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2023 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 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 2023 Formularies
PDPs MAPDs
ALOGLIPTIN-PIOGLIT 12.5-30 MG [Oseni]
(Alogliptin / Pioglitazone)
    45802026065 1
PDPs
22
MAPDs
ALOGLIPTIN-PIOGLIT 12.5-45 MG [Oseni]
(Alogliptin / Pioglitazone)
    45802030465 1
PDPs
22
MAPDs
ALOGLIPTIN-PIOGLIT 25-15 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)
    45802035165 1
PDPs
22
MAPDs
ALOGLIPTIN-PIOGLIT 25-30 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)
    45802040265 1
PDPs
22
MAPDs
ALOGLIPTIN-PIOGLIT 25-45 MG TABLET [Oseni]
(Alogliptin / Pioglitazone)
    45802049965 1
PDPs
22
MAPDs
AZELASTINE HCL 0.05% EYE DROPS [Optivar]
(Azelastine HCl Ophth)
6 mls   60505057804 62
PDPs
389
MAPDs
BENICAR 20 MG TABLET
(Olmesartan Medoxomil)
30 TABLETS   00713086130 1
PDPs
3
MAPDs
BENICAR 40 MG TABLET
(Olmesartan Medoxomil)
30 TABLETS   00713086230 1
PDPs
3
MAPDs
BENICAR 5 MG TABLET
(Olmesartan Medoxomil)
30 TABLETS   00713086030 1
PDPs
3
MAPDs
BENICAR HCT 20-12.5 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)
30 TABLETS   00713086330 1
PDPs
3
MAPDs
BENICAR HCT 40-12.5 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)
30 TABLETS   00713086430 1
PDPs
3
MAPDs
BENICAR HCT 40-25 MG TABLET
(Olmesartan Medoxomil-Hydrochlorothiazide)
30 TABLETS   00713086530 1
PDPs
3
MAPDs
BUTALBITAL-ACETAMINOPHN 50-300 TABLET [ORBIVAN CF]
(Butalbital, Acetaminophen)
30 TABLETS   68682030601 0
PDPs
5
MAPDs
BYLVAY 1,200 MCG CAPSULE
(Odevixibat)
CAPSULES   74528012001 2
PDPs
77
MAPDs
BYLVAY 200 MCG PELLET DSP CP
(Odevixibat)
UNITS   74528002001 2
PDPs
77
MAPDs
BYLVAY 400 MCG CAPSULE
(Odevixibat)
CAPSULES   74528004001 2
PDPs
77
MAPDs
CEFDINIR 125 MG/5 ML ORAL SUSPENSION [Omnicef]
()
60 MLS   65862021801 61
PDPs
389
MAPDs
CEFDINIR 250 MG/5 ML ORAL SUSPENSION [Omnicef]
()
60 MLS   65862021960 61
PDPs
389
MAPDs
CIPROFLOX-FLUOCINLN 0.3-0.025% VIAL [OTOVEL]
(Ciprofloxacin, Fluocinolone)
14 MLS   42195012814 3
PDPs
33
MAPDs
CLOBAZAM 10 MG TABLET [ONFI]
(Clobazam)
60 TABLETS   42571031501 62
PDPs
392
MAPDs
CLOBAZAM 2.5 MG/ML ORAL SUSPENSION [ONFI]
(Clobazam)
120 MLS   66689005804 62
PDPs
392
MAPDs
CLOBAZAM 20 MG TABLET [ONFI]
(Clobazam)
60 TABLETS   42571031601 62
PDPs
392
MAPDs
CLOBETASOL EMOLLNT 0.05% FOAM [Olux-E]
(Clobetasol)
50 grams   45802063733 6
PDPs
78
MAPDs
CLOBETASOL PROP 0.05% FOAM [Olux]
(Clobetasol Propionate)
50 GRAMS   45802043732 22
PDPs
158
MAPDs
DAYPRO 600MG CAPLET
(Oxaprozin)
100 BOT 00025138131 1
PDPs
2
MAPDs
DIPENTUM 250 MG CAPSULE
(Olsalazine Sodium)
    00037686010 12
PDPs
140
MAPDs
DITROPAN XL 10 MG TABLET
(Oxybutynin Chloride)
100 EA   50458081001 1
PDPs
0
MAPDs
DITROPAN XL 5 MG TABLET
(Oxybutynin Chloride)
100 EA   50458080501 1
PDPs
0
MAPDs
DOXYCYCLINE MONO 75 MG CAPSULE [Okebo]
(Doxycycline Monohydrate)
30 CAPSULES   63304061501 13
PDPs
51
MAPDs
ENDOCET 10MG-325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 60951071270 62
PDPs
361
MAPDs
ENDOCET 5/325 TABLET
(Oxycodone w/ Acetaminophen)
500 BOT 60951060285 62
PDPs
363
MAPDs
ENDOCET 7.5-325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 60951070070 62
PDPs
362
MAPDs
FLURBIPROFEN 0.03% EYE DROPS [Ocufen]
(Flurbiprofen Sodium Ophth)
2.5 mls   69292072225 61
PDPs
389
MAPDs
GELNIQUE 10% GEL SACHET PACKET
(Oxybutynin Chloride)
GRAM   00023586111 1
PDPs
18
MAPDs
ISTURISA 1 MG TABLET
(Osilodrostat)
20 TABLETS   55292032060 4
PDPs
107
MAPDs
ISTURISA 10 MG TABLET
(Osilodrostat)
20 TABLETS   55292032260 4
PDPs
107
MAPDs
ISTURISA 5 MG TABLET
(Osilodrostat)
20 TABLETS   55292032160 4
PDPs
107
MAPDs
KESIMPTA 20 MG/0.4 ML PEN INJECTOR
(Ofatumumab)
MLS   00078100768 6
PDPs
253
MAPDs
KETOPROFEN 25 MG CAPSULE [Orudis]
(Ketoprofen)
90 capsules   69336012710 2
