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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 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 2022 Formularies
PDPs MAPDs
ALOGLIPTIN-PIOGLIT 12.5-15 MG [Oseni]
(Alogliptin / Pioglitazone)		     45802023865 1
PDPs		 28
MAPDs
ALOGLIPTIN-PIOGLIT 12.5-30 MG [Oseni]
(Alogliptin / Pioglitazone)		     45802026065 1
PDPs		 28
MAPDs
ALOGLIPTIN-PIOGLIT 12.5-45 MG [Oseni]
(Alogliptin / Pioglitazone)		     45802030465 1
PDPs		 28
MAPDs
ALOGLIPTIN-PIOGLIT 25-15 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)		     45802035165 1
PDPs		 28
MAPDs
ALOGLIPTIN-PIOGLIT 25-30 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)		     45802040265 1
PDPs		 28
MAPDs
ALOGLIPTIN-PIOGLIT 25-45 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)		     45802049965 1
PDPs		 28
MAPDs
AZELASTINE HCL 0.05% EYE DROPS [Optivar]
(Azelastine HCl Ophth)		 6 mls   60505057804 63
PDPs		 400
MAPDs
BENICAR 20 MG TABLET
(Olmesartan Medoxomil)		 30.000 EA   65597010330 2
PDPs		 4
MAPDs
BENICAR 40 MG TABLET
(Olmesartan Medoxomil)		 30.000 EA   65597010430 2
PDPs		 4
MAPDs
BENICAR 5MG TABLET
(Olmesartan Medoxomil)		 30 BOT 65597010130 2
PDPs		 4
MAPDs
BENICAR HCT 20-12.5 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)		 30.000 EA   65597010530 2
PDPs		 4
MAPDs
BENICAR HCT 40-25 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)		 30.000 EA   65597010730 2
PDPs		 4
MAPDs
BENICAR HCT TABLET 12.5-40MG (30 CT)
(Olmesartan Medoxomil-Hydrochlorothiazide)		 30 BOT 65597010630 2
PDPs		 4
MAPDs
BUTALBITAL-ACETAMINOPHN 50-300 TABLET [ORBIVAN CF]
(Butalbital, Acetaminophen)		 30 TABLETS   68682030601 0
PDPs		 14
MAPDs
BYLVAY 1,200 MCG CAPSULE
(Odevixibat)		 CAPSULES   74528012001 4
PDPs		 99
MAPDs
BYLVAY 200 MCG PELLET DSP CP
(Odevixibat)		 UNITS   74528002001 4
PDPs		 99
MAPDs
BYLVAY 400 MCG CAPSULE
(Odevixibat)		 CAPSULES   74528004001 4
PDPs		 99
MAPDs
CEFDINIR 125 MG/5 ML ORAL SUSPENSION [Omnicef]
()		 60 MLS   65862021801 62
PDPs		 401
MAPDs
CEFDINIR 250 MG/5 ML ORAL SUSPENSION [Omnicef]
()		 60 MLS   65862021960 62
PDPs		 401
MAPDs
CIPROFLOX-FLUOCINLN 0.3-0.025% VIAL [OTOVEL]
(Ciprofloxacin, Fluocinolone)		 14 MLS   42195012814 3
PDPs		 42
MAPDs
CLOBAZAM 10 MG TABLET [ONFI]
(Clobazam)		 60 TABLETS   42571031501 63
PDPs		 404
MAPDs
CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [ONFI]
(Clobazam)		 120 MLS   69452011645 63
PDPs		 404
MAPDs
CLOBAZAM 20 MG TABLET [ONFI]
(Clobazam)		 60 TABLETS   42571031601 63
PDPs		 404
MAPDs
CLOBETASOL EMOLLNT 0.05% FOAM [Olux-E]
(Clobetasol)		 50 grams   45802063733 7
PDPs		 88
MAPDs
CLOBETASOL PROP 0.05% FOAM [Olux]
(Clobetasol Propionate)		 50 GRAMS   51672419303 20
PDPs		 173
MAPDs
DAYPRO 600MG CAPLET
(Oxaprozin)		 100 BOT 00025138131 2
PDPs		 1
MAPDs
DIPENTUM 250 MG CAPSULE
(Olsalazine Sodium)		     00037686010 20
PDPs		 200
MAPDs
DITROPAN XL 10 MG TABLET
(Oxybutynin Chloride)		 100 EA   50458081001 2
PDPs		 1
MAPDs
DITROPAN XL 5 MG TABLET
(Oxybutynin Chloride)		 100 EA   50458080501 2
PDPs		 1
MAPDs
DOXYCYCLINE MONO 75 MG CAPSULE [Okebo]
(Doxycycline Monohydrate)		 30 CAPSULES   63304061501 12
PDPs		 74
MAPDs
ENDOCET 10MG-325MG TABLET
(Oxycodone w/ Acetaminophen)		 100 BOT 60951071270 63
PDPs		 372
MAPDs
ENDOCET 5/325 TABLET
(Oxycodone w/ Acetaminophen)		 500 BOT 60951060285 63
PDPs		 372
MAPDs
ENDOCET 7.5-325MG TABLET
(Oxycodone w/ Acetaminophen)		 100 BOT 60951070070 63
PDPs		 371
MAPDs
FLURBIPROFEN 0.03% EYE DROPS [Ocufen]
(Flurbiprofen Sodium Ophth)		 2.5 mls   69292072225 61
PDPs		 401
MAPDs
GELNIQUE 10% GEL SACHET PACKET
(Oxybutynin Chloride)		 GRAM   00023586111 1
PDPs		 24
MAPDs
ISTURISA 1 MG TABLET
(Osilodrostat)		 20 TABLETS   55292032060 8
PDPs		 130
MAPDs
ISTURISA 10 MG TABLET
(Osilodrostat)		 20 TABLETS   55292032260 8
PDPs		 130
MAPDs
ISTURISA 5 MG TABLET
(Osilodrostat)		 20 TABLETS   55292032160 8
PDPs		 130
MAPDs
KESIMPTA 20 MG/0.4 ML PEN INJECTOR
