A non-government resource for the Medicare community
Powered by Q1Group LLC
A non-government Medicare community resource
  • Menu
  • Home
  • Contact
  • MAPD
  • PDP
  • 2025
  • FAQs
  • Articles
  • Search
  • Contact
  • 2025
  • FAQs
  • Articles
  • Latest Medicare News
  • Search

2025 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 G in Alphabetical Order.
Example: Lipitor® is found on letter page "L" as well as letter page "A" for Atorvastatin.

Drug Name
Packaging NDC On This Nbr of 2025 Formularies
PDPs MAPDs
BAQSIMI 3 MG SPRAY ONE PACK
(Glucagon)
2 UNITS   00002614511 16
PDPs
162
MAPDs
BEVESPI AEROSPHERE INHALER
(Glycopyrrolate and formoterol fumarate)
10.700 GM   00310460012 9
PDPs
130
MAPDs
BREZTRI AEROSPHERE INHALER HFA AER AD
(Budesonide, Glycopyrrolate, Formoterol)
10.7 GRAMS   00310461612 19
PDPs
309
MAPDs
COPAXONE 20MG/ML 30 BLISTER PACK IN 1 CRTN
(Glatiramer Acetate)
    68546031730 21
PDPs
122
MAPDs
COPAXONE 40 MG/ML SYRINGE
(Glatiramer Acetate)
1 ML   68546032512 21
PDPs
123
MAPDs
CROMOLYN 100 MG/5 ML ORAL CONC [Gastrocrom]
(Cromolyn )
480 MLS   42571013252 40
PDPs
346
MAPDs
DAURISMO 100 MG TABLET
(Glasdegib)
tablets   00069153130 40
PDPs
346
MAPDs
DAURISMO 25 MG TABLET
(Glasdegib)
tablets   00069029860 40
PDPs
346
MAPDs
DUVYZAT 8.86 MG/ML ORAL SUSPENSION
(Givinostat)
140 MLS   11797011001 1
PDPs
11
MAPDs
EMGALITY 120 MG/ML PEN INJCTR
(Galcanezumab)
1 ml   00002143611 28
PDPs
301
MAPDs
EMGALITY 120 MG/ML SYRINGE
(Galcanezumab)
1 ml   00002237711 28
PDPs
301
MAPDs
EMGALITY 300 MG (100 MG X3SYR) SYRINGE
(Galcanezumab)
3 mls   00002311509 28
PDPs
272
MAPDs
ENDARI 5 GRAM POWDER PACKET
(Glutamine Powder (For Sickle Cell Disease))
UNITS   42457042001 6
PDPs
51
MAPDs
ESTRADIOL VALERATE 100 MG/5 ML VIAL [Gynogen LA]
()
5 MLS   00517042001 33
PDPs
253
MAPDs
FINGOLIMOD 0.5 MG CAPSULE [Gilenya]
()
30 CAPSULES   00378452593 30
PDPs
338
MAPDs
GABAPENTIN 100 MG CAPSULE [Neurontin]
()
90 CAPSULES   69097081312 40
PDPs
346
MAPDs
GABAPENTIN 250 MG/5 ML SOLUTION [Neurontin]
()
30 MLS   42192060816 40
PDPs
346
MAPDs
GABAPENTIN 300 MG CAPSULE [Neurontin]
()
90 CAPSULES   45963055650 40
PDPs
346
MAPDs
GABAPENTIN 400 MG CAPSULE [Neurontin]
()
90 CAPSULES   65162010350 40
PDPs
346
MAPDs
GABAPENTIN 600 MG TABLET
(Gabapentin)
500.000 EA   68462012605 40
PDPs
346
MAPDs
GABAPENTIN 800 MG TABLET
(Gabapentin)
500.000 EA   68462012705 40
PDPs
346
MAPDs
GABAPENTIN ER 300 MG TABLET 24H [Gralise]
()
30 TABLETS   68382060816 2
PDPs
60
MAPDs
GABAPENTIN ER 600 MG TABLET 24H [Neurontin]
