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2024 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 Z 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 2024 Formularies
PDPs MAPDs
ABACAVIR 20 MG/ML SOLUTION [Ziagen]
()
MLS   64980040524 55
PDPs
370
MAPDs
ABACAVIR 300 MG TABLET [Ziagen]
()
60 TABLETS   31722055760 55
PDPs
370
MAPDs
ABIRATERONE 500 MG TABLET [ZYTIGA]
(ABIRATERONE ACETATE)
30 TABLETS   00378692191 36
PDPs
285
MAPDs
ABIRATERONE ACETATE 250 MG TABLET [ZYTIGA]
(ABIRATERONE ACETATE)
120 TABLETS   72205003092 55
PDPs
370
MAPDs
ACCOLATE 10 MG TABLET
(Zafirlukast)
    49884058902 0
PDPs
4
MAPDs
ACCOLATE 20 MG TABLET
(Zafirlukast)
60 TABLETS   64380017801 0
PDPs
4
MAPDs
ACCUTANE 10 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 CAPSULES   72143025130 44
PDPs
337
MAPDs
ACCUTANE 20 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 CAPSULES   72143025230 44
PDPs
338
MAPDs
ACCUTANE 30 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 CAPSULES   72143023330 44
PDPs
338
MAPDs
ACCUTANE 40 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 CAPSULES   72143025430 44
PDPs
338
MAPDs
ACYCLOVIR 200 MG CAPSULE [Zovirax]
(Acyclovir)
60 CAPSULES   72578000201 55
PDPs
370
MAPDs
ACYCLOVIR 200 MG/5 ML ORAL SUSPENSION [Zovirax Suspension]
(Acyclovir)
100 MLS   70954018810 48
PDPs
350
MAPDs
ACYCLOVIR 5% CREAM (g) [Zovirax]
(Acyclovir)
5 grams   45802004475 2
PDPs
52
MAPDs
ACYCLOVIR 5% OINTMENT [Zovirax]
(Acyclovir)
15 GRAMS   65162083594 26
PDPs
271
MAPDs
ALLOPURINOL 100 MG TABLET [Zyloprim]
(Allopurinol)
90 TABLETS   16729013416 55
PDPs
370
MAPDs
ALLOPURINOL 300 MG TABLET [Zyloprim]
(Allopurinol)
90 tablets   16729013516 55
PDPs
370
MAPDs
AMBIEN 10 MG TABLET
(Zolpidem Tartrate)
    00024542131 0
PDPs
1
MAPDs
AMBIEN CR 12.5MG TABLET
(Zolpidem Tartrate)
100'S BOT 00024552131 0
PDPs
1
MAPDs
AMBIEN CR 6.25MG TABLET
(Zolpidem Tartrate)
100'S BOT 00024550131 0
PDPs
1
MAPDs
AMBIEN TABLETS 5MG 100 BOTTLE
(Zolpidem Tartrate)
100 BOT 00024540131 0
PDPs
1
MAPDs
AMNESTEEM 10 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 capsules   00378661193 51
PDPs
310
MAPDs
AMNESTEEM 20 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 CAPSULES   00378661293 51
PDPs
310
MAPDs
AMNESTEEM 40 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 capsules   00378661493 51
PDPs
310
MAPDs
AZITHROMYCIN 100 MG/5 ML ORAL SUSPENSION [Zithromax Powder]
()
15 MLS   42806014731 53
PDPs
364
MAPDs
AZITHROMYCIN 200 MG/5 ML ORAL SUSPENSION [Zithromax]
(Azithromycin)
15 mls   59762314001 54
PDPs
364
MAPDs
AZITHROMYCIN 250 MG TABLET [Zithromax Z-Pak]
(Azithromycin)
6 TABLETS   00781808926 55
PDPs
364
MAPDs
AZITHROMYCIN 250 MG TABLET [Zithromax Z-Pak]
(Azithromycin)
6 tablets   50111078710 55
PDPs
370
MAPDs
AZITHROMYCIN 500 MG TABLET [Zithromax Tri-Pak]
(Azithromycin)
2 TABLETS   00781809003 55
PDPs
360
MAPDs
AZITHROMYCIN 500 MG TABLET [Zithromax Tri-Pak]
(Azithromycin)
2 tablets   50111078810 55
PDPs
370
MAPDs
AZITHROMYCIN 600 MG TABLET [Zithromax Z-Pak]
(Azithromycin)
8 tablets   50111078910 55
PDPs
370
MAPDs
AZITHROMYCIN I.V. 500 MG VIAL [Zithromax Powder]
()
MLS   70436001982 55
PDPs
370
MAPDs
BISOPROLOL-HCTZ 10-6.25 MG TABLET [Ziac]
(Bisoprolol, Hydrochlorothiazide)
90 TABLETS   42799092201 53
PDPs
369
MAPDs
BRUKINSA 80 MG CAPSULE
(Zanubrutinib)
CAPSULES   72579001102 55
PDPs
370
MAPDs
CETIRIZINE HCL 1 MG/ML SYRUP SOLUTION [Zyrtec Pre-Filled Spoons]
(Cetirizine HCl)
150 mls   51991083716 28
PDPs
216
MAPDs
CLINDA-TRETINOIN 1.2%-0.025% GEL [Ziana]
(Clindamycin, Tretinoin)
30 GRAMS   68682030060 1
PDPs
11