(Ofatumumab)		 MLS   00078100768 9
PDPs		 260
MAPDs
KETOPROFEN 25 MG CAPSULE [Orudis]
(Ketoprofen)		 90 capsules   69336012710 6
PDPs		 80
MAPDs
LOVAZA 1 GM CAPSULE [Triklo]
(Omega-3-Acid Ethyl Esters, Eicosapentaenoic Acid (EPA), Docosahexaenoic Acid (DHA))		 120 CAPSULES   69784042012 2
PDPs		 1
MAPDs
LOW-OGESTREL-28 TABLET [Low-Ogestrel]
(Inert;Norgestrel, Ethinyl Estradiol)		 28 tablets   51862056406 61
PDPs		 376
MAPDs
LYBALVI 10-10 MG TABLET
(Olanzapine, Samidorphan)		 TABLETS   65757065242 47
PDPs		 290
MAPDs
LYBALVI 15-10 MG TABLET
(Olanzapine, Samidorphan)		 TABLETS   65757065342 47
PDPs		 290
MAPDs
LYBALVI 20-10 MG TABLET
(Olanzapine, Samidorphan)		 TABLETS   65757065442 47
PDPs		 290
MAPDs
LYBALVI 5-10 MG TABLET
(Olanzapine, Samidorphan)		 TABLETS   65757065142 47
PDPs		 290
MAPDs
LYNPARZA 100 MG TABLET
(Olaparib)		 120 EA   00310066812 63
PDPs		 404
MAPDs
LYNPARZA 150 MG TABLET
(Olaparib)		 120 EA   00310067912 63
PDPs		 404
MAPDs
MYCAPSSA DR 20 MG CAPSULE DR
(Octreotide)		 UNITS   69880012028 1
PDPs		 62
MAPDs
NITISINONE 10 MG CAPSULE [Orfadin]
()		 CAPSULES   00254302202 63
PDPs		 386
MAPDs
NITISINONE 2 MG CAPSULE [Orfadin]
()		 CAPSULES   00254302002 63
PDPs		 386
MAPDs
NITISINONE 5 MG CAPSULE [Orfadin]
()		 CAPSULES   00254302102 63
PDPs		 386
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 10
PDPs		 109
MAPDs
NUZYRA 150 MG TABLET
(Omadacycline)		 tablets   71715000221 13
PDPs		 183
MAPDs
OCALIVA 10 MG TABLET
(OBETICHOLIC ACID)		 30.000 EA   69516001030 27
PDPs		 212
MAPDs
OCALIVA 5 MG TABLET
(OBETICHOLIC ACID)		 30.000 EA   69516000530 26
PDPs		 211
MAPDs
OCELLA 3MG/0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)		 3 X 28 PKG 00555913167 48
PDPs		 280
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)		     68982085001 18
PDPs		 276
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)		     68982084001 15
PDPs		 270
MAPDs
OCTREOTIDE 1,000 MCG/ML VIAL [Sandostatin]
()		 MLS   63323037905 63
PDPs		 400
MAPDs
OCTREOTIDE ACET 0.05 MG/ML VL
(Octreotide Acetate)		 1.000 ML   00703330104 63
PDPs		 403
MAPDs
OCTREOTIDE ACET 100 MCG/ML VIAL [Sandostatin]
()		 90 MLS   63323037601 63
PDPs		 403
MAPDs
OCTREOTIDE ACET 200 MCG/ML VIAL [Sandostatin]
(Octreotide Acetate)		 35 MLS   63323037805 63
PDPs		 401
MAPDs
OCTREOTIDE ACET 500 MCG/ML VL
(Octreotide Acetate)		 1.000 ML   63323037701 61
PDPs		 403
MAPDs
OCUFLOX 0.3% EYE DROPS
(Ofloxacin Ophth)		 5 ML BOT 11980077905 2
PDPs		 3
MAPDs
OCUTRICIN EYE OINTMENT 400UNT/3.5MG/10UNT
(Bacitracin-Polymyxin-Neomycin Ophth)		 3.5 GRAM TUBE 24208078055 52
PDPs		 387
MAPDs
ODACTRA 12 SQ-HDM SUBLIGUAL TABLET
(Dermatophagoides farinae, Dermatophagoides pteronyssinus)		 30 TABLETS   52709170103 1
PDPs		 18
MAPDs
ODEFSEY TABLET
(Emtricitabine, Rilpivirine Hydrochloride, and Tenofovir Alafenamide Fumarate)		     61958210101 63
PDPs		 404
MAPDs
ODOMZO 200 MG CAPSULE
(Sonidegib)		     47335030383 63
PDPs		 404
MAPDs
OFEV 100 MG CAPSULE
(Nintedanib)		 60 EA   00597014360 59
PDPs		 403
MAPDs
OFEV 150 MG CAPSULE
(Nintedanib)		 60 EA   00597014560 63
PDPs		 404
MAPDs
OFLOXACIN 0.3 % DRP
(Ofloxacin Ophth)		 5 ML   17478071310 61
PDPs		 404
MAPDs
OFLOXACIN 0.3% EAR DROPS [Floxin]
(Ofloxacin)		 5 mls   60505036301 60
PDPs		 404
MAPDs
OFLOXACIN 300 MG TABLET [Floxin]
(Ofloxacin)		 14 TABLETS   75834011950 18
PDPs		 170
MAPDs
OFLOXACIN 400 MG TABLET [Floxin]
(Ofloxacin)		 10 TABLETS   75834011250 31
PDPs		 247
MAPDs
OLANZAPINE 10 MG TABLET [Zyprexa]
(Olanzapine)		 30 TABLETS   33342007007 63
PDPs		 404
MAPDs
OLANZAPINE 10 MG VIAL
(Olanzapine)		     00517095501 63
PDPs		 403
MAPDs
OLANZAPINE 15 MG TABLET [Zyprexa]
(Olanzapine)		 30 EA   55111016730 63
PDPs		 404
MAPDs
OLANZAPINE 2.5 MG TABLET [Zyprexa]
(Olanzapine)		 30 TABLETS   33342006707 63
PDPs		 404
MAPDs
OLANZAPINE 20 MG TABLET [Zyprexa]
(Olanzapine)		 30 TABLETS   33342007207 63
PDPs		 404
MAPDs
OLANZAPINE 5 MG TABLET [Zyprexa]