()
90 TABLETS   68382060716 2
PDPs
61
MAPDs
GALAFOLD 123 MG CAPSULE
(Migalastat)
capsules   71904010001 1
PDPs
38
MAPDs
GALANTAMINE 4 MG/ML ORAL SOLUTION
(Galantamine Hydrobromide)
100 mL in 1 BOTTLE   00054013749 38
PDPs
321
MAPDs
GALANTAMINE ER 16 MG CAPSULE 24H PEL [Reminyl]
()
30 UNITS   65862074530 39
PDPs
342
MAPDs
GALANTAMINE ER 24 MG CAPSULE 24H PEL [Reminyl]
()
30 UNITS   65862074630 39
PDPs
342
MAPDs
GALANTAMINE ER 8 MG CAPSULE 24H PEL [Reminyl]
()
30 UNITS   65862074430 39
PDPs
342
MAPDs
GALANTAMINE HBR 12 MG TABLET [Reminyl]
()
180 TABLETS   57237005160 39
PDPs
341
MAPDs
GALANTAMINE HBR 4 MG TABLET [Reminyl]
()
60 tablets   57237004960 39
PDPs
341
MAPDs
GALANTAMINE HBR 8 MG TABLET [Reminyl]
()
60 TABLETS   57237005060 39
PDPs
341
MAPDs
GAMMAGARD LIQUID 10% VIAL
(Immune Globulin (Human) IV)
1 BOTTLE, GLASS in CARTON   00944270003 13
PDPs
186
MAPDs
GAMMAGARD S-D 10 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)
    00944265804 13
PDPs
180
MAPDs
GAMMAGARD S-D 5 G (IGA<1) SOLUTION
(Immune Globulin (Human) IV)
    00944265603 13
PDPs
180
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)
10 ML   76125090001 8
PDPs
131
MAPDs
GAMMAPLEX 10 GRAM/100 ML VIAL
(immune globulin)
    64208823506 23
PDPs
175
MAPDs
GAMMAPLEX 10 GRAM/200 ML VIAL
(immune globulin)
100 MLS   64208823407 23
PDPs
170
MAPDs
GAMMAPLEX 20 GRAM/200 ML VIAL
(immune globulin)
    64208823507 23
PDPs
176
MAPDs
GAMMAPLEX 5 GRAM/50 ML VIAL
(immune globulin)
    64208823505 23
PDPs
181
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS   13533080012 36
PDPs
294
MAPDs
GARDASIL 9 SYRINGE
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
    00006412102 40
PDPs
346
MAPDs
GARDASIL 9 VIAL
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
    00006411903 40
PDPs
346
MAPDs
GATIFLOXACIN 0.5% EYE DROPS [Zymaxid]
()
2.5 MLS   60758061525 12
PDPs
225
MAPDs
GATTEX 5 MG 30-VIAL KIT
(teduglutide)
1.000 EA   68875010201 32
PDPs
251
MAPDs
GAVILYTE-C SOLUTION
(Polyethylene Glycol 3350 Oral)
278.26 g in 1 BOTTLE   43386006019 40
PDPs
343
MAPDs
GAVILYTE-G SOLUTION
(Polyethylene Glycol 3350 Oral)
274.31 g in 1 BOTTLE   43386009019 37
PDPs
337
MAPDs
GAVILYTE-N SOLUTION RECON [TriLyte]
(Polyethylene Glycol 3350, Potassium Chloride, Sodium Bicarbonate, Sodium Chloride)
4000 MLS   43386005019 33
PDPs
305
MAPDs
GAVRETO 100 MG CAPSULE
(Pralsetinib)
60 CAPSULES   71332000660 40
PDPs
346
MAPDs
GEFITINIB 250 MG TABLET [Iressa]
()
TABLETS   50742036630 40
PDPs
346
MAPDs
GEMFIBROZIL 600 MG TABLET
(Gemfibrozil)