MAPDs
DEXABLISS 11 DAY 1.5 MG TABLET DS PK [ZCORT]
(Dexamethasone)
UNITS   71905040011 0
PDPs
5
MAPDs
DEXAMETHASONE 10 DAY 1.5 MG TABLET DS PK [ZonaCort 7 Day]
(Dexamethasone)
units   68047070235 15
PDPs
29
MAPDs
DEXAMETHASONE 13 DAY 1.5 MG TABLET DS PK [ZonaCort 7 Day]
(Dexamethasone)
units   68047070251 15
PDPs
31
MAPDs
DEXAMETHASONE 6 DAY 1.5 MG TABLET DS PK [ZonaCort 7 Day]
(Dexamethasone)
units   68047070221 15
PDPs
29
MAPDs
DEXTROAMPHETAMINE 10 MG TABLET [Zenzedi]
(Dextroamphetamine Sulfate)
60 tablets   13107003601 44
PDPs
266
MAPDs
DEXTROAMPHETAMINE 15 MG TABLET [Zenzedi]
(Dextroamphetamine Sulfate)
90 TABLETS   52536051503 13
PDPs
140
MAPDs
DEXTROAMPHETAMINE 20 MG TABLET [Zenzedi]
(Dextroamphetamine Sulfate)
60 TABLETS   52536052003 13
PDPs
140
MAPDs
DEXTROAMPHETAMINE 30 MG TABLET [Zenzedi]
(Dextroamphetamine Sulfate)
60 TABLETS   52536053003 13
PDPs
140
MAPDs
DEXTROAMPHETAMINE 5 MG TABLET [Zenzedi]
(Dextroamphetamine Sulfate)
30 tablets   13107003501 44
PDPs
266
MAPDs
DICLOFENAC POTASSIUM 25 MG CAPSULE [Zipsor]
(DICLOFENAC POTASSIUM)
120 CAPSULES   00480943589 0
PDPs
2
MAPDs
DOXEPIN 5% CREAM (G) [Zonalon]
(Doxepin)
45 GRAMS   00093960995 4
PDPs
58
MAPDs
DROSPIRENONE-EE 3-0.03 MG TABLET [Zumandimine]
(Drospirenone, Ethinyl Estradiol;Inert)
28 TABLETS   00378730053 46
PDPs
335
MAPDs
EDLUAR 10 MG SUBLIGUAL TABBLET
(Zolpidem Tartrate)
30 TABLETS   00037601093 0
PDPs
3
MAPDs
EDLUAR 5 MG SUBLIGUAL TABLET
(Zolpidem Tartrate)
TABLETS   00037605093 0
PDPs
3
MAPDs
ETHOSUXIMIDE 250 MG CAPSULE [Zarontin]
(Ethosuximide)
180 CAPSULES   23155053201 55
PDPs
370
MAPDs
ETHOSUXIMIDE 250 MG/5 ML SOLUTION [Zarontin]
(Ethosuximide)
300 MLS   00121067016 55
PDPs
370
MAPDs
ETHYNODIOL-ETH ESTRA 1MG-35MCG [ZOVIA]
(Ethynodiol Diacetate & Ethinyl Estradiol)
    00378730753 53
PDPs
350
MAPDs
ETHYNODIOL-ETH ESTRA 1MG-50MCG [ZOVIA]
(Ethynodiol Diacetate & Ethinyl Estradiol)
    00378730653 55
PDPs
352
MAPDs
EVEROLIMUS 0.25 MG TABLET [Zortress]
(Everolimus)
TABLETS   00054047021 55
PDPs
370
MAPDs
EVEROLIMUS 0.5 MG TABLET [Zortress]
(Everolimus)
28 TABLETS   00054047121 55
PDPs
370
MAPDs
EVEROLIMUS 0.75 MG TABLET [Zortress]
(Everolimus)
1 TABLET   00054047221 55
PDPs
370
MAPDs
EVEROLIMUS 1 MG TABLET [Zortress]
(Everolimus)
30 TABLETS   00054060421 55
PDPs
370
MAPDs
EZETIMIBE 10 MG TABLET [Zetia]
(Ezetimibe)
90 TABLETS   67877049005 55
PDPs
370
MAPDs
FAMOTIDINE 20 MG TABLET [Zantac 360]
()
60 TABLETS   65862085901 55
PDPs
370
MAPDs
GATIFLOXACIN 0.5% EYE DROPS [Zymaxid]
()
2.5 MLS   60758061525 20
PDPs
272
MAPDs
GEODON 20 MG CAPSULE
(Ziprasidone HCl)
30 CAPSULES   00049035260 0
PDPs
4
MAPDs
GEODON 20MG VIAL
(Ziprasidone HCl)
1 VIAL VIALSD 00049392083 0
PDPs
8
MAPDs
GEODON 40 MG CAPSULE
(Ziprasidone)
60 capsules   00049005460 0
PDPs
4
MAPDs
GEODON 60 MG CAPSULE
(Ziprasidone HCl)
60 CAPSULES   00049035660 0
PDPs
4
MAPDs
GEODON 80 MG CAPSULE
(Ziprasidone HCl)
30 CAPSULES   00049035860 0
PDPs
4
MAPDs
HYDROCHLOROTHIAZIDE 50 MG TABLET [Zide]
(Hydrochlorothiazide)
90 tablets   16729018417 55
PDPs
370
MAPDs
HYDROCODONE ER 10 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
30 CAPSULES   47781040960 7
PDPs
55
MAPDs
HYDROCODONE ER 15 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041060 7
PDPs
55
MAPDs
HYDROCODONE ER 20 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041160 7
PDPs
55
MAPDs
HYDROCODONE ER 30 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041260 7
PDPs
55
MAPDs
HYDROCODONE ER 40 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041360 7
PDPs
55
MAPDs
HYDROCODONE ER 50 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
