDPs
306
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT 00078040134 2
PDPs
2
MAPDs
GLEEVEC 400 MG TABLET
(Imatinib Mesylate)
30 EA   00078064930 2
PDPs
2
MAPDs
GLIMEPIRIDE 1 MG TABLET [Amaryl]
()
90 TABLETS   55111032001 63
PDPs
402
MAPDs
GLIMEPIRIDE 2 MG TABLET [Amaryl]
()
90 TABLETS   55111032101 63
PDPs
402
MAPDs
GLIMEPIRIDE 4 MG TABLET [Amaryl]
()
90 TABLETS   55111032201 63
PDPs
402
MAPDs
GLIPIZIDE 10 MG TABLET
(Glipizide)
1000.000 EA   60505014201 63
PDPs
402
MAPDs
GLIPIZIDE 5 MG TABLET
(Glipizide)
1000.000 EA   60505014101 63
PDPs
402
MAPDs
GLIPIZIDE ER 10 MG TABLET ER 24 [Glucotrol XL]
()
90 UNITS   64980028101 63
PDPs
402
MAPDs
GLIPIZIDE ER 2.5MG TABLET SR OSMOTIC PUSH 24HR
(Glipizide)
30 BOTPL 00591090030 63
PDPs
402
MAPDs
GLIPIZIDE ER 5 MG TABLET ER 24 [Glucotrol XL]
()
90 UNITS   64980028005 63
PDPs
402
MAPDs
GLIPIZIDE-METFORMIN 2.5-250 MG TABLET [Metaglip]
(Glipizide, Metformin Hydrochloride)
30 TABLETS   68382018401 55
PDPs
392
MAPDs
GLIPIZIDE-METFORMIN 2.5-500 MG TABLET [Metaglip]
(Glipizide, Metformin Hydrochloride)
60 TABLETS   68382018501 55
PDPs
392
MAPDs
GLIPIZIDE-METFORMIN 5-500 MG TABLET [Metaglip]
(Glipizide, Metformin Hydrochloride)
60 TABLETS   68382018601 55
PDPs
392
MAPDs
GLOPERBA 0.6 MG/5 ML SOLUTION
(Colchicine)
150 MLS   75854080101 0
PDPs
10
MAPDs
GLUCAGEN 1MG HYPOKIT
(Glucagon HCl (rDNA) For)
1 X 1 MG PKGCOM 00169706515 43
PDPs
233
MAPDs
GLUCAGON 1MG EMERGENCY KIT
(Glucagon (rDNA) For)
1 KIT PKGCOM 00002803101 31
PDPs
222
MAPDs
Glucose 50 MG/ML / Potassium Chloride 0.02 MEQ/ML / Sodium Chloride 0.154 MEQ/ML Injectable Solution
()
    00338080304 35
PDPs
300
MAPDs
GLUCOTROL XL 10 MG TABLET
(Glipizide)
100.000 EA   00049017807 2
PDPs
3
MAPDs
GLUCOTROL XL 2.5 MG TABLET
(Glipizide)
30 EA 00049017001 2
PDPs
3
MAPDs
GLUCOTROL XL 5 MG TABLET ER 24
(Glipizide)
    00049017402 2
PDPs
3
MAPDs
GLUMETZA ER 1,000 MG TABLETERGR24H
(Metformin Hydrochloride)
30 UNITS   68012000316 0
PDPs
1
MAPDs
GLUMETZA ER 500 MG TABLETERGR24H
(Metformin Hydrochloride)
30 units   68012000450 0
PDPs
1
MAPDs
GLYBURID-METFORMIN 1.25-250 MG [Glucovance]
(Glyburide-Metformin)
100.000 EA   65862008001 25
PDPs
225
MAPDs
GLYBURIDE 1.25MG TABLETS
(Glyburide)
100 TABLETS BOT 00093834201 36
PDPs
217
MAPDs
GLYBURIDE 2.5MG TABLET (100 CT)
(Glyburide)
100 TABLETS BOT 00093834301 36
PDPs
217
MAPDs
GLYBURIDE 5 MG TABLET [Micronase]
()
30 TABLETS   23155005810 36
PDPs
217
MAPDs
GLYBURIDE MICRO 1.5 MG TABLET [Glynase PresTab]
(Glyburide)
20 TABLETS   00093803401 30
PDPs
201
MAPDs
GLYBURIDE MICRO 3 MG TABLET [Glynase PresTab]
(Glyburide)
90 TABLETS   00093803501 30
PDPs
201
MAPDs
GLYBURIDE MICRO 6 MG TABLET [Glynase PresTab]
(Glyburide)
60 TABLETS   00093803601 30
PDPs
201
MAPDs
GLYBURIDE-METFORMIN 2.5-500 MG