PDPs
47
MAPDs
LOVAZA 1 GM CAPSULE [Triklo]
(Omega-3-Acid Ethyl Esters, Eicosapentaenoic Acid (EPA), Docosahexaenoic Acid (DHA))
120 CAPSULES   69784042012 1
PDPs
2
MAPDs
LOW-OGESTREL-28 TABLET [Low-Ogestrel]
(Inert;Norgestrel, Ethinyl Estradiol)
28 tablets   51862056406 60
PDPs
366
MAPDs
LYBALVI 10-10 MG TABLET
(Olanzapine, Samidorphan)
TABLETS   65757065242 45
PDPs
276
MAPDs
LYBALVI 15-10 MG TABLET
(Olanzapine, Samidorphan)
TABLETS   65757065342 45
PDPs
276
MAPDs
LYBALVI 20-10 MG TABLET
(Olanzapine, Samidorphan)
TABLETS   65757065442 45
PDPs
276
MAPDs
LYBALVI 5-10 MG TABLET
(Olanzapine, Samidorphan)
TABLETS   65757065142 45
PDPs
276
MAPDs
LYNPARZA 100 MG TABLET
(Olaparib)
120 EA   00310066812 62
PDPs
392
MAPDs
LYNPARZA 150 MG TABLET
(Olaparib)
120 EA   00310067912 62
PDPs
392
MAPDs
MYCAPSSA DR 20 MG CAPSULE DR
(Octreotide)
UNITS   69880012028 1
PDPs
31
MAPDs
NITISINONE 10 MG CAPSULE [Orfadin]
()
CAPSULES   00254302202 62
PDPs
382
MAPDs
NITISINONE 2 MG CAPSULE [Orfadin]
()
CAPSULES   00254302002 62
PDPs
382
MAPDs
NITISINONE 5 MG CAPSULE [Orfadin]
()
CAPSULES   00254302102 62
PDPs
382
MAPDs
NORGESIC 25-385-30 MG TABLET [Orphengesic]
(Aspirin, Caffeine, Orphenadrine Citrate)
TABLETS   61825030560 0
PDPs
1
MAPDs
NUZYRA 100 MG VIAL
(Omadacycline)
ml   71715000102 10
PDPs
108
MAPDs
NUZYRA 150 MG TABLET
(Omadacycline)
tablets   71715000221 13
PDPs
169
MAPDs
OCALIVA 10 MG TABLET
(OBETICHOLIC ACID)
30.000 EA   69516001030 23
PDPs
202
MAPDs
OCALIVA 5 MG TABLET
(OBETICHOLIC ACID)
30.000 EA   69516000530 23
PDPs
202
MAPDs
OCELLA 3MG/0.03MG TABLET
(Drospirenone-Ethinyl Estradiol)
3 X 28 PKG 00555913167 49
PDPs
263
MAPDs
OCTAGAM 10% VIAL
(Immune Globulin (Human) IV)
    68982085001 13
PDPs
254
MAPDs
OCTAGAM 5% VIAL
(Immune Globulin (Human) IV)
    68982084001 10
PDPs
251
MAPDs
OCTREOTIDE 1,000 MCG/ML VIAL [Sandostatin]
()
MLS   63323037905 62
PDPs
391
MAPDs
OCTREOTIDE ACET 100 MCG/ML VIAL [Sandostatin]
()
90 MLS   63323037601 62
PDPs
391
MAPDs
OCTREOTIDE ACET 200 MCG/ML VIAL [Sandostatin]
(Octreotide Acetate)
20 MLS   00703333301 62
PDPs
392
MAPDs
OCTREOTIDE ACET 50 MCG/ML VIAL [Sandostatin]
(Octreotide Acetate)
14 MLS   00641617410 62
PDPs
391
MAPDs
OCTREOTIDE ACET 500 MCG/ML VL
(Octreotide Acetate)
1.000 ML   63323037701 58
PDPs
390
MAPDs
OCUFLOX 0.3% EYE DROPS
(Ofloxacin Ophth)
5 ML BOT 11980077905 1
PDPs
2
MAPDs
OCUTRICIN EYE OINTMENT 400UNT/3.5MG/10UNT
(Bacitracin-Polymyxin-Neomycin Ophth)
3.5 GRAM TUBE 24208078055 61
PDPs
384
MAPDs
ODACTRA 12 SQ-HDM SUBLIGUAL TABLET
(Dermatophagoides farinae, Dermatophagoides pteronyssinus)
30 TABLETS   52709170103 1
PDPs
17
MAPDs
ODEFSEY TABLET
(Emtricitabine, Rilpivirine Hydrochloride, and Tenofovir Alafenamide Fumarate)
    61958210101 62
PDPs
392
MAPDs
ODOMZO 200 MG CAPSULE
(Sonidegib)
    47335030383 62
PDPs
392
MAPDs
OFEV 100 MG CAPSULE
(Nintedanib)
60 EA   00597014360 60
PDPs
391
MAPDs
OFEV 150 MG CAPSULE
(Nintedanib)
60 EA   00597014560 62
PDPs
392
MAPDs
OFLOXACIN 0.3 % DRP
(Ofloxacin Ophth)
5 ML   17478071310 61
PDPs
392
MAPDs
OFLOXACIN 0.3% EAR DROPS [Floxin]
(Ofloxacin)
5 mls   60505036301 59
PDPs
392
MAPDs
OFLOXACIN 300 MG TABLET [Floxin]
(Ofloxacin)
14 TABLETS   75834011950 14
PDPs
148
MAPDs
OFLOXACIN 400 MG TABLET [Floxin]
(Ofloxacin)
3 TABLETS   68047071320 26
PDPs
211
MAPDs
OLANZAPINE 10 MG TABLET [Zyprexa]
(Olanzapine)
30 TABLETS   33342007007 62
PDPs
392
MAPDs
OLANZAPINE 10 MG VIAL
(Olanzapine)
    00517095501 62
PDPs
392
MAPDs
OLANZAPINE 15 MG TABLET [Zyprexa]
(Olanzapine)
30 EA   55111016730 62
PDPs
392
MAPDs
OLANZAPINE 2.5 MG TABLET [Zyprexa]
(Olanzapine)
30 TABLETS   33342006707 62
PDPs
392
MAPDs
OLANZAPINE 20 MG TABLET [Zyprexa]
(Olanzapine)
30 TABLETS   33342007207 62
PDPs
392
MAPDs
OLANZAPINE 5 MG TABLET [Zyprexa]
(Olanzapine)
30 TABLETS   33342006807 62
PDPs
392