30 CAPSULES   47781041460 7
PDPs
55
MAPDs
HYDROCORT-PRAMOXINE 1%-1% CREAM w/APPL [Zone A]
(Hydrocortisone, Pramoxine)
30 grams   45802014464 2
PDPs
50
MAPDs
IMIQUIMOD 3.75% CREAM PUMP MD [Zyclara]
(Imiquimod)
7.5 GRAMS   68682027275 2
PDPs
37
MAPDs
ISOTRETINOIN 10 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 capsules   69238117403 55
PDPs
321
MAPDs
ISOTRETINOIN 20 MG CAPSULE [ZENATANE]
(Isotretinoin)
30 capsules   69238117503 55
PDPs
323
MAPDs
ISOTRETINOIN 30 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 capsules   69238101703 55
PDPs
323
MAPDs
ISOTRETINOIN 40 MG CAPSULE [ZENATANE]
(Isotretinoin)
60 capsules   69238117603 55
PDPs
322
MAPDs
KELNOR 1-50 TABLET [Zovia 1/50E]
(Ethynodiol Diacetate, Ethinyl Estradiol;Inert)
28 tablets   00093807316 55
PDPs
351
MAPDs
LINEZOLID 100 MG/5 ML ORAL SUSPENSION [Zyvox Powder]
(Linezolid)
150 MLS   31722086525 55
PDPs
353
MAPDs
LINEZOLID 600 MG TABLET [Zyvox]
(Linezolid)
20 EA   67877041920 55
PDPs
370
MAPDs
LINEZOLID 600 MG/300 ML-D5W PIGGYBACK [Zyvox]
(Linezolid)
MLS   57664068357 55
PDPs
370
MAPDs
LISINOPRIL 40 MG TABLET [Zestril]
(Lisinopril)
60 TABLETS   43547035611 55
PDPs
370
MAPDs
LOKELMA 10 GRAM POWDER PACKET
(Sodium zirconium cyclosilicate)
30 units   00310111030 16
PDPs
230
MAPDs
LOKELMA 5 GRAM POWDER PACKET
(Sodium zirconium cyclosilicate)
30 units   00310110530 16
PDPs
230
MAPDs
METOLAZONE 10 MG TABLET [Zaroxolyn]
()
30 TABLETS   00185560001 48
PDPs
368
MAPDs
METOLAZONE 2.5 MG TABLET [Zaroxolyn]
()
30 TABLETS   00185505001 48
PDPs
368
MAPDs
METOLAZONE 5 MG TABLET [Zaroxolyn]
()
30 TABLETS   00185005501 48
PDPs
368
MAPDs
MIGLUSTAT 100 MG CAPSULE [Zavesca]
(Miglustat)
1 capsule   43975031083 37
PDPs
302
MAPDs
OLANZAPINE 10 MG TABLET [Zyprexa]
(Olanzapine)
30 TABLETS   33342007007 55
PDPs
370
MAPDs
OLANZAPINE 15 MG TABLET [Zyprexa]
(Olanzapine)
30 EA   55111016730 55
PDPs
370
MAPDs
OLANZAPINE 2.5 MG TABLET [Zyprexa]
(Olanzapine)
30 TABLETS   33342006707 55
PDPs
370
MAPDs
OLANZAPINE 20 MG TABLET [Zyprexa]
(Olanzapine)
30 TABLETS   33342007207 55
PDPs
370
MAPDs
OLANZAPINE 5 MG TABLET [Zyprexa]
(Olanzapine)
30 TABLETS   33342006807 55
PDPs
370
MAPDs
OLANZAPINE 7.5 MG TABLET [Zyprexa]
(Olanzapine)
30.000 EA   43598016530 55
PDPs
370
MAPDs
OLANZAPINE ODT 10 MG TABLET RAPDIS [Zyprexa Zydis]
()
30 EA   33342008407 55
PDPs
370
MAPDs
OLANZAPINE ODT 15 MG TABLET RAPDIS [Zyprexa Zydis]
()
30 UNITS   33342008507 55
PDPs
370
MAPDs
OLANZAPINE ODT 20 MG TABLET RAPDIS [Zyprexa Zydis]
()
30 EA   33342008607 55
PDPs
370
MAPDs
OLANZAPINE ODT 5 MG TABLET RAPDIS [Zyprexa Zydis]
()
30 UNITS   33342008307 55
PDPs
370
MAPDs
OMEPRAZOLE-BICARB 20-1,100 CAPSULE [Zegerid]
(Omeprazole, Sodium Bicarbonate)
90 capsules   27241003103 2
PDPs
29
MAPDs
OMEPRAZOLE-BICARB 20-1,680 PACKET [Zegerid]
(Omeprazole, Sodium Bicarbonate)
8 UNITS   27241002931 2
PDPs
11
MAPDs
OMEPRAZOLE-BICARB 40-1,100 CAPSULE [Zegerid]
(Omeprazole, Sodium Bicarbonate)
30 CAPSULES   27241003203 2
PDPs
29
MAPDs
OMEPRAZOLE-BICARB 40-1,680 PACKET [Zegerid]
(Omeprazole, Sodium Bicarbonate)
30 units   27241003031 2
PDPs
11
MAPDs
ONDANSETRON 4 MG/5 ML SOLUTION [Zofran Solution]
()
50 MLS   54838055550 45
PDPs
349
MAPDs
ONDANSETRON HCL 4 MG TABLET [Zofran]
(Ondansetron)
30 tablets   65862018730 55
PDPs
370
MAPDs
ONDANSETRON HCL 8 MG TABLET [Zofran]
(Ondansetron)
30 tablets   65862018830 55
PDPs
370
MAPDs
ONDANSETRON ODT 8 MG TABLET RAPDIS [Zofran ODT]
()
30 UNITS   57237007810 55
PDPs
370
MAPDs
PARICALCITOL 1 MCG CAPSULE [Zemplar]
()
30 CAPSULES   49483068703 55