500 EA   69097082112 40
PDPs
346
MAPDs
GEMMILY 1 MG-20 MCG CAPSULE [Taytulla]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)
28 CAPSULES   70700015285 10
PDPs
50
MAPDs
GEMTESA 75 MG TABLET
(Vibegron)
30 TABLETS   73336007530 13
PDPs
99
MAPDs
GENERLAC 10 GM/15 ML SOLUTION
(Lactulose (Encephalopathy))
473.000 ML   60432003816 40
PDPs
338
MAPDs
GENGRAF 100 MG CAPSULE
(Cyclosporine Modified)
30 EA   00074310932 37
PDPs
326
MAPDs
GENGRAF 100MG/ML SOLUTION
(Cyclosporine Modified)
50 ML BOTGL 00074726950 37
PDPs
325
MAPDs
GENGRAF 25 MG CAPSULE
(Cyclosporine Modified)
30 EA   00074310832 37
PDPs
326
MAPDs
GENOTROPIN 13.8MG CARTRIDGE
(Somatropin For)
1 X 13.8 MG CTG 00013264681 14
PDPs
127
MAPDs
GENOTROPIN 5 MG CARTRIDGE
(Somatropin For)
1 PKGCOM 00013262681 14
PDPs
127
MAPDs
GENOTROPIN MINIQUICK 0.2MG
(Somatropin For)
7 X 0.2 MG VIALPAT 00013264902 14
PDPs
125
MAPDs
GENOTROPIN MINIQUICK 0.4MG
(Somatropin For)
7 X 0.4 MG VIALPAT 00013265002 14
PDPs
125
MAPDs
GENOTROPIN MINIQUICK 0.6MG
(Somatropin For)
7 X 0.6 MG VIALPAT 00013265102 14
PDPs
125
MAPDs
GENOTROPIN MINIQUICK 0.8MG
(Somatropin For)
7 X 0.8 MG VIALPAT 00013265202 14
PDPs
125
MAPDs
GENOTROPIN MINIQUICK 1.2MG
(Somatropin For)
7 VIALPAT 00013265402 14
PDPs
125
MAPDs
GENOTROPIN MINIQUICK 1.4MG
(Somatropin For)
7 VIALPAT 00013265502 14
PDPs
125
MAPDs
GENOTROPIN MINIQUICK 1.6MG
(Somatropin For)
7 VIALPAT 00013265602 14
PDPs
125
MAPDs
GENOTROPIN MINIQUICK 1.8MG
(Somatropin For)
7 VIALPAT 00013265702 14
PDPs
125
MAPDs
GENOTROPIN MINIQUICK 1MG
(Somatropin For)
7 X 1.0 MG VIALPAT 00013265302 14
PDPs
125
MAPDs
GENOTROPIN MINIQUICK 2MG
(Somatropin For)
7 X 2.0 MG VIALPAT 00013265802 14
PDPs
125
MAPDs
GENTAMICIN 0.1% CREAM (G)
(Gentamicin)
15 GRAMS   00713068315 40
PDPs
346
MAPDs
GENTAMICIN 0.1% OINTMENT
(Gentamicin)
15 GRAMS   00713068215 40
PDPs
346
MAPDs
GENTAMICIN 0.3% EYE DROPS [Ocu-Mycin]
(Gentamicin Sulfate Ophth)
5 MLS   61314063305 40
PDPs
345
MAPDs
Gentamicin Sulfate 40mg/mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 2 mL in 1 VIAL, SINGLE-DOSE
(Gentamicin Sulfate)
25 VIAL, SINGLE-DOSE   00409120703 40
PDPs
345
MAPDs
Gentamicin Sulfate in Sodium Chloride 60mg/50mL 50 mL in 1 BAG
(Gentamicin Sulfate)
50 mL in 1 BAG   00338050741 24
PDPs
246
MAPDs
GENVOYA TABLET
(Elvitegravir, Cobicistat, Emtricitabine, and Tenofovir Alafenamide Fumarate)
    61958190101 40
PDPs
346
MAPDs
GEODON 20 MG CAPSULE
(Ziprasidone HCl)
30 CAPSULES   00049035260 0
PDPs
3
MAPDs
GEODON 20MG VIAL
(Ziprasidone HCl)
1 VIAL VIALSD 00049392083 0