MAPDs
OLANZAPINE 7.5 MG TABLET [Zyprexa]
(Olanzapine)
30.000 EA   43598016530 62
PDPs
392
MAPDs
OLANZAPINE ODT 10 MG TABLET RAPDIS [Zyprexa Zydis]
()
30 EA   33342008407 62
PDPs
392
MAPDs
OLANZAPINE ODT 15 MG TABLET RAPDIS [Zyprexa Zydis]
()
30 UNITS   33342008507 62
PDPs
392
MAPDs
OLANZAPINE ODT 20 MG TABLET RAPDIS [Zyprexa Zydis]
()
30 EA   33342008607 62
PDPs
392
MAPDs
OLANZAPINE ODT 5 MG TABLET RAPDIS [Zyprexa Zydis]
()
30 UNITS   33342008307 62
PDPs
392
MAPDs
OLANZAPINE-FLUOXETINE 12-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025211 8
PDPs
107
MAPDs
OLANZAPINE-FLUOXETINE 12-50 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025311 8
PDPs
107
MAPDs
OLANZAPINE-FLUOXETINE 3-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
    49884027711 7
PDPs
105
MAPDs
OLANZAPINE-FLUOXETINE 6-25 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025011 8
PDPs
107
MAPDs
OLANZAPINE-FLUOXETINE 6-50 MG Capsule [Symbyax]
(Olanzapine-Fluoxetine HCl)
30.000 EA   49884025111 8
PDPs
107
MAPDs
OLMESARTAN MEDOXOMIL 20 MG TABLET [Benicar]
(Olmesartan Medoxomil)
30 TABLETS   68462043730 60
PDPs
385
MAPDs
OLMESARTAN MEDOXOMIL 40 MG TABLET [Benicar]
(Olmesartan Medoxomil)
30 TABLETS   33342018010 60
PDPs
385
MAPDs
OLMESARTAN MEDOXOMIL 5 MG TABLET [Benicar]
(Olmesartan Medoxomil)
30 TABLETS   68462043630 60
PDPs
385
MAPDs
OLMESARTAN-HCTZ 20-12.5 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)
30 TABLETS   70756081290 60
PDPs
386
MAPDs
OLMESARTAN-HCTZ 40-12.5 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)
30 TABLETS   62332015030 60
PDPs
386
MAPDs
OLMESARTAN-HCTZ 40-25 MG TABLET [Benicar HCT]
(Olmesartan Medoxomil, Hydrochlorothiazide)
30 TABLETS   62332015130 60
PDPs
386
MAPDs
OLMSRTN-AMLDPN-HCTZ 20-5-12.5 TABLET [Tribenzor]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
90 TABLETS   00093500556 37
PDPs
314
MAPDs
OLMSRTN-AMLDPN-HCTZ 40-10-12.5 TABLET [Tribenzor]
(Olmesartan Medoxomil, Amlodipine, Hydrochlorothiazide)
30 TABLETS   49884078909 37
PDPs
314
MAPDs
OLMSRTN-AMLDPN-HCTZ 40-10-25MG TABLET [Tribenzor]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 TABLETS   57664080083 37
PDPs
314
MAPDs
OLMSRTN-AMLDPN-HCTZ 40-5-12.5 TABLET [Tribenzor]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 TABLETS   00093500656 37
PDPs
314
MAPDs
OLMSRTN-AMLDPN-HCTZ 40-5-25 MG TABLET [Tribenzor]
(Olmesartan-Amlodipine-Hydrochlorothiazide)
90 TABLETS   00093500456 37
PDPs
314
MAPDs
OLOPATADINE 665 MCG NASAL SPRY SPRAY/PUMP [Patanase]
(Olopatadine Hydrochloride)
30.5 GRAMS   45802010401 19
PDPs
171
MAPDs
OLOPATADINE HCL 0.1% EYE DROPS [Patanol]
(Olopatadine HCl Nasal)
5 MLS   70069000701 45
PDPs
378
MAPDs
OLOPATADINE HCL 0.2% EYE DROPS [Pataday]
(Olopatadine Hydrochloride)
2.5 MLS   60505058604 44
PDPs
294
MAPDs
OLUMIANT 1 MG TABLET
(Baricitinib)
tablets   00002473230 1
PDPs
114
MAPDs
OLUMIANT 2 MG TABLET
(Baricitinib)
tablets   00002418230 1
PDPs
114
MAPDs
OLUX 0.05% FOAM
(Clobetasol Propionate)
50 grams   00378818250 0
PDPs
2
MAPDs
OLUX-E 0.05% FOAM
(Clobetasol Propionate)
100 GRAMS   00378814701 0
PDPs
2
MAPDs
OMEGA-3 ETHYL ESTERS 1 GM CAPSULE [Lovaza]
(Omega-3-acid Ethyl Esters)
120 EA   60505317007 42
PDPs
314
MAPDs
OMEPRAZOLE DR 10 MG CAPSULE DR [Prilosec]
()
30 UNITS   00781285931 62
PDPs
392
MAPDs
OMEPRAZOLE DR 20 MG CAPSULE DR [Prilosec]
()
30 units   55111015810 62
PDPs
392
MAPDs
OMEPRAZOLE DR 40 MG CAPSULE DR [Prilosec]
()
1000 EA   68462039710 62
PDPs
392
MAPDs
OMEPRAZOLE-BICARB 20-1,100 CAPSULE [Zegerid]
(Omeprazole, Sodium Bicarbonate)
90 capsules   27241003103 2
PDPs
53
MAPDs
OMEPRAZOLE-BICARB 20-1,680 PACKET [Zegerid]
(Omeprazole, Sodium Bicarbonate)
8 UNITS   27241002931 1
PDPs
7
MAPDs
OMEPRAZOLE-BICARB 40-1,100 CAPSULE [Zegerid]
(Omeprazole, Sodium Bicarbonate)
30 CAPSULES   27241003203 2
PDPs
53