(Olanzapine)		 30 TABLETS   33342006807 63
PDPs		 404
MAPDs
OLANZAPINE 7.5 MG TABLET [Zyprexa]
(Olanzapine)		 30.000 EA   43598016530 63
PDPs		 404
MAPDs
OLANZAPINE ODT 10 MG TABLET RAPDIS [Zyprexa Zydis]
()		 30 EA   33342008407 63
PDPs		 404
MAPDs
OLANZAPINE ODT 15 MG TABLET RAPDIS [Zyprexa Zydis]
()		 30 UNITS   33342008507 63
PDPs		 404
MAPDs
OLANZAPINE ODT 20 MG TABLET RAPDIS [Zyprexa Zydis]
()		 30 EA   33342008607 63
PDPs		 404
MAPDs
OLANZAPINE ODT 5 MG TABLET RAPDIS [Zyprexa Zydis]
()		 30 UNITS   33342008307 63
PDPs		 404
MAPDs
OLANZAPINE-FLUOXETINE 12-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)		 30.000 EA   49884025211 6
PDPs		 125
MAPDs
OLANZAPINE-FLUOXETINE 12-50 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)		 30.000 EA   49884025311 6
PDPs		 125
MAPDs
OLANZAPINE-FLUOXETINE 3-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)		     49884027711 5
PDPs		 123
MAPDs
OLANZAPINE-FLUOXETINE 6-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)		 30.000 EA   49884025011 6
PDPs		 125
MAPDs
OLANZAPINE-FLUOXETINE 6-50 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)		 30.000 EA   49884025111 6
PDPs		 125
MAPDs
OLMESARTAN MEDOXOMIL 20 MG TABLET [Benicar]
(Olmesartan Medoxomil)		 30 TABLETS   68462043730 60
PDPs		 397
MAPDs
OLMESARTAN MEDOXOMIL 40 MG TABLET [Benicar]
(Olmesartan Medoxomil)		 30 TABLETS   68462043890 60
PDPs		 397
MAPDs
OLMESARTAN MEDOXOMIL 5 MG TABLET [Benicar]
(Olmesartan Medoxomil)		 30 TABLETS   68462043630 60
PDPs		 397
MAPDs
OLMESARTAN-HCTZ 20-12.5 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)		 30 TABLETS   62332014930 60
PDPs		 394
MAPDs
OLMESARTAN-HCTZ 40-12.5 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)		 30 TABLETS   62332015030 60
PDPs		 394
MAPDs
OLMESARTAN-HCTZ 40-25 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)		 30 TABLETS   62332015130 60
PDPs		 394
MAPDs
OLMSRTN-AMLDPN-HCTZ 20-5-12.5 TABLET [Tribenzor]
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 90 TABLETS   00093500556 36
PDPs		 289
MAPDs
OLMSRTN-AMLDPN-HCTZ 40-10-12.5 TABLET [Tribenzor]
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 30 TABLETS   00093500356 36
PDPs		 288
MAPDs
OLMSRTN-AMLDPN-HCTZ 40-10-25MG TABLET [Tribenzor]
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 30 TABLETS   57664080083 36
PDPs		 289
MAPDs
OLMSRTN-AMLDPN-HCTZ 40-5-12.5 TABLET [Tribenzor]
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 30 TABLETS   00093500656 36
PDPs		 288
MAPDs
OLMSRTN-AMLDPN-HCTZ 40-5-25 MG TABLET [Tribenzor]
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 90 TABLETS   00093500456 36
PDPs		 289
MAPDs
OLOPATADINE 665 MCG NASAL SPRY SPRAY/PUMP [Patanase]
(Olopatadine Hydrochloride)		 30.5 GRAMS   45802010401 17
PDPs		 191
MAPDs
OLOPATADINE HCL 0.1% EYE DROPS
(OLOPATADINE HCL)		 5 ML   60505057501 42
PDPs		 378
MAPDs
OLOPATADINE HCL 0.2% EYE DROPS [Pataday]
(Olopatadine Hydrochloride)		 2.5 MLS   60505058604 43
PDPs		 298
MAPDs
OLUMIANT 1 MG TABLET
(Baricitinib)		 tablets   00002473230 1
PDPs		 91
MAPDs
OLUMIANT 2 MG TABLET
(Baricitinib)		 tablets   00002418230 1
PDPs		 93
MAPDs
OLUX 0.05% FOAM
(Clobetasol Propionate)		 50 grams   00378818250 0
PDPs		 1
MAPDs
OLUX-E 0.05% FOAM
(Clobetasol Propionate)		 100 GRAMS   00378814701 0
PDPs		 1
MAPDs
OMEGA-3 ETHYL ESTERS 1 GM CAPSULE [Lovaza]
(Omega-3-acid Ethyl Esters)		 120 EA   60505317007 44
PDPs		 320
MAPDs
OMEPRAZOLE DR 10 MG CAPSULE DR [Prilosec]
()		 30 UNITS   00781285931 63
PDPs		 404
MAPDs
OMEPRAZOLE DR 20 MG CAPSULE DR [Prilosec]
()		 30 units   55111015810 63
PDPs		 404
MAPDs
OMEPRAZOLE DR 40 MG CAPSULE DR [Prilosec]
()		 1000 EA   68462039710 63
PDPs		 404
MAPDs
OMEPRAZOLE-BICARB 20-1,100 CAPSULE [Zegerid]
(Omeprazole, Sodium Bicarbonate)		 90 capsules   27241003103 0
PDPs		 66
MAPDs
OMEPRAZOLE-BICARB 20-1,680 PACKET [Zegerid]
(Omeprazole, Sodium Bicarbonate)		 8 UNITS   27241002931 0
PDPs		 10