PDPs
361
MAPDs
PARICALCITOL 2 MCG CAPSULE [Zemplar]
()
30 CAPSULES   55111066430 55
PDPs
361
MAPDs
PARICALCITOL 4 MCG CAPSULE [Zemplar]
()
CAPSULES   49483068903 55
PDPs
361
MAPDs
PIPERACIL-TAZOBACT 2.25 GM VIAL [Zosyn Powder]
(Piperacillin, Tazobactam)
ML   60505615604 55
PDPs
368
MAPDs
PIPERACIL-TAZOBACT 3.375 GM VIAL [Zosyn]
(Piperacillin Sodium-Tazobactam Sodium For)
ML   60505615704 55
PDPs
367
MAPDs
PIPERACIL-TAZOBACT 4.5 GM VIAL [Zosyn]
(Piperacillin Sodium-Tazobactam Sodium For)
ML   60505615904 55
PDPs
370
MAPDs
PIPERACIL-TAZOBACT 40.5 GRAM VIAL [Zosyn Powder]
(Piperacillin, Tazobactam)
ML   64679067901 39
PDPs
316
MAPDs
PRUDOXIN 5% CREAM (g) [Zonalon]
(doxepin hydrochloride)
45 grams   00378813045 0
PDPs
8
MAPDs
RELENZA 5MG DISKHALER
(Zanamivir Aero)
5 X 4 BLPK 00173068101 43
PDPs
361
MAPDs
RETROVIR 100mg/1 100 CAPSULE BOTTLE
(Zidovudine)
100 CAPSULE BOTTLE   49702021120 0
PDPs
5
MAPDs
RETROVIR 50mg/5mL 240 mL in 1 BOTTLE
(Zidovudine)
240 mL in 1 BOTTLE   49702021248 0
PDPs
5
MAPDs
SERTRALINE 20 MG/ML ORAL CONC [Zoloft Solution]
(Sertraline HCl)
60 MLS   64980040906 55
PDPs
370
MAPDs
SERTRALINE HCL 25 MG TABLET [Zoloft]
()
30 TABLETS   65862001105 55
PDPs
370
MAPDs
SHINGRIX VIAL KIT
(Zoster vaccine, inactivated)
1 unit   58160082311 55
PDPs
370
MAPDs
SIMVASTATIN 5 MG TABLET [Zocor]
(Simvastatin)
90 tablets   16729015615 55
PDPs
370
MAPDs
SIMVASTATIN 80 MG TABLET [Zocor]
(Simvastatin)
90 TABLETS   68180046509 55
PDPs
367
MAPDs
SYEDA 28 TABLET [Zarah]
(Drospirenone, Ethinyl Estradiol;Inert)
28 tablets   70700011585 46
PDPs
312
MAPDs
TAFLUPROST 0.0015% EYE DROP DROPERETTE [ZIOPTAN]
()
30 UNITS   42571026473 4
PDPs
93
MAPDs
TIZANIDINE HCL 2 MG CAPSULE [Zanaflex]
()
30 CAPSULES   59651031477 5
PDPs
90
MAPDs
TIZANIDINE HCL 4 MG CAPSULE [Zanaflex]
()
30 CAPSULES   70710111208 5
PDPs
90
MAPDs
TIZANIDINE HCL 6 MG CAPSULE [Zanaflex]
()
90 CAPSULES   59651031677 5
PDPs
88
MAPDs
VYFEMLA 0.4 MG-0.035 MG TABLET [Zenchent]
(Ethinyl Estradiol, Norethindrone;Inert)
28 TABLETS   68180087573 45
PDPs
310
MAPDs
WYMZYA FE 0.4-0.035 MG CHEWABLE TABLET [ZEOSA]
(Norethindrone and Ethinyl Estradiol, and Ferrous Fumarate)
28 CHEWABLE TABLETS   68180087373 28
PDPs
156
MAPDs
ZAFEMY 150-35 MCG/DAY PATCH [Xulane]
(Norelgestromin, Ethinyl Estradiol)
3 PATCHES   65162035803 15
PDPs
246
MAPDs
ZAFIRLUKAST 10MG TABLETS
(Zafirlukast)
60 BOT 55111062560 55
PDPs
357
MAPDs
ZAFIRLUKAST 20 MG TABLET [Accolate]
()
60 TABLETS   55111062660 55
PDPs
357
MAPDs
ZALEPLON 10 MG CAPSULE [Sonata]
()
30 CAPSULES   29300013201 42
PDPs
321
MAPDs
ZALEPLON 5 MG CAPSULE [Sonata]
()
30 capsules   29300013101 42
PDPs
321
MAPDs
ZANAFLEX 2 MG CAPSULE
(Tizanidine HCl)
30 CAPSULES   70515060215 0
PDPs
1
MAPDs
ZANAFLEX 4 MG CAPSULE
(Tizanidine HCl)
30 CAPSULES   70515060415 0
PDPs
1
MAPDs
ZANAFLEX 4 MG TABLET
(Tizanidine HCl)
30 TABLETS   70515059415 0
PDPs
1
MAPDs
ZANAFLEX 6 MG CAPSULE
(Tizanidine HCl)
90 CAPSULES   70515060615 0
PDPs
1
MAPDs
ZARONTIN 250 MG CAPSULE
(Ethosuximide)
100 BOT 00071023724 0
PDPs
5
MAPDs
ZARONTIN 250 MG/5 ML SOLUTION
(Ethosuximide)
300 MLS   00071241819 0
PDPs
2
MAPDs
ZARXIO 300 MCG/0.5 ML SYRINGE
(Filgrastim-sndz)
mls   61314031810 33
PDPs
322
MAPDs
ZARXIO 480 MCG/0.8 ML SYRINGE
(Filgrastim-sndz)
0.8 ml   61314032610 33
PDPs
322
MAPDs
ZAVESCA 100 MG CAPSULE
(Miglustat)
90 BOX 66215020190 0
PDPs
1
MAPDs
ZAVZPRET 10 MG NASAL SPRAY
(Zavegepant)
6 UNITS   00069350002 1
PDPs
13
MAPDs
ZEGALOGUE 0.6 MG/0.6 ML SYRINGE
(Dasiglucagon)
ML   00169191302 4
PDPs
123
MAPDs
ZEGALOGUE 0.6 MG/0.6ML AUTO INJECTOR
(Dasiglucagon)