MAPDs
OMEPRAZOLE-BICARB 40-1,680 PACKET [Zegerid]
(Omeprazole, Sodium Bicarbonate)
30 units   27241003031 1
PDPs
7
MAPDs
OMNARIS 50 MCG NASAL SPRAY/PUMP
(Ciclesonide Nasal)
12.5 grams   70515070101 2
PDPs
40
MAPDs
OMNITROPE FOR INJECTION KIT 5.8MG 1 BOX PKGCOM
(Somatropin For)
1 BOX PKGCOM 00781400436 32
PDPs
161
MAPDs
OMNITROPE INJECTION 10MG/1.5ML 10MG X 1.5ML CTG
(Somatropin For)
10MG X 1.5ML CTG 00781300407 32
PDPs
165
MAPDs
OMNITROPE INJECTION 5MG/1.5ML 1.5 ML CTG
(Somatropin For)
1.5 ML CTG 00781300107 32
PDPs
166
MAPDs
ONDANSETRON 4 MG/5 ML SOLUTION [Zofran Solution]
()
50 MLS   54838055550 51
PDPs
375
MAPDs
ONDANSETRON HCL 4 MG TABLET [Zofran]
(Ondansetron)
30 tablets   65862018730 62
PDPs
392
MAPDs
ONDANSETRON HCL 8 MG TABLET [Zofran]
(Ondansetron)
30 tablets   65862018830 62
PDPs
392
MAPDs
ONDANSETRON ODT 4 MG TABLET
(Ondansetron Orally Disintegrating)
30 EA   57237007710 62
PDPs
392
MAPDs
ONDANSETRON ODT 8 MG TABLET RAPDIS [Zofran ODT]
()
30 UNITS   57237007810 62
PDPs
392
MAPDs
ONEXTON GEL PUMP
(Clindamycin / Benzoyl Peroxide)
    00187305050 0
PDPs
5
MAPDs
ONFI 10 MG TABLET
(Clobazam)
100 EA   67386031401 1
PDPs
3
MAPDs
ONFI 2.5 MG/ML SUSPENSION
(Clobazam)
120 ML   67386031321 1
PDPs
3
MAPDs
ONFI 20 MG TABLET
(Clobazam)
100 EA   67386031501 1
PDPs
3
MAPDs
ONGENTYS 25 MG CAPSULE
(Opicapone)
CAPSULES   70370302502 1
PDPs
82
MAPDs
ONGENTYS 50 MG CAPSULE
(Opicapone)
90 CAPSULES   70370305002 1
PDPs
82
MAPDs
ONGLYZA 2.5 MG TABLET
(Saxagliptin HCl)
30.000 EA   00310610030 11
PDPs
57
MAPDs
ONGLYZA 5 MG TABLET
(Saxagliptin HCl)
30.000 EA   00310610530 11
PDPs
57
MAPDs
ONUREG 200 MG TABLET
(Azacitidine)
7 TABLETS   59572073007 62
PDPs
392
MAPDs
ONUREG 300 MG TABLET
(Azacitidine)
TABLETS   59572074007 62
PDPs
392
MAPDs
ONZETRA XSAIL 11 MG/NOSEPIECE AER POW BA
(Sumatriptan)
UNITS   42847031108 1
PDPs
5
MAPDs
OPSUMIT 10 MG TABLET
(macitentan)
30 EA   66215050130 55
PDPs
380
MAPDs
OPZELURA 1.5% CREAM (G)
(Ruxolitinib)
60 GRAMS   50881000705 1
PDPs
31
MAPDs
ORACEA CAPSULES 40MG 30 BOT
(Doxycycline (Rosacea))
30 BOT 00299382230 10
PDPs
29
MAPDs
ORALAIR 300 IR SUBLINGUAL TAB
(Grass Pollen Allergen Extract)
30 EA   59617001502 3
PDPs
39
MAPDs
ORAPRED ODT 10 MG TABLET RAPDIS
(Prednisolone Sod Phosphate Oral)
16 UNITS   59212070012 0
PDPs
5
MAPDs
ORAPRED ODT 15 MG TABLET RAPDIS
(Prednisolone Sod Phosphate Oral)
12 UNITS   59212070112 0
PDPs
3
MAPDs
ORAPRED ODT 30 MG TABLET RAPDIS
(Prednisolone Sod Phosphate Oral)
5 UNITS   59212070212 0
PDPs
3
MAPDs
ORENCIA 125 MG/ML SYRINGE
(Abatacept For IV)
1 ML   00003218811 14
PDPs
199
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.4 mL in 1 SYRINGE, GLASS
(Abatacept For IV)
    00003281411 14
PDPs
198
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.7 mL in 1 SYRINGE, GLASS
(Abatacept For IV)
    00003281811 14
PDPs
198
MAPDs
ORENCIA CLICKJECT 125 MG/ML
(Abatacept For IV)
    00003218851 14
PDPs
199
MAPDs
Orenitram 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(treprostinil)
    66302035001 9
PDPs
111
MAPDs
ORENITRAM ER 0.125 MG TABLET
(treprostinil)
    66302030001 9
PDPs
94
MAPDs
ORENITRAM ER 0.25 MG TABLET
(treprostinil)
    66302030201 9
PDPs
111
MAPDs
ORENITRAM ER 1 MG TABLET
(treprostinil)
    66302031001 9
PDPs
111
MAPDs
ORENITRAM ER 2.5 MG TABLET
(treprostinil)
    66302032501 9
PDPs
111
MAPDs
ORFADIN 10 MG CAPSULE
(Nitisinone)
60 EA   66658011060 1
PDPs
3
MAPDs
ORFADIN 2 MG CAPSULE
(Nitisinone)
60 EA   66658010260 1
PDPs
3
MAPDs
ORFADIN 20 MG CAPSULE
(Nitisinone)
60   66658012060 34
PDPs
225
MAPDs
ORFADIN 4 MG/ML SUSPENSION
(Nitisinone)
90 ML   66658020490 34
PDPs
219
MAPDs
ORFADIN 5 MG CAPSULE
(Nitisinone)
60 EA   66658010560 1
PDPs
3
MAPDs
ORGOVYX 120 MG TABLET
(Relugolix)
30 TABLETS   72974012001 62
PDPs
392
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