PDPs
4
MAPDs
GEODON 40 MG CAPSULE
(Ziprasidone HCl)
60 CAPSULES   00049035460 0
PDPs
3
MAPDs
GEODON 60 MG CAPSULE
(Ziprasidone HCl)
60 CAPSULES   00049035660 0
PDPs
3
MAPDs
GEODON 80 MG CAPSULE
(Ziprasidone HCl)
30 CAPSULES   00049035860 0
PDPs
3
MAPDs
GILENYA 0.25 MG CAPSULE
(FINGOLIMOD HCL)
CAPSULES   00078096589 0
PDPs
15
MAPDs
GILENYA 0.5 MG CAPSULE
(FINGOLIMOD HCL)
30 EA   00078060715 0
PDPs
6
MAPDs
GILOTRIF 20 MG TABLET
(afatinib)
30 EA   00597014130 40
PDPs
346
MAPDs
GILOTRIF 30 MG TABLET
(afatinib)
30 EA   00597013730 40
PDPs
346
MAPDs
GILOTRIF 40 MG TABLET
(afatinib)
30 EA   00597013830 40
PDPs
346
MAPDs
GIMOTI 15 MG NASAL SPRAY SPRAY/PUMP
(Metoclopramide)
MLS   72089030715 0
PDPs
2
MAPDs
GLASSIA 1g/50mL 1 VIAL, GLASS per CARTON / 50 mL in 1 VIAL, GLASS
(ALPHA-1-PROTEINASE INHIBITOR (HUMAN))
1 VIAL, GLASS in 1 CARTON   00944288401 2
PDPs
25
MAPDs
GLATIRAMER 20 MG/ML SYRINGE [Glatopa]
(Glatiramer)
mls   00378696093 30
PDPs
330
MAPDs
GLATIRAMER 40 MG/ML SYRINGE [Copaxone]
(Glatiramer Acetate)
1 ML   00378696112 30
PDPs
329
MAPDs
Glatopa 20 mg/ml syringe
(Glatiramer Acetate)
    00781323434 29
PDPs
310
MAPDs
GLATOPA 40 MG/ML SYRINGE
(Glatiramer)
12 mls   00781325089 29
PDPs
311
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT 00078040134 0
PDPs
3
MAPDs
GLEEVEC 400 MG TABLET
(Imatinib Mesylate)
30 EA   00078064930 0
PDPs
3
MAPDs
GLEOSTINE 10 MG CAPSULE
(Lomustine)
CAPSULE   58181304005 40
PDPs
346
MAPDs
GLEOSTINE 100 MG CAPSULE
(Lomustine)
CAPSULES   58181304205 40
PDPs
346
MAPDs
GLEOSTINE 40 MG CAPSULE
(Lomustine)
CAPSULES   58181304105 40
PDPs
346
MAPDs
GLIMEPIRIDE 1 MG TABLET [Amaryl]
()
90 TABLETS   55111032001 40
PDPs
346
MAPDs
GLIMEPIRIDE 2 MG TABLET [Amaryl]
()
90 TABLETS   55111032101 40
PDPs
346
MAPDs
GLIMEPIRIDE 4 MG TABLET [Amaryl]
()
90 TABLETS   16729000316 40
PDPs
346
MAPDs
GLIPIZIDE 10 MG TABLET
(Glipizide)
1000.000 EA   60505014201 40
PDPs
346
MAPDs
GLIPIZIDE 2.5 MG TABLET
(Glipizide)
30 TABLETS   52817038510 14
PDPs
149
MAPDs
GLIPIZIDE 5 MG TABLET
(Glipizide)
1000.000 EA   60505014101 40
PDPs
346
MAPDs
GLIPIZIDE ER 10 MG TABLET ER 24 [Glucotrol XL]
()
90 UNITS   59651027001 40
PDPs
346
MAPDs
GLIPIZIDE ER 2.5MG TABLET SR OSMOTIC PUSH 24HR
(Glipizide)
30 BOTPL 00591090030 40
PDPs
346
MAPDs
GLIPIZIDE ER 5 MG TABLET ER 24 [Glucotrol XL]
()
90 UNITS   64980028005 40
PDPs
346
MAPDs
GLIPIZIDE-METFORMIN 2.5-250 MG TABLET [Metaglip]
(Glipizide, Metformin Hydrochloride)
30 TABLETS   68382018401 40
PDPs
345
MAPDs
GLIPIZIDE-METFORMIN 2.5-500 MG TABLET [Metaglip]