MAPDs
OMEPRAZOLE-BICARB 40-1,100 CAPSULE [Zegerid]
(Omeprazole, Sodium Bicarbonate)		 30 CAPSULES   27241003203 0
PDPs		 66
MAPDs
OMEPRAZOLE-BICARB 40-1,680 PACKET [Zegerid]
(Omeprazole, Sodium Bicarbonate)		 30 units   27241003031 0
PDPs		 10
MAPDs
OMNARIS 50 MCG NASAL SPRAY/PUMP
(Ciclesonide Nasal)		 12.5 grams   70515070101 3
PDPs		 43
MAPDs
OMNITROPE FOR INJECTION KIT 5.8MG 1 BOX PKGCOM
(Somatropin For)		 1 BOX PKGCOM 00781400436 30
PDPs		 162
MAPDs
OMNITROPE INJECTION 10MG/1.5ML 10MG X 1.5ML CTG
(Somatropin For)		 10MG X 1.5ML CTG 00781300407 30
PDPs		 170
MAPDs
OMNITROPE INJECTION 5MG/1.5ML 1.5 ML CTG
(Somatropin For)		 1.5 ML CTG 00781300107 30
PDPs		 171
MAPDs
ONDANSETRON 4 MG/5 ML SOLUTION [Zofran]
(Ondansetron)		 50 MLS   00054006447 50
PDPs		 362
MAPDs
ONDANSETRON HCL 4 MG TABLET [Zofran]
(Ondansetron)		 30 tablets   65862018730 63
PDPs		 404
MAPDs
ONDANSETRON HCL 8 MG TABLET [Zofran]
(Ondansetron)		 30 tablets   65862018830 63
PDPs		 404
MAPDs
ONDANSETRON ODT 4 MG TABLET
(Ondansetron Orally Disintegrating)		 30 EA   57237007710 63
PDPs		 404
MAPDs
ONDANSETRON ODT 8 MG TABLET RAPDIS [Zofran ODT]
()		 10 UNITS   65862039110 63
PDPs		 404
MAPDs
ONEXTON GEL PUMP
(Clindamycin / Benzoyl Peroxide)		     00187305050 0
PDPs		 5
MAPDs
ONFI 10 MG TABLET
(Clobazam)		 100 EA   67386031401 2
PDPs		 2
MAPDs
ONFI 2.5 MG/ML SUSPENSION
(Clobazam)		 120 ML   67386031321 2
PDPs		 2
MAPDs
ONFI 20 MG TABLET
(Clobazam)		 100 EA   67386031501 2
PDPs		 2
MAPDs
ONGENTYS 25 MG CAPSULE
(Opicapone)		 CAPSULES   70370302502 1
PDPs		 90
MAPDs
ONGENTYS 50 MG CAPSULE
(Opicapone)		 90 CAPSULES   70370305002 1
PDPs		 89
MAPDs
ONGLYZA 2.5 MG TABLET
(Saxagliptin HCl)		 30.000 EA   00310610030 18
PDPs		 72
MAPDs
ONGLYZA 5 MG TABLET
(Saxagliptin HCl)		 30.000 EA   00310610530 18
PDPs		 72
MAPDs
ONUREG 200 MG TABLET
(Azacitidine)		 7 TABLETS   59572073014 63
PDPs		 404
MAPDs
ONUREG 300 MG TABLET
(Azacitidine)		 7 TABLETS   59572074014 63
PDPs		 404
MAPDs
ONZETRA XSAIL 11 MG/NOSEPIECE AER POW BA
(Sumatriptan)		 UNITS   42847031108 1
PDPs		 6
MAPDs
OPSUMIT 10 MG TABLET
(macitentan)		 30 EA   66215050130 57
PDPs		 393
MAPDs
OPZELURA 1.5% CREAM (G)
(Ruxolitinib)		 60 GRAMS   50881000705 1
PDPs		 27
MAPDs
ORACEA CAPSULES 40MG 30 BOT
(Doxycycline (Rosacea))		 30 BOT 00299382230 11
PDPs		 34
MAPDs
ORALAIR 300 IR SUBLINGUAL TAB
(Grass Pollen Allergen Extract)		 30 EA   59617001502 18
PDPs		 55
MAPDs
ORAPRED ODT 10 MG TABLET RAPDIS
(Prednisolone Sod Phosphate Oral)		 16 UNITS   59212070012 0
PDPs		 9
MAPDs
ORAPRED ODT 15 MG TABLET RAPDIS
(Prednisolone Sod Phosphate Oral)		 12 UNITS   59212070112 0
PDPs		 7
MAPDs
ORAPRED ODT 30 MG TABLET RAPDIS
(Prednisolone Sod Phosphate Oral)		 5 UNITS   59212070212 0
PDPs		 7
MAPDs
ORENCIA 125 MG/ML SYRINGE
(Abatacept For IV)		 1 ML   00003218811 30
PDPs		 197
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.4 mL in 1 SYRINGE, GLASS
(Abatacept For IV)		     00003281411 30
PDPs		 196
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.7 mL in 1 SYRINGE, GLASS
(Abatacept For IV)		     00003281811 30
PDPs		 196
MAPDs
ORENCIA CLICKJECT 125 MG/ML
(Abatacept For IV)		     00003218851 30
PDPs		 197
MAPDs
Orenitram 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(treprostinil)		     66302035001 5
PDPs		 115
MAPDs
ORENITRAM ER 0.125 MG TABLET
(treprostinil)		     66302030001 5
PDPs		 100
MAPDs
ORENITRAM ER 0.25 MG TABLET
(treprostinil)		     66302030201 5
PDPs		 115
MAPDs
ORENITRAM ER 1 MG TABLET
(treprostinil)		     66302031001 5
PDPs		 115
MAPDs
ORENITRAM ER 2.5 MG TABLET
(treprostinil)		     66302032501 5
PDPs		 115
MAPDs
ORFADIN 10 MG CAPSULE
(Nitisinone)		 60 EA   66658011060 2
PDPs		 3
MAPDs
ORFADIN 2 MG CAPSULE
(Nitisinone)		 60 EA   66658010260 2
PDPs		 3
MAPDs
ORFADIN 20 MG CAPSULE
(Nitisinone)		 60   66658012060 32
PDPs		 234
MAPDs
ORFADIN 4 MG/ML SUSPENSION
(Nitisinone)		 90 ML   66658020490 33
PDPs		 229
MAPDs
ORFADIN 5 MG CAPSULE