144
MAPDs
ORILISSA 200 MG TABLET
(Elagolix)
56 tablets   00074003956 1
PDPs
144
MAPDs
ORKAMBI 100 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)
112.000 EA   51167070002 56
PDPs
389
MAPDs
ORKAMBI 100-125 MG GRANULE PKT GRAN PACK
(Lumacaftor and Ivacaftor)
units   51167090001 52
PDPs
374
MAPDs
ORKAMBI 150-188 MG GRANULE PKT GRAN PACK
(Lumacaftor and Ivacaftor)
units   51167050002 52
PDPs
374
MAPDs
ORKAMBI 200 MG-125 MG TABLET
(Lumacaftor and Ivacaftor)
112 EA   51167080901 56
PDPs
389
MAPDs
ORLADEYO 110 MG CAPSULE
(Berotralstat)
CAPSULES   72769010201 3
PDPs
83
MAPDs
ORLADEYO 150 MG CAPSULE
(Berotralstat)
CAPSULES   72769010101 3
PDPs
82
MAPDs
ORPHENADRINE ER 100 MG TABLET [Norflex]
()
60 TABLETS   43386048024 7
PDPs
106
MAPDs
ORPHENADRN-ASA-CAF 25-385-30MG TABLET [Orphengesic]
(Aspirin, Caffeine, Orphenadrine Citrate)
28 TABLETS   71993030460 0
PDPs
1
MAPDs
ORTIKOS ER 6 MG CAPSULE
(Budesonide)
30 CAPSULES   55566100201 0
PDPs
15
MAPDs
ORTIKOS ER 9 MG CAPSULE
(Budesonide)
30 CAPSULES   55566102001 0
PDPs
15
MAPDs
OSELTAMIVIR 6 MG/ML ORAL SUSPENSION [Tamiflu]
(Oseltamivir Phosphate)
120 MLS   68180067801 62
PDPs
389
MAPDs
OSELTAMIVIR PHOS 30 MG CAPSULE [Tamiflu]
()
6 CAPSULES   68180067511 62
PDPs
392
MAPDs
OSELTAMIVIR PHOS 45 MG CAPSULE [Tamiflu]
()
10 CAPSULES   72205004311 62
PDPs
392
MAPDs
OSELTAMIVIR PHOS 75 MG CAPSULE [Tamiflu]
()
10 CAPSULES   69238126601 62
PDPs
392
MAPDs
OSENI 12.5-15 MG TABLET
(alogliptin / pioglitazone)
    64764012103 0
PDPs
5
MAPDs
OSENI 12.5-30 MG TABLET
(alogliptin / pioglitazone)
    64764012303 0
PDPs
5
MAPDs
OSENI 12.5-45 MG TABLET
(alogliptin / pioglitazone)
    64764012403 0
PDPs
5
MAPDs
OSENI 25-15 MG TABLET
(alogliptin / pioglitazone)
    64764025103 0
PDPs
5
MAPDs
OSENI 25-30 MG TABLET
(alogliptin / pioglitazone)
    64764025303 0
PDPs
5
MAPDs
OSENI 25-45 MG TABLET
(alogliptin / pioglitazone)
    64764025403 0
PDPs
5
MAPDs
OSMOLEX ER 129 MG TABLET BP 24H
(Amantadine)
30 UNITS   68025007590 4
PDPs
73
MAPDs
OSMOLEX ER 193 MG TABLET BP 24H
(Amantadine)
30 UNITS   70482007630 4
PDPs
76
MAPDs
OSMOLEX ER 322 MG DAILY DOSE TABLET BP 24H
(Amantadine)
UNITS   68025007462 4
PDPs
71
MAPDs
OSMOPREP TABLET 1.5GM
(Sod Phos Mono-Sod Phos Di)
100 BOT 65649070141 0
PDPs
24
MAPDs
OSPHENA 60 MG TABLET
(Ospemifene)
30 tablets   59630058090 14
PDPs
147
MAPDs
OTEZLA 28 DAY STARTER PACK TAB DS PK
(Apremilast)
UNITS   55513036955 20
PDPs
309
MAPDs
OTEZLA 30 MG TABLET
(Apremilast)
60 TABLETS   55513013760 20
PDPs
309
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
13
MAPDs
OTREXUP 12.5 MG/0.4 ML AUTOINJ
(methotrexate)
    54436001204 2
PDPs
14
MAPDs
OTREXUP 15 MG/0.4 ML AUTO-INJ
(methotrexate)
.400 ML   54436001504 2
PDPs
13
MAPDs
OTREXUP 17.5 MG/0.4 ML AUTOINJ
(methotrexate)
    54436001704 2
PDPs
14
MAPDs
OTREXUP 20 MG/0.4 ML AUTO-INJ
(methotrexate)
.400 ML   54436002004 2
PDPs
13
MAPDs
OTREXUP 22.5 MG/0.4 ML AUTOINJ
(methotrexate)
    54436002204 2
PDPs
14
MAPDs
OTREXUP 25 MG/0.4 ML AUTO-INJ
(methotrexate)
.400 ML   54436002504 2
PDPs
13
MAPDs
OVIDE 0.5% LOTION
(Malathion)
59 ML   51672529304 1
PDPs
2
MAPDs
OXACILLIN 1 GM VIAL
(Oxacillin Sodium For)
ML   25021014610 27
PDPs
278
MAPDs
OXACILLIN 10 GM VIAL
(Oxacillin Sodium For)
ML   25021016399 21
PDPs
277
MAPDs
OXACILLIN 1GM/50ML INJ
(Oxacillin Sodium For)
50 ML BAG 00338101341 10
PDPs
175
MAPDs
OXACILLIN 2 GM VIAL
(Oxacillin Sodium For)
ML   25021016224 27
PDPs
275
MAPDs
OXACILLIN 2GM/50ML INJ
(Oxacillin Sodium For)
50 ML BAG 00338101541 9
PDPs
171
MAPDs
OXANDROLONE 10 MG TABLET
(Oxandrolone)
60.000 EA   49884030202 62
PDPs
390
MAPDs
OXANDROLONE 2.5 MG TABLET
(Oxandrolone)
100.000 EA   49884030101 62
PDPs
392
MAPDs
OXAPROZIN 600 MG TABLET
(Oxaprozin)
100 EA   55111017001 37
PDPs
218
MAPDs
OXAZEPAM 10 MG CAPSULE
(Oxazepam)
