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2022 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 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		 209
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 36
PDPs		 338
MAPDs
COPAXONE 20MG/ML 30 BLISTER PACK IN 1 CRTN
(Glatiramer Acetate)		     68546031730 42
PDPs		 172
MAPDs
COPAXONE 40 MG/ML SYRINGE
(Glatiramer Acetate)		 1 ML   68546032512 42
PDPs		 175
MAPDs
CROMOLYN 100 MG/5 ML ORAL CONC [Gastrocrom]
(Cromolyn )		 480 MLS   42571013252 63
PDPs		 404
MAPDs
CUVPOSA 1 MG/5 ML SOLUTION
(Glycopyrrolate)		     00259050116 3
PDPs		 53
MAPDs
DARTISLA ODT 1.7 MG TABLET RAPDIS
(Glycopyrrolate)		 UNITS   82111051801 0
PDPs		 2
MAPDs
DAURISMO 100 MG TABLET
(Glasdegib)		 tablets   00069153130 63
PDPs		 404
MAPDs
DAURISMO 25 MG TABLET
(Glasdegib)		 tablets   00069029860 63
PDPs		 404
MAPDs
EMGALITY 120 MG/ML PEN INJCTR
(Galcanezumab)		 1 ml   00002143611 45
PDPs		 298
MAPDs
EMGALITY 120 MG/ML SYRINGE
(Galcanezumab)		 1 ml   00002237711 41
PDPs		 297
MAPDs
EMGALITY 300 MG (100 MG X3SYR) SYRINGE
(Galcanezumab)		 3 mls   00002311509 32
PDPs		 226
MAPDs
ENDARI 5 GRAM POWDER PACKET
(Glutamine Powder (For Sickle Cell Disease))		 UNITS   42457042001 14
PDPs		 232
MAPDs
ESTRADIOL VALERATE 100 MG/5 ML VIAL [Gynogen LA]
()		 5 MLS   00517042001 36
PDPs		 301
MAPDs
GABAPENTIN 100 MG CAPSULE [Neurontin]
()		 90 CAPSULES   67877022210 63
PDPs		 404
MAPDs
GABAPENTIN 250 MG/5 ML SOLUTION [Neurontin]
()		 30 MLS   42192060816 63
PDPs		 404
MAPDs
GABAPENTIN 300 MG CAPSULE [Neurontin]
()		 90 CAPSULES   67877022310 63
PDPs		 404
MAPDs
GABAPENTIN 400 MG CAPSULE [Neurontin]
(Gabapentin)		 90 capsules   67877022405 63
PDPs		 404
MAPDs
GABAPENTIN 600 MG TABLET
(Gabapentin)		 500.000 EA   68462012605 63
PDPs		 404
MAPDs
GABAPENTIN 800 MG TABLET
(Gabapentin)		 500.000 EA   68462012705 63
PDPs		 404
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		 176
MAPDs
GALANTAMINE 4 MG/ML ORAL SOLUTION
(Galantamine Hydrobromide)		 100 mL in 1 BOTTLE   00054013749 60
PDPs		 380
MAPDs
GALANTAMINE ER 16 MG CAPSULE 24H PEL [Reminyl]
()		 30 UNITS   65862074530 61
PDPs		 393
MAPDs
GALANTAMINE ER 24 MG CAPSULE 24H PEL [Reminyl]
()		 30 UNITS   65862074630 61
PDPs		 393
MAPDs
GALANTAMINE ER 8 MG CAPSULE 24H PEL [Reminyl]
()		 30 UNITS   65862074430 61
PDPs		 393
MAPDs
GALANTAMINE HBR 12 MG TABLET [Reminyl]
()		 180 TABLETS   57237005160 61
PDPs		 394
MAPDs
GALANTAMINE HBR 4 MG TABLET [Reminyl]
()		 60 tablets   57237004960 61
PDPs		 394
MAPDs
GALANTAMINE HBR 8 MG TABLET [Reminyl]
()		 60 TABLETS   57237005060 61
PDPs		 394
MAPDs
GAMMAGARD LIQUID 10% VIAL