(Nitisinone)		 60 EA   66658010560 2
PDPs		 3
MAPDs
ORGOVYX 120 MG TABLET
(Relugolix)		 30 TABLETS   72974012001 63
PDPs		 404
MAPDs
ORIAHNN 300-1-0.5MG/300MG CAPSULE SEQ
(Elagolix;Elagolix, Estradiol, Norethindrone Acetate)		 56 UNITS   00074101756 1
PDPs		 77
MAPDs
ORILISSA 150 MG TABLET
(Elagolix)		 28 tablets   00074003828 1
PDPs		 149
MAPDs
ORILISSA 200 MG TABLET
(Elagolix)		 56 tablets   00074003956 1
PDPs		 149
MAPDs
ORKAMBI 100 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)		 112.000 EA   51167070002 57
PDPs		 396
MAPDs
ORKAMBI 100-125 MG GRANULE PKT GRAN PACK
(Lumacaftor and Ivacaftor)		 units   51167090001 53
PDPs		 380
MAPDs
ORKAMBI 150-188 MG GRANULE PKT GRAN PACK
(Lumacaftor and Ivacaftor)		 units   51167050002 53
PDPs		 380
MAPDs
ORKAMBI 200 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)		 112 EA   51167080901 57
PDPs		 399
MAPDs
ORLADEYO 110 MG CAPSULE
(Berotralstat)		 CAPSULES   72769010201 5
PDPs		 124
MAPDs
ORLADEYO 150 MG CAPSULE
(Berotralstat)		 CAPSULES   72769010101 5
PDPs		 123
MAPDs
ORPHENADRINE ER 100 MG TABLET [Norflex]
()		 60 TABLETS   43386048024 4
PDPs		 108
MAPDs
ORPHENADRN-ASA-CAF 25-385-30MG TABLET [Orphengesic]
(Aspirin, Caffeine, Orphenadrine Citrate)		 28 TABLETS   71993030460 0
PDPs		 2
MAPDs
ORTIKOS ER 6 MG CAPSULE
(Budesonide)		 30 CAPSULES   55566100201 0
PDPs		 14
MAPDs
ORTIKOS ER 9 MG CAPSULE
(Budesonide)		 30 CAPSULES   55566102001 0
PDPs		 14
MAPDs
OSELTAMIVIR 6 MG/ML SUSPENSION [Tamiflu]
(Oseltamivir Phosphate)		 60 ML   47781038426 63
PDPs		 400
MAPDs
OSELTAMIVIR PHOS 30 MG CAPSULE [Tamiflu]
()		 6 CAPSULES   68180067511 63
PDPs		 404
MAPDs
OSELTAMIVIR PHOS 45 MG CAPSULE [Tamiflu]
()		 CAPSULES   68180067611 63
PDPs		 404
MAPDs
OSELTAMIVIR PHOS 75 MG CAPSULE [Tamiflu]
()		 10 CAPSULES   68180067711 63
PDPs		 404
MAPDs
OSENI 12.5-15 MG TABLET
(alogliptin / pioglitazone)		     64764012103 0
PDPs		 4
MAPDs
OSENI 12.5-30 MG TABLET
(alogliptin / pioglitazone)		     64764012303 0
PDPs		 4
MAPDs
OSENI 12.5-45 MG TABLET
(alogliptin / pioglitazone)		     64764012403 0
PDPs		 4
MAPDs
OSENI 25-15 MG TABLET
(alogliptin / pioglitazone)		     64764025103 0
PDPs		 4
MAPDs
OSENI 25-30 MG TABLET
(alogliptin / pioglitazone)		     64764025303 0
PDPs		 4
MAPDs
OSENI 25-45 MG TABLET
(alogliptin / pioglitazone)		     64764025403 0
PDPs		 4
MAPDs
OSMOLEX ER 129 MG TABLET BP 24H
(Amantadine)		 30 UNITS   68025007590 0
PDPs		 56
MAPDs
OSMOLEX ER 193 MG TABLET BP 24H
(Amantadine)		 30 UNITS   68025007690 0
PDPs		 56
MAPDs
OSMOLEX ER 322 MG DAILY DOSE TABLET BP 24H
(Amantadine)		 UNITS   68025007462 0
PDPs		 56
MAPDs
OSMOPREP TABLET 1.5GM
(Sod Phos Mono-Sod Phos Di)		 100 BOT 65649070141 1
PDPs		 29
MAPDs
OSPHENA 60 MG TABLET
(Ospemifene)		 30 tablets   59630058090 17
PDPs		 151
MAPDs
OTEZLA 28 DAY STARTER PACK TAB DS PK
(Apremilast)		 UNITS   55513036955 36
PDPs		 296
MAPDs
OTEZLA 30 MG TABLET
(Apremilast)		 60 TABLETS   55513013760 36
PDPs		 296
MAPDs
OTOVEL 0.3%-0.025% EAR DROPS VIAL
(Ciprofloxacin and fluocinolone otic)		 14 MLS   66992012814 1
PDPs		 2
MAPDs
OTREXUP 10 MG/0.4 ML AUTO-INJ
(methotrexate)		 .400 ML   54436001004 2
PDPs		 15
MAPDs
OTREXUP 12.5 MG/0.4 ML AUTOINJ
(methotrexate)		     54436001204 2
PDPs		 17
MAPDs
OTREXUP 15 MG/0.4 ML AUTO-INJ
(methotrexate)		 .400 ML   54436001504 2
PDPs		 15
MAPDs
OTREXUP 17.5 MG/0.4 ML AUTOINJ
(methotrexate)		     54436001704 2
PDPs		 17
MAPDs
OTREXUP 20 MG/0.4 ML AUTO-INJ
(methotrexate)		 .400 ML   54436002004 2
PDPs		 15
MAPDs
OTREXUP 22.5 MG/0.4 ML AUTOINJ
(methotrexate)		     54436002204 2
PDPs		 17
MAPDs
OTREXUP 25 MG/0.4 ML AUTO-INJ
(methotrexate)		 .400 ML   54436002504 2
PDPs		 15
MAPDs
OVIDE 0.5% LOTION
(Malathion)		 59 ML   51672529304 2
PDPs		 3
MAPDs
OXACILLIN 1 GM VIAL
(Oxacillin)		 ml   55150012715 26
PDPs		 284
MAPDs
OXACILLIN 10 GM VIAL
(Oxacillin Sodium For)		 ML   55150012999 22
PDPs		 286
MAPDs
OXACILLIN 1GM/50ML INJ