(Glipizide, Metformin Hydrochloride)
60 TABLETS   68382018501 40
PDPs
345
MAPDs
GLIPIZIDE-METFORMIN 5-500 MG TABLET [Metaglip]
(Glipizide, Metformin Hydrochloride)
60 TABLETS   68382018601 40
PDPs
345
MAPDs
GLOPERBA 0.6 MG/5 ML SOLUTION
(Colchicine)
60 MLS   69557022201 0
PDPs
6
MAPDs
GLUCAGON 1 MG EMERGENCY KIT VIAL
(Glucagon (rDNA) For)
1 ML   00548585000 18
PDPs
134
MAPDs
GLUCOTROL XL 10 MG TABLET
(Glipizide)
100.000 EA   00049017807 0
PDPs
3
MAPDs
GLUCOTROL XL 5 MG TABLET ER 24
(Glipizide)
    00049017402 0
PDPs
3
MAPDs
GLYBURID-METFORMIN 1.25-250 MG [Glucovance]
(Glyburide-Metformin)
100.000 EA   65862008001 18
PDPs
193
MAPDs
GLYBURIDE 1.25MG TABLETS
(Glyburide)
100 TABLETS BOT 00093834201 25
PDPs
197
MAPDs
GLYBURIDE 2.5MG TABLET (100 CT)
(Glyburide)
100 TABLETS BOT 00093834301 25
PDPs
197
MAPDs
GLYBURIDE 5 MG TABLET [Micronase]
()
30 TABLETS   23155005810 25
PDPs
197
MAPDs
GLYBURIDE MICRO 1.5 MG TABLET [Glynase PresTab]
(Glyburide)
20 TABLETS   00093803401 23
PDPs
175
MAPDs
GLYBURIDE MICRO 3 MG TABLET [Glynase PresTab]
(Glyburide)
90 TABLETS   00093803501 23
PDPs
176
MAPDs
GLYBURIDE MICRO 6 MG TABLET [Glynase PresTab]
(Glyburide)
60 TABLETS   00093803601 23
PDPs
176
MAPDs
GLYBURIDE-METFORMIN 2.5-500 MG
(Glyburide)
100.000 EA   65862008101 18
PDPs
193
MAPDs
GLYBURIDE-METFORMIN 5-500 MG
(Glyburide)
100.000 EA   65862008201 18
PDPs
193
MAPDs
GLYCOPYRROLATE 1 MG TABLET [Robinul]
(Glycopyrrolate)
60 TABLETS   23155060601 39
PDPs
341
MAPDs
GLYCOPYRROLATE 1 MG/5 ML SOLUTION [Cuvposa]
()
350 MLS   49884004233 2
PDPs
47
MAPDs
GLYCOPYRROLATE 1.5 MG TABLET [Glycate]
()
60 TABLETS   72887016003 0
PDPs
7
MAPDs
GLYCOPYRROLATE 2 MG TABLET [Robinul Forte]
()
60 TABLETS   23155060701 39
PDPs
341
MAPDs
GLYXAMBI 10 MG-5 MG TABLET
(Empagliflozin and Linagliptin)
    00597018230 38
PDPs
322
MAPDs
GLYXAMBI 25 MG-5 MG TABLET
(Empagliflozin and Linagliptin)
    00597016430 38
PDPs
322
MAPDs
GOCOVRI ER 137 MG CAPSULE
(Amantadine)
    70482017060 0
PDPs
17
MAPDs
GOCOVRI ER 68.5 MG CAPSULE
(Amantadine)
    70482008560 0
PDPs
17
MAPDs
GOLYTELY SOLUTION 236 GM/2.97 GM/6 GM
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
4 L BOT 52268010001 2
PDPs
17
MAPDs
GRALISE ER 300 MG TABLET ER 24H
(Gabapentin)
90 TABLETS   52427080390 0
PDPs
2
MAPDs
GRALISE ER 450 MG TABLET 24H
(Gabapentin)
30 TABLETS   52427080460 0
PDPs
6
MAPDs
GRALISE ER 600 MG TABLET ER 24H
(Gabapentin)
90 TABLETS   52427080690 0
PDPs
2
MAPDs
GRALISE ER 750 MG TABLET 24H
(Gabapentin)
TABLETS   52427085060 0
PDPs