(Immune Globulin (Human) IV)		 1 BOTTLE, GLASS in CARTON   00944270003 25
PDPs		 323
MAPDs
GAMMAGARD S-D 10 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)		     00944265804 27
PDPs		 316
MAPDs
GAMMAGARD S-D 5 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)		     00944265603 31
PDPs		 316
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)		 10 ML   76125090001 16
PDPs		 235
MAPDs
GAMMAPLEX 10 GRAM/100 ML VIAL
(immune globulin)		     64208823506 31
PDPs		 304
MAPDs
GAMMAPLEX 10 GRAM/200 ML VIAL
(immune globulin)		 100 MLS   64208823403 29
PDPs		 307
MAPDs
GAMMAPLEX 20 GRAM/200 ML VIAL
(immune globulin)		     64208823507 31
PDPs		 305
MAPDs
GAMMAPLEX 5 GRAM/50 ML VIAL
(immune globulin)		     64208823505 31
PDPs		 305
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)		 10 mL in 1 VIAL, GLASS   13533080012 40
PDPs		 337
MAPDs
GARDASIL 9 SYRINGE
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)		     00006412102 63
PDPs		 404
MAPDs
GARDASIL 9 VIAL
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)		     00006411903 63
PDPs		 404
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		 401
MAPDs
GAVILYTE-C SOLUTION
(Polyethylene Glycol 3350 Oral)		 278.26 g in 1 BOTTLE   43386006019 63
PDPs		 397
MAPDs
GAVILYTE-G SOLUTION
(Polyethylene Glycol 3350 Oral)		 274.31 g in 1 BOTTLE   43386009019 58
PDPs		 390
MAPDs
GAVRETO 100 MG CAPSULE
(Pralsetinib)		 60 CAPSULES   50242021060 63
PDPs		 404
MAPDs
GELNIQUE 10% GEL SACHET PACKET
(Oxybutynin Chloride)		 GRAM   00023586111 1
PDPs		 24
MAPDs
GEMFIBROZIL 600 MG TABLET
(Gemfibrozil)		 500 EA   69097082112 63
PDPs		 404
MAPDs
GEMMILY 1 MG-20 MCG CAPSULE [Taytulla]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)		 28 CAPSULES   70700015285 11
PDPs		 89
MAPDs
GEMTESA 75 MG TABLET
(Vibegron)		 30 TABLETS   73336007530 6
PDPs		 30
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		 400
MAPDs
GENGRAF 100 MG CAPSULE
(Cyclosporine Modified)		 30 EA   00074310932 63
PDPs		 398
MAPDs
GENGRAF 100MG/ML SOLUTION
(Cyclosporine Modified)		 50 ML BOTGL 00074726950 63
PDPs		 399
MAPDs
GENGRAF 25 MG CAPSULE
(Cyclosporine Modified)		 30 EA   00074310832 63
PDPs		 398
MAPDs
GENOTROPIN 13.8MG CARTRIDGE
(Somatropin For)		 1 X 13.8 MG CTG 00013264681 21
PDPs		 199
MAPDs
GENOTROPIN 5 MG CARTRIDGE
(Somatropin For)		 1 PKGCOM 00013262681 21
PDPs		 197
MAPDs
GENOTROPIN MINIQUICK 0.2MG
(Somatropin For)		 7 X 0.2 MG VIALPAT 00013264902 21
PDPs		 194
MAPDs
GENOTROPIN MINIQUICK 0.4MG
(Somatropin For)		 7 X 0.4 MG VIALPAT 00013265002 21
PDPs		 196
MAPDs
GENOTROPIN MINIQUICK 0.6MG
(Somatropin For)		 7 X 0.6 MG VIALPAT 00013265102 21
PDPs		 196