(Glyburide)
100.000 EA   65862008101 25
PDPs
225
MAPDs
GLYBURIDE-METFORMIN 5-500 MG
(Glyburide)
100.000 EA   65862008201 25
PDPs
225
MAPDs
GLYCOPYRROLATE 1 MG TABLET [Robinul]
(Glycopyrrolate)
60 TABLETS   23155060601 60
PDPs
393
MAPDs
GLYCOPYRROLATE 2 MG TABLET [Robinul Forte]
()
60 TABLETS   23155060701 60
PDPs
393
MAPDs
GLYXAMBI 10 MG-5 MG TABLET
(Empagliflozin and Linagliptin)
    00597018230 44
PDPs
278
MAPDs
GLYXAMBI 25 MG-5 MG TABLET
(Empagliflozin and Linagliptin)
    00597016430 44
PDPs
278
MAPDs
GOCOVRI ER 137 MG CAPSULE
(Amantadine)
    70482017060 2
PDPs
22
MAPDs
GOCOVRI ER 68.5 MG CAPSULE
(Amantadine)
    70482008560 2
PDPs
22
MAPDs
GOLYTELY SOLUTION 236 GM/2.97 GM/6 GM
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
4 L BOT 52268010001 13
PDPs
113
MAPDs
GONITRO 0.4 MG SUBLINGUAL PWD POWDER PACK
(Nitroglycerin)
1 UNIT   28595070536 0
PDPs
6
MAPDs
GRALISE ER 300 MG TABLET ER 24H
(Gabapentin)
90 TABLETS   52427080390 4
PDPs
62
MAPDs
GRALISE ER 600 MG TABLET ER 24H
(Gabapentin)
90 TABLETS   52427080690 4
PDPs
62
MAPDs
GRANISETRON HCL 1 MG TABLET [Kytril]
()
30 TABLETS   51991073520 42
PDPs
373
MAPDs
GRANIX 300 MCG/0.5 ML SYRINGE
(Tbo-Filgrastim)
5 mls   63459091017 19
PDPs
101
MAPDs
GRANIX 300 MCG/ML VIAL
(tbo-filgrastim)
MLS   63459091859 19
PDPs
102
MAPDs
GRANIX 480 MCG/0.8 ML SYRINGE
(Tbo-Filgrastim)
5.6 mls   63459091217 19
PDPs
101
MAPDs
GRANIX 480 MCG/1.6 ML VIAL
(tbo-filgrastim)
MLS   63459092059 19
PDPs
102
MAPDs
GRASTEK 2,800 BAU SUBLIGUAL TABLET
(timothy grass pollen allergen extract)
TABLETS   52709150103 1
PDPs
22
MAPDs
GRISEOFULVIN 125 MG/5 ML ORAL SUSPENSION [Grifulvin V]
(Griseofulvin Microsize)
240 MLS   00472001304 63
PDPs
398
MAPDs
GRISEOFULVIN MICRO 500 MG TABLET
(Griseofulvin Microsize)
100 EA   00781551501 41
PDPs
350
MAPDs
GRISEOFULVIN ULTRA 125 MG TABLET [Gris-Peg]
(Griseofulvin, Ultramicrocrystalline)
84 tablets   00115172401 53
PDPs
349
MAPDs
GRISEOFULVIN ULTRA 250 MG TABLET [Gris-Peg]
(Griseofulvin, Ultramicrocrystalline)
30 tablets   00115172501 53
PDPs
349
MAPDs
GUANFACINE 1 MG TABLET [Tenex]
(Guanfacine HCl)
30 TABLETS   65162071110 27
PDPs
287
MAPDs
GUANFACINE 2 MG TABLET
(Guanfacine HCl)
100.000 EA   65162071310 27
PDPs
287
MAPDs
GUANFACINE HCL ER 1 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053301 31
PDPs
327
MAPDs
GUANFACINE HCL ER 2 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053401 31
PDPs
327
MAPDs
GUANFACINE HCL ER 3 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   60505392901 31
PDPs
327
MAPDs
GUANFACINE HCL ER 4 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053801 33
PDPs
327
MAPDs
GVOKE HYPOPEN 2-PK 1 MG/0.2 ML AUTO INJECTOR
(Glucagon)
0.4 ML   72065012112 43
PDPs
317
MAPDs
GVOKE HYPOPEN 2PK 0.5MG/0.1 ML AUTO INJECTOR
