Powered by Q1Group LLC
Education and Decision Support Tools for the Medicare Community
  • Menu ☰
  • Home
  • Contact
  • MAPD
  • PDP
  • 2022
  • FAQs
  • Articles
  • Search
  • Contact
  • 2022
  • FAQs
  • Articles
  • Latest Medicare News
  • Search


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 K 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
ACULAR 0.5% EYE DROPS
(Ketorolac Tromethamine Ophth)
5 ML BOT 00023218105 2
PDPs
3
MAPDs
ACULAR LS 0.4% OPHTH SOLUTION
(Ketorolac Tromethamine Ophth)
5 ML BOTDR 00023927705 2
PDPs
3
MAPDs
ACUVAIL 0.45% OPHTH SOLUTION DROPERETTE
(Ketorolac Tromethamine Ophth)
30 UNITS   00023350730 1
PDPs
29
MAPDs
CEFAZOLIN 1 GM VIAL [Kefzol]
()
7 MLS   60505614205 63
PDPs
402
MAPDs
CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION [Keflex]
(Cephalexin Monohydrate)
100 MLS   68180044001 63
PDPs
399
MAPDs
CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [Keflex]
(Cephalexin Monohydrate)
200 MLS   68180044101 63
PDPs
402
MAPDs
CLONAZEPAM 0.125 MG DIS TABLET RAPDIS [Klonopin]
(Clonazepam)
30 units   49884030602 63
PDPs
402
MAPDs
CLONAZEPAM 0.25 MG ODT TABLET RAPDIS [Klonopin]
(Clonazepam)
30 units   49884030702 63
PDPs
402
MAPDs
CLONAZEPAM 0.5 MG DIS TABLET RAPDIS [Klonopin]
(Clonazepam)
30 units   49884030802 63
PDPs
402
MAPDs
CLONAZEPAM 0.5 MG TABLET [Klonopin]
(Clonazepam)
30 tablets   16729013616 63
PDPs
402
MAPDs
CLONAZEPAM 1 MG DIS TABLET RAPDIS [Klonopin]
(Clonazepam)
60 UNITS   49884030902 63
PDPs
402
MAPDs
CLONAZEPAM 1 MG TABLET [Klonopin]
(Clonazepam)
60 tablets   16729013716 63
PDPs
402
MAPDs
CLONAZEPAM 2 MG ODT TABLET RAPDIS [Klonopin]
(Clonazepam)
30 UNITS   49884031002 63
PDPs
402
MAPDs
CLONAZEPAM 2 MG TABLET [Klonopin]
(Clonazepam)
60 tablets   16729013816 63
PDPs
402
MAPDs
CLONIDINE HCL ER 0.1 MG TABLET ER 12H [Kapvay]
()
30 TABLETS   27241010806 34
PDPs
216
MAPDs
Diph-Tetanus Tox-Acell Pert adsorbed and IPV vaccine 0.5 ML Prefilled Syringe [Kinrix]
(Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine )
    58160081252 63
PDPs
402
MAPDs
GRANISETRON HCL 1 MG TABLET [Kytril]
()
30 TABLETS   51991073520 42
PDPs
373
MAPDs
K-TAB ER 10 MEQ TABLET [Klotrix]
(Potassium Chloride)
30 TABLETS   00074327819 4
PDPs
42
MAPDs
K-TAB ER 20 MEQ TABLET
(Potassium Chloride)
    00074302313 4
PDPs
49
MAPDs
K-TAB ER 8 MEQ TABLET
(Potassium Chloride)
    00074305846 6
PDPs
119
MAPDs
KAITLIB FE 0.8-0.025MG CHEWABLE TABLET [Layolis Fe]
(norethindrone and ethinyl estradiol and ferrous fumarate)
28 CHEWABLE TABLETS   68180090373 19
PDPs
158
MAPDs
KALETRA 100-25 MG TABLET
(Lopinavir-Ritonavir)