MAPDs
GENOTROPIN MINIQUICK 0.8MG
(Somatropin For)		 7 X 0.8 MG VIALPAT 00013265202 21
PDPs		 196
MAPDs
GENOTROPIN MINIQUICK 1.2MG
(Somatropin For)		 7 VIALPAT 00013265402 21
PDPs		 199
MAPDs
GENOTROPIN MINIQUICK 1.4MG
(Somatropin For)		 7 VIALPAT 00013265502 21
PDPs		 199
MAPDs
GENOTROPIN MINIQUICK 1.6MG
(Somatropin For)		 7 VIALPAT 00013265602 21
PDPs		 199
MAPDs
GENOTROPIN MINIQUICK 1.8MG
(Somatropin For)		 7 VIALPAT 00013265702 21
PDPs		 199
MAPDs
GENOTROPIN MINIQUICK 1MG
(Somatropin For)		 7 X 1.0 MG VIALPAT 00013265302 21
PDPs		 199
MAPDs
GENOTROPIN MINIQUICK 2MG
(Somatropin For)		 7 X 2.0 MG VIALPAT 00013265802 21
PDPs		 199
MAPDs
GENTAK 3MG/GM EYE OINTMENT
(Gentamicin Sulfate Ophth)		 3.5 GM TUBE 17478028435 63
PDPs		 387
MAPDs
GENTAMICIN 3 MG/ML EYE DROPS
(Gentamicin Sulfate Ophth)		 5 ML   60758018805 63
PDPs		 399
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		 400
MAPDs
GENTAMICIN SULFATE CREAM USP 0.1% 15GM TUBE
(Gentamicin Sulfate)		 15 GM TUBE 45802005635 63
PDPs		 404
MAPDs
Gentamicin Sulfate in Sodium Chloride 60mg/50mL 50 mL in 1 BAG
(Gentamicin Sulfate)		 50 mL in 1 BAG   00338050741 41
PDPs		 317
MAPDs
GENTAMICIN SULFATE OINTMENT USP 0.1% 15GM TUBE
(Gentamicin Sulfate)		 15 GM TUBE 45802004635 63
PDPs		 404
MAPDs
GENVOYA TABLET
(Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide Fumarate)		     61958190101 63
PDPs		 404
MAPDs
GEODON 20 MG CAPSULE
(Ziprasidone HCl)		 30 CAPSULES   00049035260 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)		 60 CAPSULES   00049035660 2
PDPs		 1
MAPDs
GEODON 80 MG CAPSULE
(Ziprasidone HCl)		 30 CAPSULES   00049035860 2
PDPs		 1
MAPDs
GILENYA 0.5 MG CAPSULE
(FINGOLIMOD HCL)		 30 EA   00078060715 56
PDPs		 394
MAPDs
GILOTRIF 20 MG TABLET
(afatinib)		 30 EA   00597014130 63
PDPs		 404
MAPDs
GILOTRIF 30 MG TABLET
(afatinib)		 30 EA   00597013730 63
PDPs		 404
MAPDs
GILOTRIF 40 MG TABLET
(afatinib)		 30 EA   00597013830 63
PDPs		 404
MAPDs
GIMOTI 15 MG NASAL SPRAY SPRAY/PUMP
(Metoclopramide)		 MLS   72089030715 0
PDPs		 10
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		 341
MAPDs
GLATIRAMER 40 MG/ML SYRINGE [Copaxone]
(Glatiramer Acetate)		 1 ML   00378696112 37
PDPs		 339
MAPDs
Glatopa 20 mg/ml syringe
(Glatiramer Acetate)		     00781323434 33
PDPs		 307
MAPDs
GLATOPA 40 MG/ML SYRINGE
(Glatiramer)		 12 mls   00781325089 33
PDPs		 309
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)		 90 BOT 00078040134 2
PDPs		 3
MAPDs
GLEEVEC 400 MG TABLET
(Imatinib Mesylate)		 30 EA   00078064930 2
PDPs		 3
MAPDs
GLIMEPIRIDE 1 MG TABLET [Amaryl]
()		 90 TABLETS   55111032001 63
PDPs		 404
MAPDs
GLIMEPIRIDE 2 MG TABLET [Amaryl]
