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2024 PDP-DrugFinder:
Search Plan Formulary by Drug Letter

 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 F 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
ADVAIR DISKUS MIS 100/50
(Fluticasone-Salmeterol)		 60 DOSE INHL 00173069500 2
PDPs		 12
MAPDs
ADVAIR DISKUS MIS 250/50
(Fluticasone-Salmeterol)		 60 DOSE BLPK 00173069600 3
PDPs		 12
MAPDs
ADVAIR DISKUS MIS 500/50
(Fluticasone-Salmeterol)		 60 BLPK 00173069700 2
PDPs		 12
MAPDs
ADVAIR HFA 230; 21ug/1; ug/1 120 AEROSOL, METERED in 1 INHALER
(Fluticasone-Salmeterol)		 120 AEROSOL, METERED   00173071720 41
PDPs		 308
MAPDs
ADVAIR HFA INHALER 115;21MCG;MCG 120 ACTN INHL
(Fluticasone-Salmeterol)		 120ACTN INHL 00173071620 41
PDPs		 308
MAPDs
ADVAIR HFA INHALER 45;21MCG;MCG 120 ACTN INHL
(Fluticasone-Salmeterol)		 120 ACTN INHL 00173071520 41
PDPs		 308
MAPDs
AIRDUO DIGIHALER 113-14 MCG AER PW BAS
(Fluticasone Propionate, Salmeterol)		 1 UNIT   59310012906 0
PDPs		 1
MAPDs
AIRDUO DIGIHALER 232-14 MCG AER PW BAS
(Fluticasone Propionate, Salmeterol)		 1 UNIT   59310013606 0
PDPs		 1
MAPDs
AIRDUO DIGIHALER 55-14 MCG AER PW BAS
(Fluticasone Propionate, Salmeterol)		 1 UNIT   59310011106 0
PDPs		 1
MAPDs
AIRDUO RESPICLICK 113-14 MCG
(Fluticasone and Salmeterol)		     59310081206 0
PDPs		 1
MAPDs
AIRDUO RESPICLICK 232-14 MCG
(Fluticasone and Salmeterol)		     59310082206 0
PDPs		 1
MAPDs
AIRDUO RESPICLICK 55-14 MCG
(Fluticasone and Salmeterol)		     59310080506 0
PDPs		 1
MAPDs
AJOVY 225 MG/1.5 ML AUTOINJECT
(Fremanezumab)		 1.5 mls   51759020210 4
PDPs		 84
MAPDs
AJOVY 225 MG/1.5 ML SYRINGE
(Fremanezumab)		 1.5 mls   51759020410 4
PDPs		 84
MAPDs
ALENDRONATE SOD 70 MG/75 ML SOLUTION [Fosamax]
(Alendronate Sodium)		 300 MLS   00054028259 19
PDPs		 240
MAPDs
ALENDRONATE SODIUM 10 MG TABLET [Fosamax]
(Alendronate Sodium)		 30 TABLETS   64980034001 54
PDPs		 369
MAPDs
ALENDRONATE SODIUM 35 MG TABLET [Fosamax]
(Alendronate Sodium)		 12 tablets   69097022316 54
PDPs		 369
MAPDs
ALENDRONATE SODIUM 70 MG TABLET [Fosamax]
(Alendronate Sodium)		 4 TABLETS   65862032904 54
PDPs		 369
MAPDs
ANCOBON 250MG CAPSULE
(Flucytosine)		 100 BOT 00187355410 0
PDPs		 1
MAPDs
ANCOBON 500MG CAPSULE
(Flucytosine)		 100 BOT 00187355510 0
PDPs		 1
MAPDs
ARIXTRA 7.5 MG/0.6 ML SYRINGE
(Fondaparinux Sodium)		 .600 ML   67457059406 0
PDPs		 1
MAPDs
ARMONAIR DIGIHALER 113 MCG AER PW BAS
(Fluticasone Propionate )		 UNIT   59310020006 3
PDPs		 2
MAPDs
ARMONAIR DIGIHALER 232 MCG AER PW BAS
(Fluticasone Propionate )		 UNIT   59310031106 3
PDPs		 2
MAPDs
ARMONAIR DIGIHALER 55 MCG AER PW BAS
(Fluticasone Propionate )		 UNIT   59310011406 3
PDPs		 2
MAPDs
ARNUITY ELLIPTA 100 MCG INH
(Fluticasone Furoate)		     00173087410 48
PDPs		 321
MAPDs
ARNUITY ELLIPTA 200 MCG INH
(Fluticasone Furoate)		     00173087610 48
PDPs		 321
MAPDs