6
MAPDs
GRALISE ER 900 MG TABLET 24H
(Gabapentin)
TABLETS   52427089060 0
PDPs
6
MAPDs
GRANISETRON HCL 1 MG TABLET [Kytril]
()
30 TABLETS   51991073520 26
PDPs
268
MAPDs
GRANIX 300 MCG/0.5 ML SYRINGE
(Tbo-Filgrastim)
5 mls   63459091017 16
PDPs
51
MAPDs
GRANIX 300 MCG/ML VIAL
(tbo-filgrastim)
MLS   63459091859 16
PDPs
54
MAPDs
GRANIX 480 MCG/0.8 ML SYRINGE
(Tbo-Filgrastim)
5.6 mls   63459091217 16
PDPs
51
MAPDs
GRANIX 480 MCG/1.6 ML VIAL
(tbo-filgrastim)
MLS   63459092059 16
PDPs
54
MAPDs
GRASTEK 2,800 BAU SUBLIGUAL TABLET
(timothy grass pollen allergen extract)
TABLETS   52709150103 1
PDPs
11
MAPDs
GRISEOFULVIN 125 MG/5 ML ORAL SUSPENSION [Grifulvin V]
(Griseofulvin Microsize)
120 MLS   69097036108 40
PDPs
343
MAPDs
GRISEOFULVIN MICRO 500 MG TABLET
(Griseofulvin Microsize)
100 EA   00781551501 40
PDPs
321
MAPDs
GRISEOFULVIN ULTRA 125 MG TABLET [Gris-Peg]
(Griseofulvin, Ultramicrocrystalline)
84 tablets   00115172401 40
PDPs
321
MAPDs
GRISEOFULVIN ULTRA 250 MG TABLET [Gris-Peg]
(Griseofulvin, Ultramicrocrystalline)
30 tablets   00115172501 40
PDPs
321
MAPDs
GUANFACINE 1 MG TABLET [Tenex]
(Guanfacine HCl)
30 TABLETS   65162071110 26
PDPs
273
MAPDs
GUANFACINE 2 MG TABLET
(Guanfacine HCl)
100.000 EA   65162071310 26
PDPs
273
MAPDs
GUANFACINE HCL ER 1 MG TABLET 24H [Intuniv]
()
30 TABLETS   60505392701 39
PDPs
304
MAPDs
GUANFACINE HCL ER 2 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   24979053401 39
PDPs
304
MAPDs
GUANFACINE HCL ER 3 MG TABLET ER 24H [Intuniv]
()
30 TABLETS   60505392901 39
PDPs
304
MAPDs
GUANFACINE HCL ER 4 MG TABLET 24H [Intuniv]
()
30 TABLETS   60505393001 39
PDPs
304
MAPDs
GVOKE 1 MG/0.2 ML KIT VIAL
(Glucagon)
ML   72065014011 27
PDPs
224
MAPDs
GVOKE HYPOPEN 2-PK 1 MG/0.2 ML AUTO INJECTOR
(Glucagon)
0.4 ML   72065012112 27
PDPs
229
MAPDs
GVOKE HYPOPEN 2PK 0.5MG/0.1 ML AUTO INJECTOR
(Glucagon)
0.1 ML   72065012012 27
PDPs
228
MAPDs
GVOKE PFS 1-PK 1 MG/0.2 ML SYRINGE
(Glucagon)
0.2 ML   72065013111 29
PDPs
238
MAPDs
GYNAZOLE-1 2% CREAM
(Butoconazole Nitrate (One Dose) Vaginal)
5 GM   45802039601 0
PDPs
5
MAPDs
HORIZANT ER 300 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010301 0
PDPs
5
MAPDs
HORIZANT ER 600 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010101 0
PDPs
5
MAPDs
IMATINIB MESYLATE 100 MG TABLET [Gleevec]
()
90 TABLETS   00093762998 40
PDPs
346
MAPDs
IMATINIB MESYLATE 400 MG TABLET [Gleevec]
()
30 tablets   00093763056 40
PDPs
346
MAPDs
IRESSA 250 MG TABLET
(Gefitinib)
30 EA   00310048230 0
PDPs
15