100 EA   00228206710 20
PDPs
174
MAPDs
OXAZEPAM 15 MG CAPSULE
(Oxazepam)
100 EA   00228206910 20
PDPs
174
MAPDs
OXAZEPAM 30 MG CAPSULE
(Oxazepam)
100.000 EA   00228207310 20
PDPs
174
MAPDs
OXBRYTA 300 MG TABLET FOR SUSP
(Voxelotor)
60 UNITS   72786011103 6
PDPs
109
MAPDs
OXBRYTA 500 MG TABLET
(Voxelotor)
TABLETS   72786010101 2
PDPs
90
MAPDs
OXCARBAZEPINE 150 MG TABLET [Trileptal]
()
60 TABLETS   68462013701 62
PDPs
392
MAPDs
OXCARBAZEPINE 300 MG TABLET [Trileptal]
()
60 TABLETS   62756018488 62
PDPs
392
MAPDs
OXCARBAZEPINE 300 MG/5 ML SUSP
(Oxcarbazepine)
    65162064978 62
PDPs
392
MAPDs
OXCARBAZEPINE 600 MG TABLET [Trileptal]
()
60 TABLETS   62756018588 62
PDPs
392
MAPDs
OXERVATE 0.002% EYE DROPS
(Cenegermin)
ml   71981002007 14
PDPs
129
MAPDs
OXICONAZOLE NITRATE 1% CREAM (g) [Oxistat]
(Oxiconazole Nitrate)
30 grams   51672135908 4
PDPs
27
MAPDs
OXISTAT 1% CREAM (g)
(Oxiconazole Nitrate)
30 grams   10337035860 0
PDPs
1
MAPDs
OXISTAT 1% LOTION
(Oxiconazole Nitrate)
MLS   10337035960 2
PDPs
13
MAPDs
OXTELLAR XR 150 MG TABLET
(oxcarbazepine)
100 EA   17772012101 1
PDPs
22
MAPDs
OXTELLAR XR 300 MG TABLET
(oxcarbazepine)
100 EA   17772012201 1
PDPs
22
MAPDs
OXTELLAR XR 600 MG TABLET
(oxcarbazepine)
100 EA   17772012301 1
PDPs
22
MAPDs
OXYBUTYNIN 5 MG TABLET [Ditropan]
(Oxybutynin)
60 TABLETS   70954000520 62
PDPs
392
MAPDs
OXYBUTYNIN 5 MG/5 ML SYRUP [Ditropan]
(Oxybutynin)
60 MLS   54838051080 62
PDPs
386
MAPDs
OXYBUTYNIN CL ER 10 MG TABLET 24 [Ditropan XL]
(Oxybutynin Chloride)
30 UNITS   68382025601 62
PDPs
392
MAPDs
OXYBUTYNIN CL ER 15 MG TABLET ER 24 [Ditropan XL]
(Oxybutynin Chloride)
30 UNITS   16729031901 62
PDPs
392
MAPDs
OXYBUTYNIN CL ER 5 MG TABLET ER 24 [Ditropan XL]
(Oxybutynin Chloride)
30 UNITS   68382025501 62
PDPs
392
MAPDs
OXYCODONE HCL (IR) 5 MG TABLET [Roxybond]
()
30 TABLETS   00406055201 62
PDPs
390
MAPDs
OXYCODONE HCL 10 MG TABLET [Dazidox]
(Oxycodone HCl)
100 TABLET in 1 BOTTLE   10702005601 62
PDPs
390
MAPDs
OXYCODONE HCL 100 MG/5 ML ORAL CONC [Roxicodone]
()
30 MLS   66689002530 29
PDPs
295
MAPDs
OXYCODONE HCL 15 MG TABLET [Roxybond]
(Oxycodone HCl)
120 tablets   00406851501 62
PDPs
390
MAPDs
OXYCODONE HCL 20 MG TABLET [Roxicodone]
(Oxycodone HCl)
100 TABLET in 1 BOTTLE   10702005701 62
PDPs
390
MAPDs
OXYCODONE HCL 30 MG TABLET [Roxybond]
(Oxycodone HCl)
120 tablets   00406853001 62
PDPs
388
MAPDs
OXYCODONE HCL 5 MG CAPSULE [OxyIR]
()
30 CAPSULES   62559016701 22
PDPs
290
MAPDs
OXYCODONE HCL 5 MG/5 ML SOLUTION [Roxicodone]
(Oxycodone HCl)
500 ML   00054039063 40
PDPs
351
MAPDs
OXYCODONE HCL ER 10 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
100.000 EA   00093573101 0
PDPs
139
MAPDs
OXYCODONE HCL ER 20 MG TABLET 12H [OxyContin]
(Oxycodone HCl)
100.000 EA   00093573201 0
PDPs
139
MAPDs
OXYCODONE HCL ER 40 MG TABLET 12H [OxyContin]
()
60 TABLETS   00591269301 0
PDPs
139
MAPDs
OXYCODONE HCL ER 80 MG TABLET 12H [OxyContin]
()
90 TABLETS   00591270801 0
PDPs
138
MAPDs
OXYCODONE-ACETAMINOPHEN 10-300 TABLET [Prolate]
()
TABLETS   72887068303 0
PDPs
11
MAPDs
OXYCODONE-ACETAMINOPHEN 10-325 TABLET [Percocet]
(Oxycodone, Acetaminophen)
120 TABLETS   00406052301 62
PDPs
392
MAPDs
OXYCODONE-ACETAMINOPHEN 5-300 TABLET [Prolate]
()
40 TABLETS   72887068103 0
PDPs
11
MAPDs
OXYCODONE-ACETAMINOPHEN 5-325 TABLET [Roxicet]
(Oxycodone-Acetaminophen )
30 TABLETS   00406051205 62
PDPs
392
MAPDs
OXYCODONE-ACETAMINOPHEN 5-325/5 SOLUTION [Roxicet]
(Oxycodone-Acetaminophen )
150 MLS   29033040535 9
PDPs
89
MAPDs
OXYCODONE-ACETAMINOPHEN 7.5-300 TABLET [Prolate]
()
20 TABLETS   72887068203 0
PDPs
10
MAPDs
OXYCODONE-ACETAMINOPHN 2.5-325 TABLET [Percocet]
()
30 TABLETS   10702018401 60
PDPs
385
MAPDs
OXYCODONE-ACETAMINOPHN 7.5-325 TABLET [Percocet]
()
90 TABLETS   00406052201 62
PDPs
392
MAPDs
OxyContin 10mg/1
(Oxycodone HCl)