0.6 ML   00169191202 4
PDPs
123
MAPDs
ZEGERID 20 MG CAPSULE
(Omeprazole-Sodium Bicarbonate)
30 CAPSULES   68012010230 0
PDPs
3
MAPDs
ZEGERID 20 MG PACKET
(Omeprazole-Sodium Bicarbonate)
150 UNITS   68012005230 0
PDPs
3
MAPDs
ZEGERID 40 MG CAPSULE
(Omeprazole-Sodium Bicarbonate)
30 CAPSULES   68012010430 0
PDPs
3
MAPDs
ZEGERID 40 MG PACKET
(Omeprazole-Sodium Bicarbonate)
30 UNITS   68012005430 0
PDPs
3
MAPDs
ZEJULA 100 MG CAPSULE
(Niraparib)
30 CAPSULES   69656010330 55
PDPs
370
MAPDs
ZEJULA 100 MG TABLET
(Niraparib)
TABLETS   00173090913 54
PDPs
369
MAPDs
ZEJULA 200 MG TABLET
(Niraparib)
TABLETS   00173091213 54
PDPs
369
MAPDs
ZEJULA 300 MG TABLET
(Niraparib)
TABLETS   00173091513 54
PDPs
369
MAPDs
ZELAPAR 1.25MG ODT TABLET
(Selegiline HCl)
6 X 10 UNIT BLPK 00187045302 1
PDPs
25
MAPDs
ZELBORAF 240 MG TABLET
(VEMURAFENIB)
112.000 EA   50242009002 55
PDPs
370
MAPDs
ZEMAIRA 1000MG VIAL
(Proteinase Inhibitor (Human) For IV)
1 GRAM PKGCOM 00053720102 14
PDPs
177
MAPDs
ZEMBRACE SYMTOUCH 3 MG/0.5 ML PEN INJECTOR
(Sumatriptan)
2 MLS   00245080938 0
PDPs
1
MAPDs
ZEMDRI 500 MG/10 ML VIAL
(Plazomicin)
MLS   69097082096 1
PDPs
40
MAPDs
ZEMPLAR 1 MCG CAPSULE
(Paricalcitol IV)
30 capsules   00074903630 0
PDPs
1
MAPDs
ZEMPLAR 2 MCG CAPSULE
(Paricalcitol IV)
36 capsules   00074903730 0
PDPs
1
MAPDs
ZENATANE 10 MG CAPSULE
(Isotretinoin)
30 EA   55111013581 50
PDPs
334
MAPDs
ZENATANE 20 MG CAPSULE
(Isotretinoin)
30.000 EA   55111013681 50
PDPs
334
MAPDs
ZENATANE 30 MG CAPSULE
(Isotretinoin)
30 EA   55111011381 50
PDPs
334
MAPDs
ZENATANE 40 MG CAPSULE
(Isotretinoin)
30.000 EA   55111013781 50
PDPs
334
MAPDs
ZENPEP DR 10,000 UNIT CAPSULE DR
(Lipase (Porcine), Amylase (Porcine), Protease (Porcine))
180 UNITS   73562011001 50
PDPs
345
MAPDs
ZENPEP DR 15,000 UNIT CAPSULE DR
(Lipase (Porcine), Amylase (Porcine), Protease (Porcine))
180 UNITS   73562011101 50
PDPs
345
MAPDs
ZENPEP DR 20,000 UNIT CAPSULE DR
(Lipase (Porcine), Amylase (Porcine), Protease (Porcine))
240 UNITS   73562011201 50
PDPs
345
MAPDs
ZENPEP DR 25,000 UNIT CAPSULE DR
(Lipase (Porcine), Amylase (Porcine), Protease (Porcine))
90 UNITS   73562011601 50
PDPs
345
MAPDs
ZENPEP DR 3,000 UNIT CAPSULE DR
(Lipase (Porcine), Amylase (Porcine), Protease (Porcine))
90 UNITS   73562011301 50
PDPs
345
MAPDs
ZENPEP DR 40,000 UNIT CAPSULE DR
(Lipase (Porcine), Amylase (Porcine), Protease (Porcine))
540 UNITS   73562011401 50
PDPs
348
MAPDs
ZENPEP DR 5,000 UNIT CAPSULE DR
(Lipase (Porcine), Amylase (Porcine), Protease (Porcine))
90 UNITS   73562011501 50
PDPs
345
MAPDs
ZENZEDI 10 MG TABLET
(Dextroamphetamine)
60 TABLETS   24338085303 22
PDPs
63
MAPDs
ZENZEDI 15 MG TABLET
(Dextroamphetamine)
30 TABLETS   24338085403 2
PDPs
5
MAPDs
ZENZEDI 2.5 MG TABLET
(Dextroamphetamine)
30 TABLETS   24338085003 0
PDPs
2
MAPDs
ZENZEDI 20 MG TABLET
(Dextroamphetamine)
60 TABLETS   24338085503 2
PDPs
5
MAPDs
ZENZEDI 30 MG TABLET
(Dextroamphetamine)
60 TABLETS   24338085603 2
PDPs
5
MAPDs
ZENZEDI 5 MG TABLET
(Dextroamphetamine)
60 TABLETS   24338085103 22
PDPs
63
MAPDs
ZENZEDI 7.5 MG TABLET
(Dextroamphetamine)
TABLETS   24338085203 0
PDPs
2
MAPDs
ZEPATIER 50-100 MG TABLET
(ELBASVIR)
    00006307402 10
PDPs
36
MAPDs
ZEPOSIA 0.23-0.46 MG START PCK CAPSULE DS PK
(Ozanimod)
UNITS   59572081007 3
PDPs
100
MAPDs
ZEPOSIA 0.92 MG CAPSULE
(Ozanimod)
CAPSULES   59572082030 3
PDPs
100
MAPDs
ZEPOSIA STARTER KIT (28-DAY) CAPSULE DS PK
(Ozanimod)
UNITS   59572089028 3
PDPs
106
MAPDs
ZERBAXA 1-0.5 GRAM VIAL
(Ceftolozane Sulfate and Tazobactam Sodium)
    67919003001 1
PDPs
52
MAPDs
ZERVIATE 0.24% EYE DROP DROPERETTE