(Oxacillin Sodium For)		 50 ML BAG 00338101341 13
PDPs		 190
MAPDs
OXACILLIN 2 GM VIAL
(Oxacillin Sodium For)		 ML   25021016224 26
PDPs		 282
MAPDs
OXACILLIN 2GM/50ML INJ
(Oxacillin Sodium For)		 50 ML BAG 00338101541 8
PDPs		 185
MAPDs
OXANDROLONE 10 MG TABLET
(Oxandrolone)		 60.000 EA   49884030202 63
PDPs		 402
MAPDs
OXANDROLONE 2.5 MG TABLET
(Oxandrolone)		 100.000 EA   49884030101 63
PDPs		 404
MAPDs
OXAPROZIN 600 MG TABLET
(Oxaprozin)		 100 EA   55111017001 35
PDPs		 240
MAPDs
OXAZEPAM 10 MG CAPSULE
(Oxazepam)		 100 EA   00228206710 17
PDPs		 161
MAPDs
OXAZEPAM 15 MG CAPSULE
(Oxazepam)		 100 EA   00228206910 17
PDPs		 161
MAPDs
OXAZEPAM 30 MG CAPSULE
(Oxazepam)		 100.000 EA   00228207310 17
PDPs		 158
MAPDs
OXBRYTA 300 MG TABLET FOR SUSP
(Voxelotor)		 60 UNITS   72786011103 8
PDPs		 113
MAPDs
OXBRYTA 500 MG TABLET
(Voxelotor)		 TABLETS   72786010101 4
PDPs		 101
MAPDs
OXCARBAZEPINE 150 MG TABLET [Trileptal]
()		 60 TABLETS   62756018388 63
PDPs		 404
MAPDs
OXCARBAZEPINE 300 MG TABLET [Trileptal]
()		 60 TABLETS   62756018488 63
PDPs		 404
MAPDs
OXCARBAZEPINE 300 MG/5 ML SUSP
(Oxcarbazepine)		     65162064978 63
PDPs		 404
MAPDs
OXCARBAZEPINE 600 MG TABLET
(Oxcarbazepine)		 100.000 EA   51991029401 63
PDPs		 404
MAPDs
OXERVATE 0.002% EYE DROPS
(Cenegermin)		 ml   71981002007 14
PDPs		 133
MAPDs
OXICONAZOLE NITRATE 1% CREAM (g) [Oxistat]
(Oxiconazole Nitrate)		 30 grams   51672135908 5
PDPs		 47
MAPDs
OXISTAT 1% CREAM (g)
(Oxiconazole Nitrate)		 30 grams   10337035860 0
PDPs		 1
MAPDs
OXISTAT 1% LOTION
(Oxiconazole Nitrate)		 30.000 ML   10337035930 2
PDPs		 22
MAPDs
OXTELLAR XR 150 MG TABLET
(oxcarbazepine)		 100 EA   17772012101 2
PDPs		 81
MAPDs
OXTELLAR XR 300 MG TABLET
(oxcarbazepine)		 100 EA   17772012201 2
PDPs		 81
MAPDs
OXTELLAR XR 600 MG TABLET
(oxcarbazepine)		 100 EA   17772012301 2
PDPs		 81
MAPDs
OXYBUTYNIN 5 MG TABLET [Ditropan]
(Oxybutynin)		 60 TABLETS   70954000520 63
PDPs		 404
MAPDs
OXYBUTYNIN 5 MG/5 ML SYRUP [Ditropan]
(Oxybutynin)		 60 MLS   54838051080 63
PDPs		 395
MAPDs
OXYBUTYNIN CL ER 10 MG TABLET ER 24 [Ditropan XL]
(Oxybutynin Chloride)		 30 UNITS   16729031801 63
PDPs		 404
MAPDs
OXYBUTYNIN CL ER 15 MG TABLET ER 24 [Ditropan XL]
(Oxybutynin Chloride)		 30 UNITS   16729031901 63
PDPs		 404
MAPDs
OXYBUTYNIN CL ER 5 MG TABLET ER 24 [Ditropan XL]
(Oxybutynin Chloride)		 30 UNITS   68382025501 63
PDPs		 404
MAPDs
OXYCODONE HCL 10 MG TABLET [Dazidox]
(Oxycodone HCl)		 100 TABLET in 1 BOTTLE   10702005601 63
PDPs		 402
MAPDs
OXYCODONE HCL 100 MG/5 ML CONC ORAL CONC [Roxicodone]
()		 30 MLS   68308002003 28
PDPs		 301
MAPDs
OXYCODONE HCL 15 MG TABLET [Roxybond]
(Oxycodone HCl)		 120 tablets   00406851501 63
PDPs		 402
MAPDs
OXYCODONE HCL 20 MG TABLET [Roxicodone]
(Oxycodone HCl)		 100 TABLET in 1 BOTTLE   10702005701 63
PDPs		 402
MAPDs
OXYCODONE HCL 30 MG TABLET [Roxybond]
(Oxycodone HCl)		 120 tablets   00406853001 63
PDPs		 400
MAPDs
OXYCODONE HCL 5 MG CAPSULE [OxyIR]
()		 30 CAPSULES   62559016701 22
PDPs		 274
MAPDs
OXYCODONE HCL 5 MG TABLET [Roxybond]
(Oxycodone HCl)		 100 EA   10702001801 63
PDPs		 402
MAPDs
OXYCODONE HCL 5 MG/5 ML SOLUTION [Roxicodone]
(Oxycodone HCl)		 500 ML   00054039063 42
PDPs		 353
MAPDs
OXYCODONE HCL ER 10 MG TABLET 12H [OxyContin]
(Oxycodone HCl)		 100.000 EA   00093573101 0
PDPs		 112
MAPDs
OXYCODONE HCL ER 20 MG TABLET 12H [OxyContin]
(Oxycodone HCl)		 100.000 EA   00093573201 0
PDPs		 112
MAPDs
OXYCODONE HCL ER 40 MG TABLET 12H [OxyContin]
(Oxycodone HCl)		 100 EA   00093573301 0
PDPs		 112
MAPDs
OXYCODONE HCL ER 80 MG TABLET ER 12H [OxyContin]
(Oxycodone HCl)		 60 tablets   00093573401 0
PDPs		 111
MAPDs
OXYCODONE-ACETAMINOPHEN 10-300 TABLET [Prolate]
()		 TABLETS   72887068303 0
PDPs		 8
MAPDs
OXYCODONE-ACETAMINOPHEN 10-325 TABLET [Percocet]
(Oxycodone, Acetaminophen)		 120 TABLETS   00406052301 63
PDPs		 404
MAPDs
OXYCODONE-ACETAMINOPHEN 5-300 TABLET [Prolate]