()		 90 TABLETS   55111032101 63
PDPs		 404
MAPDs
GLIMEPIRIDE 4 MG TABLET [Amaryl]
()		 90 TABLETS   55111032201 63
PDPs		 404
MAPDs
GLIPIZIDE 10 MG TABLET
(Glipizide)		 1000.000 EA   60505014201 63
PDPs		 404
MAPDs
GLIPIZIDE 5 MG TABLET
(Glipizide)		 1000.000 EA   60505014101 63
PDPs		 404
MAPDs
GLIPIZIDE ER 10 MG TABLET ER 24 [Glucotrol XL]
()		 90 UNITS   64980028101 63
PDPs		 404
MAPDs
GLIPIZIDE ER 2.5MG TABLET SR OSMOTIC PUSH 24HR
(Glipizide)		 30 BOTPL 00591090030 63
PDPs		 404
MAPDs
GLIPIZIDE ER 5 MG TABLET ER 24 [Glucotrol XL]
()		 90 UNITS   64980028005 63
PDPs		 404
MAPDs
GLIPIZIDE-METFORMIN 2.5-250 MG TABLET [Metaglip]
(Glipizide, Metformin Hydrochloride)		 30 TABLETS   68382018401 55
PDPs		 394
MAPDs
GLIPIZIDE-METFORMIN 2.5-500 MG TABLET [Metaglip]
(Glipizide, Metformin Hydrochloride)		 60 TABLETS   68382018501 55
PDPs		 394
MAPDs
GLIPIZIDE-METFORMIN 5-500 MG TABLET [Metaglip]
(Glipizide, Metformin Hydrochloride)		 60 TABLETS   68382018601 55
PDPs		 394
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		 234
MAPDs
GLUCAGON 1MG EMERGENCY KIT
(Glucagon (rDNA) For)		 1 KIT PKGCOM 00002803101 31
PDPs		 223
MAPDs
Glucose 50 MG/ML / Potassium Chloride 0.02 MEQ/ML / Sodium Chloride 0.154 MEQ/ML Injectable Solution
()		     00338080304 35
PDPs		 299
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		 230
MAPDs
GLYBURIDE 1.25MG TABLETS
(Glyburide)		 100 TABLETS BOT 00093834201 36
PDPs		 222
MAPDs
GLYBURIDE 2.5MG TABLET (100 CT)
(Glyburide)		 100 TABLETS BOT 00093834301 36
PDPs		 222
MAPDs
GLYBURIDE 5 MG TABLET [Micronase]
()		 30 TABLETS   23155005810 36
PDPs		 222
MAPDs
GLYBURIDE MICRO 1.5 MG TABLET [Glynase PresTab]
(Glyburide)		 20 TABLETS   00093803401 30
PDPs		 205
MAPDs
GLYBURIDE MICRO 3 MG TABLET [Glynase PresTab]
(Glyburide)		 90 TABLETS   00093803501 30
PDPs		 205
MAPDs
GLYBURIDE MICRO 6 MG TABLET [Glynase PresTab]
(Glyburide)		 60 TABLETS   00093803601 30
PDPs		 205
MAPDs
GLYBURIDE-METFORMIN 2.5-500 MG
(Glyburide)		 100.000 EA   65862008101 25
PDPs		 230
MAPDs
GLYBURIDE-METFORMIN 5-500 MG
(Glyburide)		 100.000 EA   65862008201 25
PDPs		 230
MAPDs
GLYCOPYRROLATE 1 MG TABLET [Robinul]
(Glycopyrrolate)		 60 TABLETS   23155060601 60
PDPs		 396
MAPDs
GLYCOPYRROLATE 1 MG/5 ML SOLUTION [Cuvposa]
()		 350 MLS   49884004233 3
PDPs		 91
MAPDs
GLYCOPYRROLATE 1.5 MG TABLET [Glycate]
()		 60 TABLETS   72887016003 13
PDPs		 45
MAPDs
GLYCOPYRROLATE 2 MG TABLET [Robinul Forte]
()		 60 TABLETS   23155060701 60
PDPs		 396
MAPDs
GLYXAMBI 10 MG-5 MG TABLET
(Empagliflozin and Linagliptin)		     00597018230 49
PDPs		 332
MAPDs
GLYXAMBI 25 MG-5 MG TABLET