(Cetirizine)
30 UNITS   71776002430 13
PDPs
97
MAPDs
ZESTORETIC 10-12.5 MG TABLET
(Lisinopril & Hydrochlorothiazide)
90 EA   52427043590 0
PDPs
4
MAPDs
ZESTORETIC 20-12.5 MG TABLET
(Lisinopril & Hydrochlorothiazide)
90 EA   52427043690 0
PDPs
4
MAPDs
ZESTORETIC 20-25 MG TABLET
(Lisinopril & Hydrochlorothiazide)
90 EA   52427043790 0
PDPs
4
MAPDs
ZESTRIL 10 MG TABLET
(Lisinopril)
90 EA   52427044090 0
PDPs
4
MAPDs
ZESTRIL 2.5 MG TABLET
(Lisinopril)
90 EA   52427043890 0
PDPs
4
MAPDs
ZESTRIL 20 MG TABLET
(Lisinopril)
90 EA   52427044190 0
PDPs
4
MAPDs
ZESTRIL 30 MG TABLET
(Lisinopril)
90 EA   52427044290 0
PDPs
4
MAPDs
ZESTRIL 40 MG TABLET
(Lisinopril)
90 EA   52427044390 0
PDPs
4
MAPDs
ZESTRIL 5 MG TABLET
(Lisinopril)
90 EA   52427043990 0
PDPs
4
MAPDs
ZETIA 10 MG TABLET
(Ezetimibe)
90 TABLETS   78206017801 0
PDPs
4
MAPDs
ZETONNA 37 MCG NASAL SPRAY HFA AER AD
(Ciclesonide Nasal)
grams   70515073760 0
PDPs
4
MAPDs
ZIAC 10-6.25 MG TABLET
(Bisoprolol , Hydrochlorothiazide)
30 tablets   51285004001 0
PDPs
4
MAPDs
ZIAC 2.5-6.25MG TABLET
(Bisoprolol & Hydrochlorothiazide)
100 BOT 51285004702 0
PDPs
4
MAPDs
ZIAC 5-6.25 MG TABLET
(Bisoprolol , Hydrochlorothiazide)
30 tablets   51285005002 0
PDPs
4
MAPDs
ZIAGEN 20mg/mL 240 mL in 1 BOTTLE
(Abacavir Sulfate)
240 mL in 1 BOTTLE   49702022248 0
PDPs
4
MAPDs
ZIAGEN 300mg/1 60 FILM COATED TABLETS in BOTTLE
(Abacavir Sulfate)
60 TABLET, FILM COATED   49702022118 0
PDPs
5
MAPDs
ZIANA GEL
(Clindamycin Phosphate-Tretinoin)
30 GRAMS   99207030030 0
PDPs
1
MAPDs
ZIDOVUDINE 100MG CAPSULE
(Zidovudine)
100 BOT 65862010701 55
PDPs
370
MAPDs
ZIDOVUDINE 10MG/ML SYRUP
(Zidovudine)
240 ML BOT 65862004824 55
PDPs
370
MAPDs
Zidovudine 300mg/1 12 BOTTLE CASE / 60 TABLET BOTTLE
(Zidovudine)
12 60-TAB BOTTLES in CASE   31722050960 55
PDPs
370
MAPDs
ZIEXTENZO 6 MG/0.6 ML SYRINGE
(Pegfilgrastim (E. coli))
ml   61314086601 15
PDPs
219
MAPDs
ZILEUTON ER 600 MG TABLET TBMP 12HR [Zyflo CR]
()
120 UNITS   64980020612 1
PDPs
28
MAPDs
ZILXI 1.5% FOAM
()
GRAMS   72356010303 0
PDPs
2
MAPDs
ZIMHI 5 MG/0.5 ML SYRINGE
(Naloxone Hydrochloride)
ML   78670014002 3
PDPs
91
MAPDs
ZIOPTAN 0.0015% EYE DROP DROPERETTE
(tafluprost ophthalmic solution)
30 UNITS   82584060930 1
PDPs
9
MAPDs
ZIPRASIDONE 20 MG/ML VIAL [Geodon]
()
1 ML   43598084858 55
PDPs
370
MAPDs
ZIPRASIDONE HCL 20 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025660 55
PDPs
370
MAPDs
ZIPRASIDONE HCL 40 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025760 55
PDPs
370
MAPDs
ZIPRASIDONE HCL 60 MG CAPSULE [Geodon]
(Ziprasidone HCl)
    55111025860 55
PDPs
370
MAPDs
ZIPRASIDONE HCL 80 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025960 55
PDPs
370
MAPDs
ZIPSOR 25 MG CAPSULE 120
(diclofenac potassium)
    13913000812 0
PDPs
1
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 39
PDPs
301
MAPDs
ZITHROMAX 1g/1 3 POWDER, FOR SUSPENSION in 1 BOX
(Azithromycin)
3 POWDER, FOR SUSPENSION   00069305175 0
PDPs
1
MAPDs
ZITHROMAX 200 MG/5 ML SUSP
(Azithromycin)
30.000 ML   00069314019 0
PDPs
4
MAPDs
ZITHROMAX 250 MG TABLET
(Azithromycin)
6 TABLETS   00069406101 0
PDPs
4
MAPDs
ZITHROMAX 250MG Z-PAK TABLET
(Azithromycin)
6 BLPK 00069306075 0
PDPs
4
MAPDs
ZITHROMAX 500MG TABLET
(Azithromycin)
30 TABLETS BOT 00069307030 0
PDPs
4
MAPDs
ZITHROMAX IV 500MG VIAL 10 VIAL BOX
(Azithromycin)
10 VIAL BOX 00069315083 0
PDPs
4
MAPDs
ZITHROMAX ORAL SUSP 100MG/5ML
(Azithromycin)
15 ML BOT 00069311019 0
PDPs
4
MAPDs
ZITHROMAX TRI-PAK 500MG TABLET
(Azithromycin)
3 TABLETS BLPK 00069307075 0
PDPs
4
MAPDs
ZOCOR 10 MG TABLET
(Simvastatin)