60 TABLET, FILM COATED   00074052260 21
PDPs
84
MAPDs
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)
120 BOT 00074679922 23
PDPs
84
MAPDs
KALETRA 80MG/20MG ORAL SOLUTION
(Lopinavir-Ritonavir)
160 ML BOT 00074395646 2
PDPs
1
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
56.000 EA   51167020001 63
PDPs
402
MAPDs
KALYDECO 25 MG GRANULES PACKET
(Ivacaftor)
units   51167060001 59
PDPs
390
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)
56 EA   51167030001 59
PDPs
393
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)
56 EA   51167040001 59
PDPs
393
MAPDs
KAPVAY ER 0.1 MG TABLET
(CLONIDINE HYDROCHLORIDE)
    59212065860 0
PDPs
6
MAPDs
KARIVA 21-5 TABLET
(Desogestrel & Ethinyl Estradiol)
21ACTIVE,5ETHINYL,2PLACEB BLPK 00555905058 59
PDPs
387
MAPDs
KATERZIA 1 MG/ML ORAL SUSPENSION
(Amlodipine)
100 mls   52652500101 2
PDPs
47
MAPDs
KCL 20 MEQ IN D5W-0.45% NACL IV SOLUTION
()
500 mls   00338067104 58
PDPs
343
MAPDs
KCL 20 MEQ IN D5W-LACT RINGER IV SOLUTION
()
mls   00338081104 31
PDPs
236
MAPDs
KCL 20 MEQ-NS 1,000 ML IV SOLUTION
()
mls   00338069104 35
PDPs
293
MAPDs
KCL 40 MEQ-NS 1,000 ML IV SOLUTION
()
mls   00338069504 35
PDPs
282
MAPDs
KELNOR 1-35 1-0.035MG TABLET
(Ethynodiol Diacetate & Ethinyl Estradiol)
28 (21+7) BLPK 00555906458 61
PDPs
385
MAPDs
KELNOR 1-50 TABLET [Zovia 1/50E]
(Ethynodiol Diacetate, Ethinyl Estradiol;Inert)
28 tablets   00093807316 63
PDPs
380
MAPDs
KENALOG 0.147 MG/GRAM SPRAY AEROSOL
(Triamcinolone Acetonide)
63 GRAMS   10631009307 0
PDPs
6
MAPDs
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Levetiracetam)
60 TABLET, FILM COATED   50474059766 2
PDPs
1
MAPDs
KEPPRA 100MG/ML ORAL SOLUTION
(Levetiracetam)
16 FLO BOT 50474000148 2
PDPs
1
MAPDs
KEPPRA 250MG TABLET
(Levetiracetam)
120 TABS BOT 50474059440 2
PDPs
1
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)
120 TABS BOT 50474059540 2
PDPs
1
MAPDs
KEPPRA 750MG TABLET
(Levetiracetam)
120 TABS BOT 50474059640 2
PDPs
1
MAPDs
KEPPRA 750MG XR TABLET
(Levetiracetam)
60 BOT 50474059966 0
PDPs
1
MAPDs
KEPPRA XR 500 MG TABLET ER 24H
(Levetiracetam)
60 BOT 50474059866 0
PDPs
1
MAPDs
KERENDIA 10 MG TABLET
(Finerenone)
30 TABLETS   50419054001 0
PDPs
9
MAPDs
KERENDIA 20 MG TABLET
(Finerenone)
30 TABLETS   50419054101 0
PDPs
9
MAPDs
KERYDIN 5% TOPICAL SOLUTION
(Tavaborole)
10.000 ML   10337090510 0
PDPs
2
MAPDs
KESIMPTA 20 MG/0.4 ML PEN INJECTOR
(Ofatumumab)
MLS   00078100768 6
PDPs
174
MAPDs
KETOCONAZOLE 2% CREAM
(Ketoconazole)
60 GM   51672129803 63
PDPs
402
MAPDs
KETOCONAZOLE 2% FOAM [Ketodan]
()
50 GRAMS   45802053233 3
PDPs
38