(Glucagon)
0.1 ML   72065012012 43
PDPs
314
MAPDs
GVOKE PFS 1-PK 1 MG/0.2 ML SYRINGE
(Glucagon)
0.2 ML   72065013111 43
PDPs
316
MAPDs
GVOKE PFS 1PK 0.5MG/0.1 ML SYRINGE
(Glucagon)
ML   72065013011 43
PDPs
313
MAPDs
GYNAZOLE-1 2% CREAM
(Butoconazole Nitrate (One Dose) Vaginal)
5 GM   45802039601 0
PDPs
18
MAPDs
HORIZANT ER 300 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010301 1
PDPs
13
MAPDs
HORIZANT ER 600 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010101 1
PDPs
13
MAPDs
IMATINIB MESYLATE 100 MG TABLET [Gleevec]
()
90 TABLETS   00093762998 63
PDPs
402
MAPDs
IMATINIB MESYLATE 400 MG TABLET [Gleevec]
()
30 tablets   00093763056 63
PDPs
402
MAPDs
IRESSA 250 MG TABLET
(Gefitinib)
30 EA   00310048230 63
PDPs
402
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG 00338050348 45
PDPs
322
MAPDs
ISOTONIC GENTAMICIN 100 MG/100 ML
(Gentamicin in Saline)
100 ML   00338050548 41
PDPs
320
MAPDs
ISOTONIC GENTAMICIN 80 MG/50 ML
(Gentamicin in Saline)
50 ML   00338050941 41
PDPs
318
MAPDs
LACTULOSE 10 GM/15 ML SOLUTION [Generlac]
()
237 MLS   00121087316 63
PDPs
402
MAPDs
LONHALA MAGNAIR 25 MCG REFILL VIAL-NEB
(Glycopyrrolate)
mls   63402030101 3
PDPs
68
MAPDs
LOPID 600 MG TABLET
(Gemfibrozil)
60 EA   00071073720 2
PDPs
1
MAPDs
MAVYRET 100-40 MG TABLET
(Glecaprevir and Pibrentasvir)
84 EA   00074262528 22
PDPs
281
MAPDs
METFORMIN ER 1,000 MG GASTR-TB TABERGR24H [Glumetza]
(Metformin Hydrochloride)
180 units   68682001890 0
PDPs
5
MAPDs
METFORMIN ER 500 MG GASTRC-TB TABERGR24H [Glumetza]
(Metformin Hydrochloride)
90 UNITS   68682002150 1
PDPs
12
MAPDs
METFORMIN ER 500 MG OSMOTIC TABLET ER 24 [Glumetza]
(Metformin HCl)
30 UNITS   50742063360 4
PDPs
20
MAPDs
METFORMIN HCL 850 MG TABLET [Glucophage]
(Metformin Hydrochloride)
180 TABLETS   65862000905 63
PDPs
402
MAPDs
METFORMIN HCL ER 750 MG TABLET ER 24H [Glucophage XR]
(Metformin Hydrochloride)
60 TABLETS   62756014301 63
PDPs
402
MAPDs
MIGLITOL 100 MG TABLET [Glyset]
(Miglitol)
    57664068688 5
PDPs
187
MAPDs
MIGLITOL 25 MG TABLET [Glyset]
(Miglitol)
    57664068488 5
PDPs
190
MAPDs
MIGLITOL 50 MG TABLET [Glyset]
(Miglitol)
    57664068588 5
PDPs
187
MAPDs
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M
(Neomycin-Polymyxin B-Gramicidin Ophth)
10 ML BOT 24208079062 63
PDPs
399
MAPDs
NEURONTIN 100MG CAPSULE
(Gabapentin)
100 BOT 00071080324 2
PDPs
1
MAPDs
NEURONTIN 250 MG/5 ML SOLUTION
(Gabapentin)
60 MLS   00071201244 2
PDPs
1
MAPDs
NEURONTIN 300MG CAPSULE
(Gabapentin)
100 BOT 00071080524 2
PDPs
1
MAPDs
NEURONTIN 400MG CAPSULE
(Gabapentin)
100 BOT 00071080624 2
PDPs
1
MAPDs
NEURONTIN 600MG TABLET
(Gabapentin)
100 BOT 00071051324 2
PDPs
1
MAPDs
NEURONTIN 800MG TABLET
(Gabapentin)
100 BOT 00071040124 2
PDPs
1
MAPDs