()		 40 TABLETS   72887068103 0
PDPs		 8
MAPDs
OXYCODONE-ACETAMINOPHEN 5-325 TABLET [Roxicet]
(Oxycodone-Acetaminophen )		 30 TABLETS   42858010201 63
PDPs		 404
MAPDs
OXYCODONE-ACETAMINOPHEN 5-325/5 SOLUTION [Roxicet]
(Oxycodone-Acetaminophen )		 150 MLS   29033040535 5
PDPs		 91
MAPDs
OXYCODONE-ACETAMINOPHEN 7.5-300 TABLET [Prolate]
()		 20 TABLETS   72887068203 2
PDPs		 9
MAPDs
OXYCODONE-ACETAMINOPHN 2.5-325 TABLET [Percocet]
()		 30 TABLETS   31722094801 61
PDPs		 395
MAPDs
OXYCODONE-ACETAMINOPHN 7.5-325 TABLET [Percocet]
()		 90 TABLETS   42858010301 63
PDPs		 404
MAPDs
OxyContin 10mg/1
(Oxycodone HCl)		     59011041010 7
PDPs		 105
MAPDs
OxyContin 15mg/1
(Oxycodone HCl)		     59011041510 7
PDPs		 104
MAPDs
OxyContin 20mg/1
(Oxycodone HCl)		     59011042010 7
PDPs		 105
MAPDs
OxyContin 30mg/1
(Oxycodone HCl)		     59011043010 7
PDPs		 104
MAPDs
OxyContin 40mg/1
(Oxycodone HCl)		     59011044010 7
PDPs		 105
MAPDs
OxyContin 60mg/1
(Oxycodone HCl)		     59011046010 7
PDPs		 104
MAPDs
OxyContin 80mg/1
(Oxycodone HCl)		     59011048010 7
PDPs		 104
MAPDs
OXYMORPHONE HCL 10 MG TABLET [Opana]
()		 120 TABLETS   00054028425 1
PDPs		 121
MAPDs
OXYMORPHONE HCL 5 MG TABLET [Opana]
()		 60 TABLETS   13107010301 1
PDPs		 122
MAPDs
OXYMORPHONE HCL ER 10 MG TABLET ER 12H
(Oxymorphone HCl)		 60 TABLETS   64896069713 6
PDPs		 67
MAPDs
OXYMORPHONE HCL ER 15 MG TABLET ER 12H
(Oxymorphone HCl)		 60 TABLETS   64896069813 6
PDPs		 67
MAPDs
OXYMORPHONE HCL ER 20 MG TABLET ER 12H [Opana]
()		 60 TABLETS   64896069913 6
PDPs		 67
MAPDs
OXYMORPHONE HCL ER 30 MG TABLET ER 12H [Opana]
()		 60 TABLETS   64896070001 6
PDPs		 67
MAPDs
OXYMORPHONE HCL ER 40 MG TABLET ER 12H [Opana]
()		 60 TABLETS   64896070101 6
PDPs		 66
MAPDs
OXYMORPHONE HCL ER 5 MG TABLET ER 12H [Opana]
()		 60 TABLETS   64896069513 6
PDPs		 67
MAPDs
OXYMORPHONE HCL ER 7.5 MG TABLET ER 12H [Opana]
()		 60 TABLETS   64896069613 6
PDPs		 67
MAPDs
OXYTROL 3.9 MG/24HR PATCH TDSW
(Oxybutynin TD)		 8 units   00023615308 1
PDPs		 15
MAPDs
OZEMPIC 0.25-0.5 MG DOSE PEN
(Semaglutide)		 1.5   00169413212 58
PDPs		 379
MAPDs
OZEMPIC 1 MG/DOSE (4 MG/3 ML) PEN INJECTOR
(Semaglutide)		 3 MLS   00169413013 58
PDPs		 379
MAPDs
OZEMPIC 2 MG/DOSE (8 MG/3 ML) PEN INJCTR
(Semaglutide)		 3 MLS   00169477212 53
PDPs		 352
MAPDs
PATANASE 665 MCG NASAL SPRAY/PUMP
(Olopatadine HCl Nasal)		 30.5 GRAMS   00078083430 2
PDPs		 1
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 63
PDPs		 404
MAPDs
PIMOZIDE 2 MG TABLET [Orap]
(Pimozide)		     49884034801 63
PDPs		 404
MAPDs
PREDNISOLONE ODT 10 MG TABLET RAPDIS [Orapred ODT]
(Prednisolone)		 10 UNITS   66993084435 4
PDPs		 110
MAPDs
PREDNISOLONE ODT 15 MG TABLET RAPDIS [Orapred ODT]
(Prednisolone)		 10 UNITS   66993084535 4
PDPs		 112
MAPDs
PREDNISOLONE ODT 30 MG TABLET RAPDIS [Orapred ODT]
(Prednisolone)		 5 UNITS   66993084635 4
PDPs		 110
MAPDs
PRILOSEC DR 10 MG SUSPENSION
(Omeprazole)		     70515061001 3
PDPs		 38
MAPDs
PRILOSEC DR 2.5 MG SUSPENSION
(Omeprazole)		     70515062501 3
PDPs		 38
MAPDs
PROLATE 10-300 MG TABLET
(Oxycodone, Acetaminophen)		 30 tablets   72245068310 0
PDPs		 9
MAPDs
PROLATE 5-300 MG TABLET
(Oxycodone, Acetaminophen)		 tablets   72245068110 0
PDPs		 9
MAPDs
PROLATE 7.5-300 MG TABLET
(Oxycodone, Acetaminophen)		 25 tablets   72245068210 0
PDPs		 11
MAPDs
RHOFADE 1% CREAM (G)
(Oxymetazoline)		 30 GRAMS   71403000330 0
PDPs		 8
MAPDs
ROXICODONE 15 MG TABLET
(Oxycodone HCl)		 100 EA   23635058110 2
PDPs		 1
MAPDs
ROXICODONE 30 MG TABLET
(Oxycodone HCl)		     23635058210 2
PDPs		 1
MAPDs
ROXICODONE 5 MG TABLET
(Oxycodone HCl)		 100 EA   23635058010 2
PDPs		 4
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 10
PDPs		 145
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 63
PDPs		 404
MAPDs
TAGRISSO 40 MG TABLET
(Osimertinib)		     00310134930 63
PDPs		 404
MAPDs
TAGRISSO 80 MG TABLET
(Osimertinib)		     00310135030 63
PDPs		 404
MAPDs