ARNUITY ELLIPTA 50 MCG INH BLST W/DEV
(Fluticasone Furoate)		 units   00173088810 48
PDPs		 321
MAPDs
ASA-BUTALB-CAFF-COD #3 CAPSULE [Fiorinal with Codeine]
(Butalbital, Acetaminophen, Caffeine)		 30 CAPSULES   69238199301 0
PDPs		 109
MAPDs
AURYXIA 210 MG TABLET
(Ferric Citrate)		 200 EA   59922063101 8
PDPs		 121
MAPDs
AZELAIC ACID 15% GEL [Finacea]
(Azelaic Acid)		 50 GRAMS   68462062652 33
PDPs		 208
MAPDs
AZELASTIN-FLUTIC 137-50MCG SPRAY/PUMP [Dymista]
(Azelastine, Fluticasone Propionate)		 23 GRAMS   60505095303 7
PDPs		 33
MAPDs
BACLOFEN 25 MG/5 ML ORAL SUSPENSION [FLEQSUVY]
()		 15 MLS   52536060012 0
PDPs		 6
MAPDs
BAFIERTAM DR 95 MG CAPSULE DR
(Monomethyl Fumarate)		 UNITS   69387000101 11
PDPs		 113
MAPDs
BALCOLTRA TABLET
(Ferrous bis-glycinate chelate;Levonorgestrel, Ethinyl Estradiol)		 28 TABLETS   75854060203 0
PDPs		 4
MAPDs
BREO ELLIPTA 100-25 MCG INH
(fluticasone and vilanterol)		 60 EA   00173085910 54
PDPs		 351
MAPDs
BREO ELLIPTA 200-25 MCG INH
(fluticasone and vilanterol)		 60 EA   00173088210 54
PDPs		 351
MAPDs
BREO ELLIPTA 50-25 MCG INHALER BLST W/DEV
(fluticasone and vilanterol)		 UNITS   00173091610 51
PDPs		 348
MAPDs
BREZTRI AEROSPHERE INHALER HFA AER AD
(Budesonide, Glycopyrrolate, Formoterol)		 10.7 GRAMS   00310461612 33
PDPs		 336
MAPDs
BUPROPION HCL XL 450 MG TABLET ER 24H [Forfivo XL]
(Bupropion Hydrochloride)		 30 TABLETS   64679083001 1
PDPs		 56
MAPDs
BUTALBITAL-ASA-CAFFEINE CAPSULE [Fiorinal]
(Butalbital, Aspirin, Caffeine)		 30 CAPSULES   00527155201 13
PDPs		 151
MAPDs
CAPEX SHA 0.01%
(Fluocinolone Acetonide)		 4 FLO IN 6 FLO BOTTLE BOTPL 00299550004 2
PDPs		 23
MAPDs
CARAC CREAM
(Fluorouracil)		     00187520030 1
PDPs		 10
MAPDs
CIPROFLOX-FLUOCINLN 0.3-0.025% VIAL [OTOVEL]
(Ciprofloxacin, Fluocinolone)		 14 MLS   42195012814 1
PDPs		 28
MAPDs
CLOZAPINE ODT 100 MG TABLET RAPDIS [Fazaclo]
(Clozapine)		 1 unit   00093541901 54
PDPs		 369
MAPDs
CLOZAPINE ODT 12.5 MG TABLET RAPDIS [Fazaclo]
(Clozapine)		 units   00093541601 54
PDPs		 369
MAPDs
CLOZAPINE ODT 150 MG TABLET RAPDIS [Fazaclo]
()		 UNITS   00093537601 54
PDPs		 368
MAPDs
CLOZAPINE ODT 200 MG TABLET RAPDIS [Fazaclo]
()		 UNITS   00093537701 54
PDPs		 368
MAPDs
CLOZAPINE ODT 25 MG TABLET RAPDIS [Fazaclo]
(Clozapine)		 units   00093541701 54
PDPs		 369
MAPDs
CORDRAN 0.05% CREAM (G)
(Flurandrenolide)		 60 GRAMS   16110003512 0
PDPs		 1
MAPDs
CORDRAN 0.05% LOTION
(Flurandrenolide)		 MLS   16110005212 0
PDPs		 1
MAPDs
CORDRAN 4 MCG/SQ CM LARGE MED. TAPE
(Flurandrenolide)		 1 UNIT   16110058780 1
PDPs		 19
MAPDs
CYCLOBENZAPRINE 10 MG TABLET [Flexeril]
(Cyclobenzaprine HCl)		 30 TABLETS   52817033200 54
PDPs		 369
MAPDs
CYCLOBENZAPRINE 5 MG TABLET [Flexeril]
(Cyclobenzaprine HCl)		 30 TABLETS   52817033010 54
PDPs		 369
MAPDs
CYCLOBENZAPRINE 7.5 MG TABLET [Fexmid]
()		 30 TABLETS   69420100101 2
PDPs		 56
MAPDs