ORALAIR 300 IR SUBLINGUAL TAB
(Grass Pollen Allergen Extract)
30 EA   59617001502 18
PDPs
55
MAPDs
PIOGLITAZONE-GLIMEPIRIDE 30-2 TABLET [Duetact]
(Pioglitazone, Glimepiride)
tablets   66993082130 16
PDPs
144
MAPDs
PIOGLITAZONE-GLIMEPIRIDE 30-4 Tablet [Duetact]
(Pioglitazone, Glimepiride)
30 tablets   66993082230 16
PDPs
144
MAPDs
PRED G OPHTHALMIC SUSPENSION 1;0.3%;% 5 ML BOTDR
(Gentamicin-Prednisolone Ace Ophth)
5 ML BOTDR 00023010605 6
PDPs
122
MAPDs
PRED-G S.O.P. EYE OINTMENT
(Gentamicin-Prednisolone Ace Ophth)
3.5 GM TUBE 00023006604 7
PDPs
98
MAPDs
QBREXZA 2.4% CLOTH TOWELETTE
(Glycopyrronium)
30 units   70428001112 0
PDPs
18
MAPDs
RAVICTI 1.1 GRAM/ML LIQUID
(Glycerol Phenylbutyrate)
25 ML   75987005006 17
PDPs
254
MAPDs
RAZADYNE ER 16MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038830 2
PDPs
1
MAPDs
RAZADYNE ER 24MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038930 2
PDPs
1
MAPDs
RAZADYNE ER 8MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT 50458038730 2
PDPs
1
MAPDs
SANCUSO TRANSDERMAL SYSTEM 3.1MG/24HRS 1 PATCH CRTN
(Granisetron Transdermal)
1 PATCH CRTN 42747072601 10
PDPs
110
MAPDs
SIMPONI 100 MG/ML PEN INJECTOR
(Golimumab Subcutaneous)
1 ML   57894007102 1
PDPs
90
MAPDs
SIMPONI 100 MG/ML SYRINGE
(Golimumab Subcutaneous)
1 ML   57894007101 1
PDPs
86
MAPDs
SIMPONI 50 MG/0.5 ML PEN INJEC
(Golimumab Subcutaneous)
0.5 ML   57894007002 1
PDPs
87
MAPDs
SIMPONI GOLIMUMAB INJECTION 50MG/0.5ML 1 50 MG SINGLE DOSE SYR SYR
(Golimumab Subcutaneous)
1 50 MG SINGLE DOSE SYR SYR 57894007001 1
PDPs
90
MAPDs
TIAGABINE HCL 12 MG TABLET [Gabitril]
()
30 tablets   00093807256 63
PDPs
402
MAPDs
TIAGABINE HCL 16 MG TABLET [Gabitril]
()
tablets   00093807656 63
PDPs
402
MAPDs
TIAGABINE HCL 2 MG TABLET [Gabitril]
()
60 TABLETS   00093503056 63
PDPs
402
MAPDs
TIAGABINE HCL 4 MG TABLET [Gabitril]
()
30 tablets   00093503156 63
PDPs
402
MAPDs
TREMFYA 100 MG/ML AUTOINJECTOR
(Guselkumab)
ml   57894064011 15
PDPs
162
MAPDs
TREMFYA 100 MG/ML SYRINGE
(Guselkumab)
    57894064001 15
PDPs
162
MAPDs
XOSPATA 40 MG TABLET
(Gilteritinib)
tablets   00469142590 63
PDPs
402
MAPDs
ZIPRASIDONE 20 MG/ML VIAL [Geodon]
()
1 ML   43598084858 63
PDPs
402
MAPDs
ZIPRASIDONE HCL 20 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025660 63
PDPs
402
MAPDs
ZIPRASIDONE HCL 40 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025760 63
PDPs
402
MAPDs
ZIPRASIDONE HCL 60 MG CAPSULE [Geodon]
(Ziprasidone HCl)
    55111025860 63
PDPs
402
MAPDs
ZIPRASIDONE HCL 80 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025960 63
PDPs
402
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 44
PDPs
359
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 November 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.