MAPDs
KETOCONAZOLE 2% SHAMPOO
(Ketoconazole)
120.000 ML   45802046564 63
PDPs
402
MAPDs
KETOCONAZOLE 200 MG TABLET [Nizoral]
()
30 TABLETS   64380082706 63
PDPs
402
MAPDs
KETODAN 2% FOAM
(Ketoconazole)
100 grams   43538053010 3
PDPs
32
MAPDs
KETOPROFEN 200MG CAPSULE 24HR SR PELLETS
(Ketoprofen)
100 BOT 00378820001 3
PDPs
86
MAPDs
KETOPROFEN 25 MG CAPSULE [Orudis]
(Ketoprofen)
90 capsules   69336012710 6
PDPs
77
MAPDs
KETOPROFEN 50 MG CAPSULE [Orudis]
(Ketoprofen)
15 CAPSULES   23155002101 7
PDPs
106
MAPDs
KETOPROFEN 75 MG CAPSULE [Orudis]
(Ketoprofen)
CAPSULES   23155002201 7
PDPs
107
MAPDs
KETOROLAC 0.4% OPHTH SOLUTION DROPS [Acular LS]
(Ketorolac)
5 mls   60758077305 62
PDPs
358
MAPDs
KETOROLAC 0.5% OPHTH SOLUTION DROPS [Acular PF]
()
5 MLS   61314012605 63
PDPs
402
MAPDs
KETOROLAC 10MG TABLET
(Ketorolac)
100 TABLETS BOT 00093031401 17
PDPs
184
MAPDs
KETOROLAC 15.75 MG NASAL SPRAY [SPRIX]
(Ketorolac)
5 UNITS   66993019395 0
PDPs
2
MAPDs
KEVEYIS 50 MG TABLET
(Dichlorphenamide)
    71090000101 0
PDPs
97
MAPDs
KEVZARA 150 MG/1.14 ML PEN INJECTOR
(Sarilumab)
MLS   00024592001 1
PDPs
107
MAPDs
KEVZARA 150 MG/1.14 ML SYRINGE
(Sarilumab)
    00024590801 1
PDPs
107
MAPDs
KEVZARA 200 MG/1.14 ML PEN INJECTOR
(Sarilumab)
MLS   00024592201 1
PDPs
107
MAPDs
KEVZARA 200 MG/1.14 ML SYRINGE
(Sarilumab)
    00024591001 1
PDPs
107
MAPDs
KINERET 100 MG/0.67 ML SYRINGE
(Anakinra Subcutaneous)
.670 ML   66658023407 14
PDPs
112
MAPDs
KINRIX VIAL
(Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine )
ml   58160081211 63
PDPs
399
MAPDs
KISQALI 200 MG DAILY DOSE
(Ribociclib)
    00078086001 63
PDPs
402
MAPDs
KISQALI 400 MG DAILY DOSE
(Ribociclib)
    00078086742 63
PDPs
402
MAPDs
KISQALI 600 MG DAILY DOSE
(Ribociclib)
    00078087463 63
PDPs
402
MAPDs
KISQALI FEMARA 200 MG CO-PACK
(Letrozole;Ribociclib)
49 EA   00078090961 63
PDPs
401
MAPDs
KISQALI FEMARA 400 MG CO-PACK
(Letrozole;Ribociclib)
70 EA   00078091661 63
PDPs
401
MAPDs
KISQALI FEMARA 600 MG CO-PACK
(Letrozole;Ribociclib)
91 EA   00078092361 63
PDPs
401
MAPDs
KLARON 10% LOTION
(Sulfacetamide Sodium)
    00187519804 2
PDPs
1
MAPDs
KLISYRI 1% OINTMENT PACKET
(Tirbanibulin)
5 UNITS   16110039105 1
PDPs
26
MAPDs
Klonopin 0.5mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE   00004006801 0
PDPs
1
MAPDs
Klonopin 1mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE   00004005801 0
PDPs
1
MAPDs
Klonopin 2mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE   00004009801 0
PDPs
1
MAPDs
KLOR-CON 20 MEQ PACKET
(Potassium Chloride Microencapsulated Crys CR)
    00245036030 28
PDPs
260
MAPDs