    59011041010 2
PDPs
108
MAPDs
OxyContin 15mg/1
(Oxycodone HCl)
    59011041510 2
PDPs
108
MAPDs
OxyContin 20mg/1
(Oxycodone HCl)
    59011042010 2
PDPs
108
MAPDs
OxyContin 30mg/1
(Oxycodone HCl)
    59011043010 2
PDPs
108
MAPDs
OxyContin 40mg/1
(Oxycodone HCl)
    59011044010 2
PDPs
108
MAPDs
OxyContin 60mg/1
(Oxycodone HCl)
    59011046010 2
PDPs
107
MAPDs
OxyContin 80mg/1
(Oxycodone HCl)
    59011048010 2
PDPs
107
MAPDs
OXYMORPHONE HCL 10 MG TABLET [Opana]
()
120 TABLETS   10702007106 2
PDPs
95
MAPDs
OXYMORPHONE HCL 5 MG TABLET [Opana]
()
120 TABLETS   10702007006 2
PDPs
95
MAPDs
OXYMORPHONE HCL ER 10 MG TABLET ER 12H
(Oxymorphone HCl)
60 TABLETS   64896069713 7
PDPs
86
MAPDs
OXYMORPHONE HCL ER 15 MG TABLET ER 12H
(Oxymorphone HCl)
60 TABLETS   64896069813 7
PDPs
84
MAPDs
OXYMORPHONE HCL ER 20 MG TABLET ER 12H [Opana]
()
60 TABLETS   64896069913 7
PDPs
86
MAPDs
OXYMORPHONE HCL ER 30 MG TABLET 12H [Opana ER]
()
60 TABLETS   64896070013 7
PDPs
84
MAPDs
OXYMORPHONE HCL ER 40 MG TABLET ER 12H [Opana]
()
60 TABLETS   64896070101 7
PDPs
83
MAPDs
OXYMORPHONE HCL ER 5 MG TABLET ER 12H [Opana]
()
60 TABLETS   64896069513 7
PDPs
86
MAPDs
OXYMORPHONE HCL ER 7.5 MG TABLET ER 12H [Opana]
()
60 TABLETS   64896069613 7
PDPs
84
MAPDs
OXYTROL 3.9 MG/24HR PATCH TDSW
(Oxybutynin TD)
8 units   00023615308 1
PDPs
12
MAPDs
OZEMPIC 0.25-0.5 MG DOSE PEN
(Semaglutide)
1.5   00169413212 54
PDPs
372
MAPDs
OZEMPIC 1 MG/DOSE (4 MG/3 ML) PEN INJECTOR
(Semaglutide)
3 MLS   00169413013 54
PDPs
372
MAPDs
OZEMPIC 2 MG/DOSE (8 MG/3 ML) PEN INJCTR
(Semaglutide)
3 MLS   00169477212 54
PDPs
368
MAPDs
PATANASE 665 MCG NASAL SPRAY/PUMP
(Olopatadine HCl Nasal)
30.5 GRAMS   00078083430 1
PDPs
2
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
1
MAPDs
PERCOCET 5-325 MG TABLET
(Oxycodone w/ Acetaminophen)
100.000 EA   63481062370 0
PDPs
1
MAPDs
PERCOCET 7.5/325MG TABLET
(Oxycodone w/ Acetaminophen)
100 BOT 63481062870 0
PDPs
3
MAPDs
PIMOZIDE 1 MG TABLET [Orap]
(Pimozide)
    49884034701 62
PDPs
392
MAPDs
PIMOZIDE 2 MG TABLET [Orap]
(Pimozide)
    49884034801 62
PDPs
392
MAPDs
PREDNISOLONE ODT 10 MG TABLET RAPDIS [Orapred ODT]
(Prednisolone)
10 UNITS   66993084435 4
PDPs
72
MAPDs
PREDNISOLONE ODT 15 MG TABLET RAPDIS [Orapred ODT]
(Prednisolone)
10 UNITS   66993084535 4
PDPs
71
MAPDs
PREDNISOLONE ODT 30 MG TABLET RAPDIS [Orapred ODT]
(Prednisolone)
5 UNITS   66993084635 4
PDPs
69
MAPDs
PRILOSEC DR 10 MG SUSPENSION
(Omeprazole)
    70515061001 1
PDPs
13
MAPDs
PRILOSEC DR 2.5 MG SUSPENSION
(Omeprazole)
    70515062501 1
PDPs
13
MAPDs
PROLATE 10-300 MG TABLET
(Oxycodone, Acetaminophen)
30 tablets   72245068310 0
PDPs
6
MAPDs
PROLATE 5-300 MG TABLET
(Oxycodone, Acetaminophen)
tablets   72245068110 0
PDPs
6
MAPDs
PROLATE 7.5-300 MG TABLET
(Oxycodone, Acetaminophen)
25 tablets   72245068210 0
PDPs
8
MAPDs
RHOFADE 1% CREAM (G)
(Oxymetazoline)
30 GRAMS   71403000330 0
PDPs
9
MAPDs
ROXICODONE 15 MG TABLET
(Oxycodone HCl)
100 EA   23635058110 1
PDPs
2
MAPDs
ROXICODONE 30 MG TABLET
(Oxycodone HCl)
    23635058210 1
PDPs
2
MAPDs
SANDOSTATIN 0.05MG/ML AMPUL
(Octreotide Acetate)
10 AMP 00078018001 0
PDPs
3
MAPDs
Sandostatin 100ug/mL 10 AMPULE in 1 PACKAGE / 1 mL in 1 AMPULE
(Octreotide Acetate)
10 AMPULE in 1 PACKAGE   00078018101 0
PDPs
3
MAPDs
Sandostatin 500ug/mL 10 AMPULE in 1 PACKAGE / 1 mL in 1 AMPULE
(Octreotide Acetate)
10 AMPULE in 1 PACKAGE   00078018201 0
PDPs
3
MAPDs
STRIVERDI RESPIMAT INHAL SPRAY
(Olodaterol Respimat)
4 GM   00597019261 11
PDPs
145
MAPDs
Symbyax 25; 3mg/1; mg/1 30 CAPSULE BOTTLE
(Olanzapine-Fluoxetine HCl)
30 CAPSULE in 1 BOTTLE   00002323030 0
PDPs
2
MAPDs
SYMBYAX 6-25MG CAPSULE
(Olanzapine-Fluoxetine HCl)
30 BOT 00002323130 0
PDPs
2
MAPDs
SYNRIBO 3.5 MG/ML VIAL
(omacetaxine mepesuccinate)
    63459017714 62
PDPs
392
MAPDs
TAGRISSO 40 MG TABLET