90 TABLETS   78206018001 0
PDPs
4
MAPDs
ZOCOR 20 MG TABLET
(Simvastatin)
90 TABLETS   78206018101 0
PDPs
4
MAPDs
ZOCOR 40 MG TABLET
(Simvastatin)
90 TABLETS   78206018201 0
PDPs
4
MAPDs
ZOKINVY 50 MG CAPSULE
(Lonafarnib)
CAPSULES   73079005030 31
PDPs
129
MAPDs
ZOKINVY 75 MG CAPSULE
(Lonafarnib)
CAPSULES   73079007530 31
PDPs
129
MAPDs
ZOLINZA 100MG CAPSULE
(Vorinostat)
120 BOT 00006056840 55
PDPs
370
MAPDs
ZOLMITRIPTAN 2.5 MG ODT TABLET RAPDIS [Zomig -ZMT]
(Zolmitriptan)
9 units   68382071586 5
PDPs
184
MAPDs
ZOLMITRIPTAN 2.5 MG TABLET [Zomig]
()
6 TABLETS   27241002168 11
PDPs
200
MAPDs
ZOLMITRIPTAN 5 MG NASAL SPRAY [Zomig Nasal Spray]
()
6 UNITS   69238200706 1
PDPs
53
MAPDs
ZOLMITRIPTAN 5 MG ODT [Zomig, Zomig-ZMT]
()
3 EA   68382071782 4
PDPs
184
MAPDs
ZOLMITRIPTAN 5 MG TABLET [Zomig]
()
9 TABLETS   27241002238 11
PDPs
200
MAPDs
ZOLOFT 100 MG TABLET
(Sertraline HCl)
30 EA   00049491030 0
PDPs
4
MAPDs
ZOLOFT 20 MG/ML ORAL CONC
(Sertraline HCl)
60 MLS   00049005001 0
PDPs
4
MAPDs
ZOLOFT 25MG TABLET
(Sertraline HCl)
30 BOT 00049496030 0
PDPs
4
MAPDs
ZOLOFT 50 MG TABLET
(Sertraline HCl)
30 EA   00049490030 0
PDPs
4
MAPDs
ZOLPIDEM TART 1.75 MG SUBLIGUAL TABLET [Intermezzo]
()
30 TABLETS   49884089811 1
PDPs
13
MAPDs
ZOLPIDEM TART 3.5 MG SUBLIGUAL TABLET [Intermezzo]
()
30 TABLETS   49884089911 1
PDPs
13
MAPDs
ZOLPIDEM TART ER 12.5 MG TABLET MPHASE [Ambien CR]
(Zolpidem)
30 units   68180078001 4
PDPs
137
MAPDs
ZOLPIDEM TART ER 6.25 MG TABLET MPHASE [Ambien CR]
(Zolpidem)
30 units   68180077901 4
PDPs
137
MAPDs
ZOLPIDEM TARTRATE 10 MG TABLET [Ambien]
()
30 TABLETS   65862016001 55
PDPs
370
MAPDs
ZOLPIDEM TARTRATE 5 MG TABLET [Ambien]
()
30 TABLETS   13668000701 55
PDPs
370
MAPDs
ZOLPIDEM TARTRATE 7.5 MG CAPSULE
()
30 CAPSULES   52427077530 0
PDPs
2
MAPDs
ZOMACTON 10 MG VIAL
(Somatropin)
    55566190101 0
PDPs
17
MAPDs
ZOMACTON 5 MG VIAL
(Somatropin)
    55566180101 0
PDPs
21
MAPDs
ZOMIG 2.5 MG NASAL SPRAY
(Zolmitriptan)
    64896068251 1
PDPs
6
MAPDs
ZOMIG 2.5 MG TABLET
(Zolmitriptan)
6 TABLETS   60846238303 0
PDPs
2
MAPDs
ZOMIG 5 MG NASAL SPRAY
(Zolmitriptan)
6 EA   64896068151 0
PDPs
1
MAPDs
ZOMIG 5 MG TABLET
(Zolmitriptan)
6 TABLETS   60846238404 0
PDPs
2
MAPDs
ZONALON 5% CREAM (G)
(Doxepin HCl)
45 GRAMS   00378812330 0
PDPs
4
MAPDs
ZONEGRAN 100 MG CAPSULE
(Zonisamide)
    59212068010 0
PDPs
4
MAPDs
ZONEGRAN 25 MG CAPSULE
(Zonisamide)
    59212068110 0
PDPs
4
MAPDs
ZONISADE 100 MG/5 ML ORAL SUSPENSION
(Zonisamide)
150 MLS   52652800101 55
PDPs
370
MAPDs
ZONISAMIDE 100 MG CAPSULE
(Zonisamide)
100 EA   69097086107 55
PDPs
370
MAPDs
ZONISAMIDE 25 MG CAPSULE
(Zonisamide)
100.000 EA   68462012801 55
PDPs
370
MAPDs
ZONISAMIDE 50 MG CAPSULE
(Zonisamide)
100.000 EA   68462012901 55
PDPs
370
MAPDs
ZONTIVITY 2.08 MG TABLET
(Vorapaxar)
30 TABLETS   66992020830 8
PDPs
42
MAPDs
Zorbtive 8.8mg/mL 1 INJECTION, POWDER, FOR SOLUTION per CARTON
(Somatropin (Non-Refrigerated) For Subcutaneous)
1 INJECTION, POWDER   44087338807 1
PDPs
46
MAPDs
ZORTRESS 0.25MG TABLETS
(Everolimus)
60 BLPK BOX 00078041720 0
PDPs
7
MAPDs
Zortress 0.5mg/1 60 BLISTER PACK in 1 BOX / 1 TABLET per BLISTER PACK
(Everolimus)
60 BLISTER PACK in 1 BOX   00078041420 0
PDPs
7
MAPDs
Zortress 0.75mg/1 60 BLISTER PACK in 1 BOX / 1 TABLET per BLISTER PACK
(Everolimus)
60 BLISTER PACK in 1 BOX   00078041520 0
PDPs
7
MAPDs
ZORTRESS 1 MG TABLET
(Everolimus)
1 tablet   00078042220 0
PDPs
12
MAPDs
ZORYVE 0.3% CREAM (G)
(Roflumilast)
60 GRAMS   80610013060 0
PDPs
45
MAPDs
ZOSYN 2.25 GM/50 ML GALAXY BAG FROZ.PIGGY
(Piperacillin Sodium-Tazobactam Sodium For)