KLOR-CON 8 MEQ TABLET [Slow-K]
(Potassium Chloride)
90 TABLETS   00245531515 62
PDPs
341
MAPDs
KLOR-CON M10 MEQ TABLET [Klotrix]
()
30 TABLETS   00245531615 62
PDPs
344
MAPDs
KLOR-CON M10 TABLET ER PRT [Klotrix]
()
30 UNITS   00245531790 63
PDPs
388
MAPDs
KLOR-CON M15 TABLET ER PRT
(Potassium Chloride)
30 UNITS   00245531811 60
PDPs
387
MAPDs
KLOR-CON M20 TABLET ER PRT
(Potassium Chloride)
30 UNITS   00245531990 63
PDPs
393
MAPDs
KLOXXADO 8 MG NASAL SPRAY
(Naloxone Hydrochloride)
2 UNITS   59467067901 15
PDPs
178
MAPDs
KOMBIGLYZE XR 2.5-1,000 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
60 EA   00310612560 18
PDPs
74
MAPDs
KOMBIGLYZE XR 5-1,000 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
30 EA   00310614530 18
PDPs
74
MAPDs
KOMBIGLYZE XR 5-500 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
30 EA   00310613530 18
PDPs
74
MAPDs
KORLYM 300 MG TABLET
(mifepristone)
28 TABLETS   76346007302 63
PDPs
402
MAPDs
KOSELUGO 10 MG CAPSULE
(Selumetinib)
capsules   00310061060 36
PDPs
266
MAPDs
KOSELUGO 25 MG CAPSULE
(Selumetinib)
capsules   00310062560 36
PDPs
266
MAPDs
KRINTAFEL 150 MG TABLET
(Tafenoquine)
tablets   00173088939 3
PDPs
129
MAPDs
KRISTALOSE 10 GM PACKET
(Lactulose)
    66220071930 3
PDPs
42
MAPDs
KRISTALOSE 20 GM PACKET
(Lactulose)
    66220072930 3
PDPs
58
MAPDs
KURVELO-28 TABLET [Portia]
(Inert; Levonorgestrel, Ethinyl Estradiol)
28 tablets   68180084473 59
PDPs
371
MAPDs
KUVAN 100 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)
30.000 EA   68135030122 2
PDPs
14
MAPDs
KUVAN 100MG TABLET SOLUBLE
(Sapropterin DiHCL Soluble)
    68135030002 2
PDPs
18
MAPDs
KUVAN 500 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)
30.000 EA   68135048211 2
PDPs
14
MAPDs
KYNMOBI 10 MG SL FILM
(Apomorphine)
UNITS   63402001030 30
PDPs
310
MAPDs
KYNMOBI 15 MG SL FILM
(Apomorphine)
UNITS   63402001530 30
PDPs
310
MAPDs
KYNMOBI 20 MG SL FILM
(Apomorphine)
UNITS   63402002030 30
PDPs
310
MAPDs
KYNMOBI 25 MG SL FILM
(Apomorphine)
UNITS   63402002530 30
PDPs
310
MAPDs
KYNMOBI 30 MG SL FILM
(Apomorphine)
UNITS   63402003030 30
PDPs
310
MAPDs
LACTULOSE 10 GM PACKET [Kristalose]
(Lactulose)
30 units   69067001015 1
PDPs
39
MAPDs
LEVETIRACETAM 100 MG/ML SOLUTION [Keppra]
()
60 MLS   31722057447 63
PDPs
402
MAPDs
LEVETIRACETAM 250 MG TABLET [Keppra]
()
90 TABLETS   31722053612 63
PDPs
402
MAPDs
LEVETIRACETAM 750 MG TABLET [Keppra]
()
60 TABLETS   31722053812 63
PDPs
402
MAPDs
LOPINAVIR-RITONAVIR 80-20MG/ML Solution [Kaletra]
()
    00527194748 63
PDPs
402
MAPDs
LOPINAVIR-RITONAVR 100-25MG TABLET [Kaletra]
()
12 TABLETS   31722060360 63