(Osimertinib)
    00310134930 62
PDPs
392
MAPDs
TAGRISSO 80 MG TABLET
(Osimertinib)
    00310135030 62
PDPs
392
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 1
PDPs
2
MAPDs
TAMIFLU 45 MG 1 BLISTER PACK per CARTON / 10 CAPSULE per BLISTER PACK
(Oseltamivir Phosphate)
BLISTER PACK   00004080185 1
PDPs
2
MAPDs
TAMIFLU 6 MG/ML SUSPENSION
(Oseltamivir Phosphate)
60 ML   00004082205 1
PDPs
2
MAPDs
TAMIFLU 75 MG CAPSULE UD
(Oseltamivir Phosphate)
10 BLPK 00004080085 1
PDPs
2
MAPDs
TOVET EMOLLIENT 0.05% FOAM [Olux-E]
(Clobetasol)
100 grams   43538095210 6
PDPs
27
MAPDs
TRIAMCINOLONE 0.1% PASTE (G) [Oralone]
(Triamcinolone)
5 GRAMS   51672126705 61
PDPs
392
MAPDs
TRIBENZOR 20-5-12.5 MG TABLET
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 TABLETS   00713087430 1
PDPs
3
MAPDs
TRIBENZOR 40-10-12.5 MG TABLET
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 TABLETS   00713087730 1
PDPs
3
MAPDs
TRIBENZOR 40-10-25 MG TABLET
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 TABLETS   00713087830 1
PDPs
3
MAPDs
TRIBENZOR 40-5-12.5 MG TABLET
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 TABLETS   00713087530 1
PDPs
3
MAPDs
TRIBENZOR 40-5-25 MG TABLET
(Olmesartan-Amlodipine-Hydrochlorothiazide)
30 TABLETS   00713087630 1
PDPs
3
MAPDs
TRILEPTAL 150MG TABLET
(Oxcarbazepine)
100 BOT 00078045605 1
PDPs
3
MAPDs
TRILEPTAL 300MG TABLET
(Oxcarbazepine)
100 BOT 00078033705 1
PDPs
3
MAPDs
TRILEPTAL 300MG/5ML SUSP
(Oxcarbazepine)
250 ML BOT 00078035752 1
PDPs
4
MAPDs
TRILEPTAL 600MG TABLET
(Oxcarbazepine)
100 BOT 00078045705 1
PDPs
3
MAPDs
XOLAIR 150 MG/ML SYRINGE
(Omalizumab (Hamster))
2 mls   50242021501 62
PDPs
392
MAPDs
XOLAIR 150MG VIAL
(Omalizumab For)
1 X VIAL 50242004062 62
PDPs
392
MAPDs
XOLAIR 75 MG/0.5 ML SYRINGE
(Omalizumab (Hamster))
ml   50242021401 62
PDPs
392
MAPDs
XTAMPZA ER 13.5 MG CAPSULE
(Oxycodone)
    24510011510 12
PDPs
110
MAPDs
XTAMPZA ER 18 MG CAPSULE
(Oxycodone)
    24510012010 12
PDPs
110
MAPDs
XTAMPZA ER 27 MG CAPSULE
(Oxycodone)
    24510013010 12
PDPs
110
MAPDs
XTAMPZA ER 36 MG CAPSULE
(Oxycodone)
    24510014010 12
PDPs
110
MAPDs
XTAMPZA ER 9 MG CAPSULE
(Oxycodone)
    24510011010 12
PDPs
110
MAPDs
XYWAV 0.5 GM/ML ORAL SOLUTION
(Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate (Gamma Hydroxybutyrate Or Ghb))
MLS   68727015001 25
PDPs
95
MAPDs
ZEGERID 20 MG CAPSULE
(Omeprazole-Sodium Bicarbonate)
30 CAPSULES   68012010230 0
PDPs
1
MAPDs
ZEGERID 20 MG PACKET
(Omeprazole-Sodium Bicarbonate)
150 UNITS   68012005230 0
PDPs
1
MAPDs
ZEGERID 40 MG CAPSULE
(Omeprazole-Sodium Bicarbonate)
30 CAPSULES   68012010430 0
PDPs
1
MAPDs
ZEGERID 40 MG PACKET
(Omeprazole-Sodium Bicarbonate)
30 UNITS   68012005430 0
PDPs
1
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 1
PDPs
2
MAPDs
ZYPREXA 10MG VIAL
(Olanzapine)
1 VIAL 00002759701 1
PDPs
3
MAPDs
ZYPREXA 15 MG TABLET
(Olanzapine)
30 EA   00002441530 1
PDPs
2
MAPDs
ZYPREXA 2.5MG 30 TABLET BOTTLE
(Olanzapine)
30 TABLET in 1 BOTTLE   00002411230 1
PDPs
2
MAPDs
ZYPREXA 20MG TABLET
(Olanzapine)
30 BOT 00002442030 1
PDPs
2
MAPDs
ZYPREXA 5MG TABLET (30 BOT)
(Olanzapine)
30 BOT 00002411530 1
PDPs
2
MAPDs
ZYPREXA 7.5 MG TABLET
(Olanzapine)
30 EA   00002411630 1
PDPs
2
MAPDs
ZYPREXA Relprevv 1 KIT in 1 CARTON
(Olanzapine Pamoate)
1 KIT in 1 CARTON   00002763511 62
PDPs
385
MAPDs
ZYPREXA ZYDIS 10MG TABLET
(Olanzapine)
30 BLPK 00002445485 1
PDPs
2
MAPDs
ZYPREXA ZYDIS 15MG TABLET
(Olanzapine)
30 BLPK 00002445585 1
PDPs
2
MAPDs
ZYPREXA ZYDIS 20MG TABLET
(Olanzapine)
30 BLPK 00002445685 1
PDPs
2
MAPDs
ZYPREXA ZYDIS 5MG TABLET (30 BLPK)
(Olanzapine)
30 BLPK 00002445385 1
PDPs
2
MAPDs



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


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  • 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.