(Empagliflozin and Linagliptin)		     00597016430 49
PDPs		 332
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
GRALISE ER 300 MG TABLET ER 24H
(Gabapentin)		 90 TABLETS   52427080390 4
PDPs		 61
MAPDs
GRALISE ER 600 MG TABLET ER 24H
(Gabapentin)		 90 TABLETS   52427080690 4
PDPs		 61
MAPDs
GRANISETRON HCL 1 MG TABLET [Kytril]
()		 30 TABLETS   51991073520 42
PDPs		 374
MAPDs
GRANIX 300 MCG/0.5 ML SYRINGE
(Tbo-Filgrastim)		 5 mls   63459091017 19
PDPs		 103
MAPDs
GRANIX 300 MCG/ML VIAL
(tbo-filgrastim)		 MLS   63459091859 19
PDPs		 104
MAPDs
GRANIX 480 MCG/0.8 ML SYRINGE
(Tbo-Filgrastim)		 5.6 mls   63459091217 19
PDPs		 103
MAPDs
GRANIX 480 MCG/1.6 ML VIAL
(tbo-filgrastim)		 MLS   63459092059 19
PDPs		 104
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		 400
MAPDs
GRISEOFULVIN MICRO 500 MG TABLET
(Griseofulvin Microsize)		 100 EA   00781551501 41
PDPs		 352
MAPDs
GRISEOFULVIN ULTRA 125 MG TABLET [Gris-Peg]
(Griseofulvin, Ultramicrocrystalline)		 84 tablets   00115172401 53
PDPs		 350
MAPDs
GRISEOFULVIN ULTRA 250 MG TABLET [Gris-Peg]
(Griseofulvin, Ultramicrocrystalline)		 30 tablets   00115172501 53
PDPs		 350
MAPDs
GUANFACINE 1 MG TABLET [Tenex]
(Guanfacine HCl)		 30 TABLETS   65162071110 27
PDPs		 290
MAPDs
GUANFACINE 2 MG TABLET
(Guanfacine HCl)		 100.000 EA   65162071310 27
PDPs		 290
MAPDs
GUANFACINE HCL ER 1 MG TABLET ER 24H [Intuniv]
()		 30 TABLETS   24979053301 31
PDPs		 330
MAPDs
GUANFACINE HCL ER 2 MG TABLET ER 24H [Intuniv]
()		 30 TABLETS   24979053401 31
PDPs		 330
MAPDs
GUANFACINE HCL ER 3 MG TABLET ER 24H [Intuniv]
()		 30 TABLETS   60505392901 31
PDPs		 330
MAPDs
GUANFACINE HCL ER 4 MG TABLET ER 24H [Intuniv]
()		 30 TABLETS   24979053801 33
PDPs		 330
MAPDs
GVOKE 1 MG/0.2 ML KIT VIAL
(Glucagon)		 ML   72065014011 44
PDPs		 321
MAPDs
GVOKE HYPOPEN 2-PK 1 MG/0.2 ML AUTO INJECTOR
(Glucagon)		 0.4 ML   72065012112 43
PDPs		 320
MAPDs
GVOKE HYPOPEN 2PK 0.5MG/0.1 ML AUTO INJECTOR
(Glucagon)		 0.1 ML   72065012012 43
PDPs		 317
MAPDs
GVOKE PFS 1-PK 1 MG/0.2 ML SYRINGE
(Glucagon)		 0.2 ML   72065013111 43
PDPs		 319
MAPDs
GVOKE PFS 1PK 0.5MG/0.1 ML SYRINGE
(Glucagon)		 ML   72065013011 43
PDPs		 316
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		 15
MAPDs
HORIZANT ER 600 MG TABLET
(GABAPENTIN ENACARBIL)		     53451010101 1
PDPs		 15
MAPDs
IMATINIB MESYLATE 100 MG TABLET [Gleevec]
()		 90 TABLETS   00093762998 63
PDPs		 404
MAPDs
IMATINIB MESYLATE 400 MG TABLET [Gleevec]
()		 30 tablets   00093763056 63
PDPs		 404
MAPDs
IRESSA 250 MG TABLET
(Gefitinib)		 30 EA   00310048230 63
PDPs		 404
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)		 100 ML BAG 00338050348 45