MLS   00338963224 8
PDPs
35
MAPDs
ZOVIA 1-35 TABLET
(ETHYNODIOL D-ETHINYL ESTRADIOL)
28 TABLETS   51862089406 52
PDPs
356
MAPDs
ZOVIRAX 5% CREAM
(Acyclovir)
5 GM   00187099445 0
PDPs
1
MAPDs
ZOVIRAX 5% OINTMENT
(Acyclovir)
30 GM   00187099395 0
PDPs
4
MAPDs
ZTALMY 50 MG/ML ORAL SUSPENSION
(Ganaxolone)
MLS   81583010005 55
PDPs
370
MAPDs
ZTLIDO 1.8% TOPICAL SYSTEM Patch
(Lidocaine)
30 patches   69557011130 11
PDPs
76
MAPDs
ZUBSOLV 0.7-0.18 MG SUBLIGUAL TABLET
(buprenorphine hydrochloride and naloxone hydrochloride)
2 TABLETS   54123090730 7
PDPs
51
MAPDs
ZUBSOLV 1.4-0.36 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)
30 EA   54123091430 7
PDPs
51
MAPDs
ZUBSOLV 11.4-2.9 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)
    54123011430 7
PDPs
51
MAPDs
ZUBSOLV 2.9-0.71 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)
    54123092930 7
PDPs
51
MAPDs
ZUBSOLV 5.7-1.4 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)
30 EA   54123095730 7
PDPs
51
MAPDs
ZUBSOLV 8.6-2.1 MG TABLET SL
(buprenorphine hydrochloride and naloxone hydrochloride)
    54123098630 7
PDPs
51
MAPDs
ZYCLARA 2.5% CREAM PUMP
(Imiquimod)
    99207027675 2
PDPs
42
MAPDs
ZYCLARA 3.75% CREAM MD PUMP
(Imiquimod)
7.5 GRAMS   99207027175 0
PDPs
3
MAPDs
ZYDELIG 100 MG TABLET
(Idelalisib)
60 EA   61958170101 55
PDPs
370
MAPDs
ZYDELIG 150 MG TABLET
(Idelalisib)
60 EA   61958170201 55
PDPs
370
MAPDs
ZYFLO 600 MG FILMTAB (120 TABLETS)
(Zileuton)
120 TABLET   10122090112 1
PDPs
8
MAPDs
ZYKADIA 150 MG TABLET
(Ceritinib)
tablets   00078069484 55
PDPs
370
MAPDs
ZYLET EYE DROPS
(Loteprednol Etabonate-Tobramycin Ophth)
5.000 ML   24208035805 19
PDPs
173
MAPDs
ZYLOPRIM 100 MG TABLET
(Allopurinol)
30 tablets   70199001590 0
PDPs
4
MAPDs
ZYLOPRIM 300 MG TABLET
(Allopurinol)
30 tablets   70199001690 0
PDPs
4
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
ZYPITAMAG 2 MG TABLET
(Pitavastatin Magnesium)
tablets   25208020109 5
PDPs
49
MAPDs
ZYPITAMAG 4 MG TABLET
(Pitavastatin Magnesium)
tablets   25208020209 5
PDPs
49
MAPDs
ZYPREXA 10 MG TABLET
(Olanzapine)
30 EA   00002411730 0
PDPs
4
MAPDs
ZYPREXA 10MG VIAL
(Olanzapine)
1 VIAL 00002759701 0
PDPs
5
MAPDs
ZYPREXA 15 MG TABLET
(Olanzapine)
30 EA   00002441530 0
PDPs
4
MAPDs
ZYPREXA 2.5MG 30 TABLET BOTTLE
(Olanzapine)
30 TABLET in 1 BOTTLE   00002411230 0
PDPs
4
MAPDs
ZYPREXA 20MG TABLET
(Olanzapine)
30 BOT 00002442030 0
PDPs
4
MAPDs
ZYPREXA 5MG TABLET (30 BOT)
(Olanzapine)
30 BOT 00002411530 0
PDPs
4
MAPDs
ZYPREXA 7.5 MG TABLET
(Olanzapine)
30 EA   00002411630 0
PDPs
4
MAPDs
ZYPREXA Relprevv 1 KIT in 1 CARTON
(Olanzapine Pamoate)
1 KIT in 1 CARTON   00002763511 55
PDPs
362
MAPDs
ZYPREXA ZYDIS 10MG TABLET
(Olanzapine)
30 BLPK 00002445485 0
PDPs
4
MAPDs
ZYPREXA ZYDIS 15MG TABLET
(Olanzapine)
30 BLPK 00002445585 0
PDPs
4
MAPDs
ZYPREXA ZYDIS 20MG TABLET
(Olanzapine)
30 BLPK 00002445685 0
PDPs
4
MAPDs
ZYPREXA ZYDIS 5MG TABLET (30 BLPK)
(Olanzapine)
30 BLPK 00002445385 0
PDPs
4
MAPDs
Zytiga 250mg/1 120 TABLET BOTTLE
(ABIRATERONE ACETATE)
120 TABLET in 1 BOTTLE   57894015012 0
PDPs
3
MAPDs
ZYTIGA 500 MG TABLET
(ABIRATERONE ACETATE)
60 tablets   57894019506 3
PDPs
11
MAPDs
ZYVOX 100 MG/5 ML ORAL SUSPENSION
(Linezolid)
150 MLS   00009513604 0
PDPs
5
MAPDs
ZYVOX 600 MG TABLET
(Linezolid)
20 EA   00009513802 0
PDPs
4
MAPDs
ZYVOX 600 MG/300 ML-D5W PIGGYBACK
(Linezolid)
MLS   00009514004 0
PDPs
5
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data January 2024)





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  • 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.