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG 00338050348 27
PDPs
250
MAPDs
ISOTONIC GENTAMICIN 100 MG/100 ML
(Gentamicin in Saline)
100 ML   00338050548 24
PDPs
248
MAPDs
ISOTONIC GENTAMICIN 80 MG/50 ML
(Gentamicin in Saline)
50 ML   00338050941 24
PDPs
246
MAPDs
L-GLUTAMINE 5 GRAM POWDER PACKET [Endari]
(Glutamine Powder (For Sickle Cell Disease))
360 UNITS   70954041720 36
PDPs
330
MAPDs
LACTULOSE 10 GM/15 ML SOLUTION [Generlac]
()
237 MLS   00121087316 40
PDPs
346
MAPDs
LOPID 600 MG TABLET
(Gemfibrozil)
60 EA   00071073720 0
PDPs
3
MAPDs
LUMRYZ ER 4.5 GM PACKET
(Sodium Oxybate (Gamma Hydroxybutyrate Or Ghb))
7 UNITS   13551000130 8
PDPs
58
MAPDs
LUMRYZ ER 6 GM PACKET
(Sodium Oxybate (Gamma Hydroxybutyrate Or Ghb))
7 UNITS   13551000230 8
PDPs
58
MAPDs
LUMRYZ ER 7.5 GM PACKET
(Sodium Oxybate (Gamma Hydroxybutyrate Or Ghb))
7 UNITS   13551000330 8
PDPs
59
MAPDs
LUMRYZ ER 9 GM PACKET
(Sodium Oxybate (Gamma Hydroxybutyrate Or Ghb))
7 UNITS   13551000430 8
PDPs
58
MAPDs
MAVYRET 100-40 MG TABLET
(Glecaprevir and Pibrentasvir)
84 EA   00074262528 31
PDPs
265
MAPDs
MAVYRET 50-20 MG PELLET PACKET
(Glecaprevir and Pibrentasvir)
UNITS   00074260028 31
PDPs
251
MAPDs
METFORMIN ER 1,000 MG GASTRC-TABLET 24H [Glumetza]
(Metformin HCl)
90 UNITS   42571033490 1
PDPs
3
MAPDs
METFORMIN ER 500 MG GASTRC-TABLET 24H [Glumetza]
(Metformin HCl)
90 UNITS   42571033301 2
PDPs
6
MAPDs
METFORMIN ER 500 MG OSMOTIC TABLET 24H [Glumetza]
(Metformin HCl)
30 UNITS   50742063360 4
PDPs
8
MAPDs
METFORMIN HCL 1,000 MG TABLET [Glucophage]
(Metformin Hydrochloride)
180 TABLETS   71717010611 40
PDPs
346
MAPDs
METFORMIN HCL 500 MG TABLET [Glucophage]
(Metformin Hydrochloride)
180 TABLETS   70010006310 40
PDPs
346
MAPDs
METFORMIN HCL 850 MG TABLET [Glucophage]
(Metformin Hydrochloride)
180 TABLETS   65862000905 40
PDPs
346
MAPDs
METFORMIN HCL ER 500 MG TABLET 24H [Glumetza]
(Metformin Hydrochloride)
90 TABLETS   70010049105 40
PDPs
346
MAPDs
METFORMIN HCL ER 750 MG TABLET 24H [Glucophage XR]
(Metformin HCl)
90 TABLETS   67877041401 40
PDPs
346
MAPDs
MIGLITOL 100 MG TABLET [Glyset]
(Miglitol)
TABLETS   69367030501 4
PDPs
67
MAPDs
MIGLITOL 25 MG TABLET [Glyset]
(Miglitol)
270 TABLETS   69367030301 4
PDPs
67
MAPDs
MIGLITOL 50 MG TABLET [Glyset]
(Miglitol)
TABLETS   69367030401 4
PDPs
67
MAPDs
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M
(Neomycin-Polymyxin B-Gramicidin Ophth)
10 ML BOT 24208079062 40
PDPs
341
MAPDs
NEURONTIN 100MG CAPSULE
(Gabapentin)
100 BOT 00071080324 0
PDPs
3
MAPDs
NEURONTIN 250 MG/5 ML SOLUTION