PDPs		 321
MAPDs
ISOTONIC GENTAMICIN 100 MG/100 ML
(Gentamicin in Saline)		 100 ML   00338050548 41
PDPs		 319
MAPDs
ISOTONIC GENTAMICIN 80 MG/50 ML
(Gentamicin in Saline)		 50 ML   00338050941 41
PDPs		 317
MAPDs
LACTULOSE 10 GM/15 ML SOLUTION [Generlac]
()		 237 MLS   00121087316 63
PDPs		 404
MAPDs
LONHALA MAGNAIR 25 MCG REFILL VIAL-NEB
(Glycopyrrolate)		 mls   63402030101 3
PDPs		 69
MAPDs
LOPID 600 MG TABLET
(Gemfibrozil)		 60 EA   00071073720 2
PDPs		 1
MAPDs
MAVYRET 100-40 MG TABLET
(Glecaprevir and Pibrentasvir)		 84 EA   00074262528 25
PDPs		 282
MAPDs
MAVYRET 50-20 MG PELLET PACKET
(Glecaprevir and Pibrentasvir)		 UNITS   00074260028 25
PDPs		 254
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		 404
MAPDs
METFORMIN HCL ER 750 MG TABLET ER 24H [Glucophage XR]
(Metformin Hydrochloride)		 60 TABLETS   62756014301 63
PDPs		 404
MAPDs
MIGLITOL 100 MG TABLET [Glyset]
(Miglitol)		     57664068688 5
PDPs		 188
MAPDs
MIGLITOL 25 MG TABLET [Glyset]
(Miglitol)		     57664068488 5
PDPs		 191
MAPDs
MIGLITOL 50 MG TABLET [Glyset]
(Miglitol)		     57664068588 5
PDPs		 188
MAPDs
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M
(Neomycin-Polymyxin B-Gramicidin Ophth)		 10 ML BOT 24208079062 63
PDPs		 401
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		 99
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		 256
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		 109
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		 404
MAPDs
TIAGABINE HCL 16 MG TABLET [Gabitril]
()		 tablets   00093807656 63
PDPs		 404
MAPDs
TIAGABINE HCL 2 MG TABLET [Gabitril]
()		 60 TABLETS   00093503056 63
PDPs		 404
MAPDs
TIAGABINE HCL 4 MG TABLET [Gabitril]
()		 30 tablets   00093503156 63
PDPs		 404
MAPDs
TREMFYA 100 MG/ML AUTOINJECTOR
(Guselkumab)		 ml   57894064011 15
PDPs		 167
MAPDs
TREMFYA 100 MG/ML SYRINGE
(Guselkumab)		     57894064001 15
PDPs		 167
MAPDs
XOSPATA 40 MG TABLET
(Gilteritinib)		 tablets   00469142590 63
PDPs		 404
MAPDs
ZIPRASIDONE 20 MG/ML VIAL [Geodon]
()		 1 ML   43598084858 63
PDPs		 404
MAPDs
ZIPRASIDONE HCL 20 MG CAPSULE [Geodon]
(Ziprasidone HCl)		 60.000 EA   55111025660 63
PDPs		 404
MAPDs
ZIPRASIDONE HCL 40 MG CAPSULE [Geodon]
(Ziprasidone HCl)		 60.000 EA   55111025760 63
PDPs		 404
MAPDs
ZIPRASIDONE HCL 60 MG CAPSULE [Geodon]
(Ziprasidone HCl)		     55111025860 63
PDPs		 404
MAPDs
ZIPRASIDONE HCL 80 MG CAPSULE [Geodon]
(Ziprasidone HCl)		 60.000 EA   55111025960 63
PDPs		 404
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		 361
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 2022)




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