TALICIA DR 10-250-12.5 MG CAPSULE IR
()		 168 UNITS   57841115002 3
PDPs		 18
MAPDs
TAMIFLU 30 MG 1 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Oseltamivir Phosphate)		 BLISTER PACK   00004080285 2
PDPs		 4
MAPDs
TAMIFLU 45 MG 1 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Oseltamivir Phosphate)		 BLISTER PACK   00004080185 2
PDPs		 1
MAPDs
TAMIFLU 6 MG/ML SUSPENSION
(Oseltamivir Phosphate)		 60 ML   00004082205 2
PDPs		 4
MAPDs
TAMIFLU 75 MG CAPSULE UD
(Oseltamivir Phosphate)		 10 BLPK 00004080085 2
PDPs		 4
MAPDs
TOVET EMOLLIENT 0.05% FOAM [Olux-E]
(Clobetasol)		 100 grams   43538095210 5
PDPs		 29
MAPDs
TRIAMCINOLONE 0.1% PASTE PASTE (G) [Oralone]
(Triamcinolone)		 5 GRAMS   00713065540 52
PDPs		 393
MAPDs
TRIBENZOR 20/5/12.5MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 30 BOT 65597011430 2
PDPs		 4
MAPDs
TRIBENZOR 40/10/12.5MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 30 BOT 65597011730 2
PDPs		 4
MAPDs
TRIBENZOR 40/10/25MG TABLETS
(Olmesartan-Amlodipine-Hydrochlorothiazide)		 30 BOT 65597011830 2
PDPs		 4
MAPDs
Tribenzor 5; 12.5; 40mg/1; mg/1; mg/1
(Olmesartan-Amlodipine-Hydrochlorothiazide)		     65597011530 2
PDPs		 4
MAPDs
Tribenzor 5; 25; 40mg/1; mg/1; mg/1
(Olmesartan-Amlodipine-Hydrochlorothiazide)		     65597011630 2
PDPs		 4
MAPDs
TRILEPTAL 150MG TABLET
(Oxcarbazepine)		 100 BOT 00078045605 2
PDPs		 2
MAPDs
TRILEPTAL 300MG TABLET
(Oxcarbazepine)		 100 BOT 00078033705 2
PDPs		 2
MAPDs
TRILEPTAL 300MG/5ML SUSP
(Oxcarbazepine)		 250 ML BOT 00078035752 2
PDPs		 3
MAPDs
TRILEPTAL 600MG TABLET
(Oxcarbazepine)		 100 BOT 00078045705 2
PDPs		 2
MAPDs
XOLAIR 150 MG/ML SYRINGE
(Omalizumab (Hamster))		 2 mls   50242021501 63
PDPs		 404
MAPDs
XOLAIR 150MG VIAL
(Omalizumab For)		 1 X VIAL 50242004062 63
PDPs		 404
MAPDs
XOLAIR 75 MG/0.5 ML SYRINGE
(Omalizumab (Hamster))		 ml   50242021401 63
PDPs		 404
MAPDs
XTAMPZA ER 13.5 MG CAPSULE
(Oxycodone)		     24510011510 21
PDPs		 160
MAPDs
XTAMPZA ER 18 MG CAPSULE
(Oxycodone)		     24510012010 21
PDPs		 160
MAPDs
XTAMPZA ER 27 MG CAPSULE
(Oxycodone)		     24510013010 21
PDPs		 160
MAPDs
XTAMPZA ER 36 MG CAPSULE
(Oxycodone)		     24510014010 21
PDPs		 160
MAPDs
XTAMPZA ER 9 MG CAPSULE
(Oxycodone)		     24510011010 21
PDPs		 160
MAPDs
XYWAV 0.5 GM/ML ORAL SOLUTION
(Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate (Gamma Hydroxybutyrate Or Ghb))		 MLS   68727015001 23
PDPs		 108
MAPDs
ZEPOSIA 0.23-0.46 MG START PCK CAP DS PK
(Ozanimod)		 UNITS   59572081007 3
PDPs		 113
MAPDs
ZEPOSIA 0.23-0.46-0.92 MG KIT CAP DS PK
(Ozanimod)		 UNITS   59572089091 3
PDPs		 113
MAPDs
ZEPOSIA 0.92 MG CAPSULE
(Ozanimod)		 CAPSULES   59572082030 3
PDPs		 113
MAPDs
ZYPREXA 10 MG TABLET
(Olanzapine)		 30 EA   00002411730 2
PDPs		 1
MAPDs
ZYPREXA 10MG VIAL
(Olanzapine)		 1 VIAL 00002759701 2
PDPs		 7
MAPDs
ZYPREXA 15 MG TABLET
(Olanzapine)		 30 EA   00002441530 2
PDPs		 1
MAPDs
ZYPREXA 2.5MG 30 TABLET BOTTLE
(Olanzapine)		 30 TABLET in 1 BOTTLE   00002411230 2
PDPs		 1
MAPDs
ZYPREXA 20MG TABLET
(Olanzapine)		 30 BOT 00002442030 2
PDPs		 1
MAPDs
ZYPREXA 5MG TABLET (30 BOT)
(Olanzapine)		 30 BOT 00002411530 2
PDPs		 1
MAPDs
ZYPREXA 7.5 MG TABLET
(Olanzapine)		 30 EA   00002411630 2
PDPs		 1
MAPDs
ZYPREXA Relprevv 1 KIT in 1 CARTON
(Olanzapine Pamoate)		 1 KIT in 1 CARTON   00002763511 63
PDPs		 396
MAPDs
ZYPREXA ZYDIS 10MG TABLET
(Olanzapine)		 30 BLPK 00002445485 2
PDPs		 1
MAPDs
ZYPREXA ZYDIS 15MG TABLET
(Olanzapine)		 30 BLPK 00002445585 2
PDPs		 1
MAPDs
ZYPREXA ZYDIS 20MG TABLET
(Olanzapine)		 30 BLPK 00002445685 2
PDPs		 1
MAPDs
ZYPREXA ZYDIS 5MG TABLET (30 BLPK)
(Olanzapine)		 30 BLPK 00002445385 2
PDPs		 1
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2022)




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  • 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 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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