PDPs
399
MAPDs
LOPINAVIR-RITONAVR 200-50MG TABLET [Kaletra]
()
12 TABLETS   31722055612 63
PDPs
399
MAPDs
MORPHINE SULFATE ER 20 MG CAPSULE PEL [Kadian]
(Morphine)
60 UNITS   00228350206 1
PDPs
74
MAPDs
MORPHINE SULFATE ER 40 MG CAPSULE PEL [Kadian]
(Morphine)
60 units   00115147901 0
PDPs
64
MAPDs
POTASSIUM CL 10% (20 MEQ/15ML) LIQUID [Kay Ciel]
(Potassium Chloride)
473 MLS   00603154258 63
PDPs
402
MAPDs
POTASSIUM CL 20 MEQ PACKET [Klor-Con]
(Potassium Chloride Microencapsulated Crys CR)
30 UNITS   00603155416 26
PDPs
266
MAPDs
POTASSIUM CL 20% (40 MEQ/15ML) LIQUID [Kaon-CL]
(Potassium Chloride)
100 MLS   00603154358 42
PDPs
364
MAPDs
POTASSIUM CL ER 10 MEQ CAPSULE ER [Micro-K Extencaps]
()
90 CAPSULES   68180079902 61
PDPs
399
MAPDs
POTASSIUM CL ER 10 MEQ TABLET [Klotrix]
()
30 TABLETS   68382032010 63
PDPs
397
MAPDs
POTASSIUM CL ER 10 MEQ TABLET ER PRT [Klotrix]
()
30 UNITS   00832532411 63
PDPs
399
MAPDs
POTASSIUM CL ER 15 MEQ TABLET ER PRT [Klor-Con M15]
(Potassium Chloride Microencapsulated Crys CR)
60 UNITS   72865019505 58
PDPs
378
MAPDs
POTASSIUM CL ER 20 MEQ TABLET ER PRT [Klor-Con M20]
()
30 UNITS   00832532511 63
PDPs
399
MAPDs
POTASSIUM CL ER 8 MEQ CAPSULE ER [Micro-K Extencaps]
()
30 capsules   62037055901 61
PDPs
398
MAPDs
POTASSIUM CL ER 8 MEQ TABLET [Slow-K]
()
90 TABLETS   00832532211 63
PDPs
401
MAPDs
SAPROPTERIN 100 MG POWDER PACK [KUVAN]
(Sapropterin Dihydrochloride Soluble)
60 UNITS   49884094872 58
PDPs
341
MAPDs
SAPROPTERIN 100 MG TABLET SOL [KUVAN]
(Sapropterin Dihydrochloride Soluble)
UNITS   49884072008 63
PDPs
394
MAPDs
SAPROPTERIN 500 MG POWDER PACK [KUVAN]
(Sapropterin Dihydrochloride Soluble)
28 UNITS   49884087372 58
PDPs
341
MAPDs
SPRIX 15.75 MG NASAL SPRAY
(Ketorolac Tromethamine)
UNITS   69344014443 0
PDPs
1
MAPDs
TAVABOROLE 5% TOPICAL SOLUTION SOL W/APPL [KERYDIN]
()
10 MLS   21922002012 2
PDPs
24
MAPDs
TRIAMCINOLONE 0.1% LOTION [Kenalog]
()
60 MLS   60432056161 54
PDPs
391
MAPDs
TRIAMCINOLONE 0.147 MG/G SPRAY AEROSOL [Kenalog]
()
63 GRAMS   64980042963 2
PDPs
50
MAPDs



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


Medicare Supplements
fill the gaps in your
Original Medicare
1. Enter Your ZIP Code:
» Medicare Supplement FAQs





Pets are Family Too!
Use your drug discount card to save on medications for the entire family ‐ including your pets.

  • No enrollment fee and no limits on usage
  • Everyone in your household can use the same card, including your pets
Your drug discount card is available to you at no cost.




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.