(Gabapentin)
60 MLS   00071201247 0
PDPs
3
MAPDs
NEURONTIN 300MG CAPSULE
(Gabapentin)
100 BOT 00071080524 0
PDPs
3
MAPDs
NEURONTIN 400MG CAPSULE
(Gabapentin)
100 BOT 00071080624 0
PDPs
3
MAPDs
NEURONTIN 600MG TABLET
(Gabapentin)
100 BOT 00071051324 0
PDPs
3
MAPDs
NEURONTIN 800MG TABLET
(Gabapentin)
100 BOT 00071040124 0
PDPs
3
MAPDs
PIOGLITAZONE-GLIMEPIRIDE 30-2 TABLET [Duetact]
(Pioglitazone, Glimepiride)
tablets   66993082130 11
PDPs
99
MAPDs
PIOGLITAZONE-GLIMEPIRIDE 30-4 Tablet [Duetact]
(Pioglitazone, Glimepiride)
30 tablets   66993082230 11
PDPs
101
MAPDs
RAVICTI 1.1 GRAM/ML LIQUID
(Glycerol Phenylbutyrate)
25 ML   75987005006 1
PDPs
53
MAPDs
SANCUSO 3.1 MG/24 HR PATCH
(Granisetron Transdermal)
1 PATCH   66220063731 5
PDPs
52
MAPDs
SIMPONI 100 MG/ML PEN INJECTOR
(Golimumab Subcutaneous)
1 ML   57894007102 1
PDPs
25
MAPDs
SIMPONI 100 MG/ML SYRINGE
(Golimumab Subcutaneous)
1 ML   57894007101 1
PDPs
25
MAPDs
SIMPONI 50 MG/0.5 ML PEN INJEC
(Golimumab Subcutaneous)
0.5 ML   57894007002 1
PDPs
25
MAPDs
SIMPONI GOLIMUMAB INJECTION 50MG/0.5ML 1 50 MG SINGLE DOSE SYR SYR
(Golimumab Subcutaneous)
1 50 MG SINGLE DOSE SYR SYR 57894007001 1
PDPs
25
MAPDs
TIAGABINE HCL 12 MG TABLET [Gabitril]
()
30 tablets   00093807256 40
PDPs
346
MAPDs
TIAGABINE HCL 16 MG TABLET [Gabitril]
()
tablets   00093807656 40
PDPs
346
MAPDs
TIAGABINE HCL 2 MG TABLET [Gabitril]
()
49 TABLETS   62756020083 40
PDPs
346
MAPDs
TIAGABINE HCL 4 MG TABLET [Gabitril]
()
TABLETS   62756022483 40
PDPs
346
MAPDs
TREMFYA 100 MG/ML AUTOINJECTOR
(Guselkumab)
ml   57894064011 28
PDPs
267
MAPDs
TREMFYA 100 MG/ML SYRINGE
(Guselkumab)
    57894064001 28
PDPs
267
MAPDs
XOSPATA 40 MG TABLET
(Gilteritinib)
tablets   00469142590 40
PDPs
346
MAPDs
ZIPRASIDONE 20 MG/ML VIAL [Geodon]
()
1 ML   43598084858 40
PDPs
346
MAPDs
ZIPRASIDONE HCL 20 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025660 40
PDPs
346
MAPDs
ZIPRASIDONE HCL 40 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025760 40
PDPs
346
MAPDs
ZIPRASIDONE HCL 60 MG CAPSULE [Geodon]
(Ziprasidone HCl)
    55111025860 40
PDPs
346
MAPDs
ZIPRASIDONE HCL 80 MG CAPSULE [Geodon]
(Ziprasidone HCl)
60.000 EA   55111025960 40
PDPs
346
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 24
PDPs
270
MAPDs
ZTALMY 50 MG/ML ORAL SUSPENSION
(Ganaxolone)
110 MLS   81583010001 40
PDPs
346
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data January 2025)





Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our 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.