DEFERIPRONE 1,000 MG TABLET (3X/DY) [Ferriprox]
()		 TABLETS   00054071119 4
PDPs		 216
MAPDs
DEFERIPRONE 500 MG TABLET [Ferriprox]
()		 TABLETS   51672419601 4
PDPs		 215
MAPDs
DERMA-SMOOTHE-FS SCALP OIL
(Fluocinolone Acetonide)		 118.28 MLS   68791010204 0
PDPs		 2
MAPDs
DERMOTIC OIL 0.01% EAR DROPS
(Fluocinolone Acetonide (Otic))		 20 MLS   68791010320 2
PDPs		 5
MAPDs
DEXMETHYLPHENIDATE 10 MG TABLET [Focalin]
(Dexmethylphenidate HCl)		 60 tablets   10702010801 41
PDPs		 304
MAPDs
DEXMETHYLPHENIDATE 2.5 MG TABLET [Focalin]
(Dexmethylphenidate HCl)		 30 TABLETS   10702010601 41
PDPs		 304
MAPDs
DEXMETHYLPHENIDATE 5 MG TABLET [Focalin]
(Dexmethylphenidate HCl)		 30 tablets   10702010701 41
PDPs		 304
MAPDs
DEXMETHYLPHENIDATE ER 10 MG CAPSULE CPBP 50-50 [Focalin XR]
(Dexmethylphenidate HCl)		 30 UNITS   00115991901 6
PDPs		 103
MAPDs
DEXMETHYLPHENIDATE ER 15 MG CAPSULE CPBP 50-50 [Focalin XR]
(Dexmethylphenidate HCl)		 30 UNITS   00527810837 6
PDPs		 103
MAPDs
DEXMETHYLPHENIDATE ER 20 MG CAPSULE CPBP 50-50 [Focalin XR]
(Dexmethylphenidate HCl)		 30 UNITS   00115992101 6
PDPs		 104
MAPDs
DEXMETHYLPHENIDATE ER 25 MG CAPSULE CPBP 50-50 [Focalin XR]
(Dexmethylphenidate HCl)		 30 UNITS   00527811037 6
PDPs		 103
MAPDs
DEXMETHYLPHENIDATE ER 30 MG CAPSULE CPBP 50-50 [Focalin XR]
(Dexmethylphenidate HCl)		 30 UNITS   00527811137 6
PDPs		 103
MAPDs
DEXMETHYLPHENIDATE ER 35 MG CAPSULE CPBP 50-50 [Focalin XR]
(Dexmethylphenidate HCl)		 30 UNITS   49884033901 6
PDPs		 103
MAPDs
DEXMETHYLPHENIDATE ER 40 MG CAPSULE CPBP 50-50 [Focalin XR]
(Dexmethylphenidate HCl)		 30 UNITS   00527811337 6
PDPs		 101
MAPDs
DEXMETHYLPHENIDATE ER 5 MG CAPSULE CPBP 50-50 [Focalin XR]
(Dexmethylphenidate HCl)		 30 UNITS   00527810637 6
PDPs		 102
MAPDs
Dificid 200mg/1 1 BOTTLE per CARTON / 20 FILM COATED TABLETS in BOTTLE
(FIDAXOMICIN)		 20 TAB BOTTLE in 1 CARTON   52015008001 54
PDPs		 369
MAPDs
DIFICID 40 MG/ML ORAL SUSPENSION
(FIDAXOMICIN)		 MLS   52015070022 42
PDPs		 308
MAPDs
DIFLUCAN 100MG TABLET
(Fluconazole)		 30 BOT 00049342030 0
PDPs		 4
MAPDs
DIFLUCAN 150MG TABLET
(Fluconazole)		 1 BOT 00049350079 0
PDPs		 4
MAPDs
DIFLUCAN 200MG TABLET
(Fluconazole)		 30 BOT 00049343030 0
PDPs		 4
MAPDs
DIFLUCAN 200MG/5ML SUSPENSION
(Fluconazole)		 35 ML BOT 00049345019 0
PDPs		 5
MAPDs
DIFLUCAN 50MG/5ML SUSPEN
(Fluconazole)		 35 ML BOT 00049344019 0
PDPs		 5
MAPDs
DIMETHYL FUMARATE 30D START PK CAPSULE DR [Tecfidera]
(Dimethyl fumarate)		 UNITS   69238162603 37
PDPs		 272
MAPDs
DIMETHYL FUMARATE DR 120 MG CAPSULE DR [Tecfidera]
(Dimethyl fumarate)		 UNITS   00378039614 37
PDPs		 272
MAPDs
DIMETHYL FUMARATE DR 240 MG CAPSULE DR [Tecfidera]
(Dimethyl fumarate)		 60 UNITS   00378039991 37
PDPs		 272
MAPDs
DUEXIS 26.6; 800mg/1; mg/1
(IBUPROFEN AND FAMOTIDINE)		     75987001003 0
PDPs		 5
MAPDs
DULERA 100 MCG-5 MCG INHALER HFA AER AD
(Mometasone Furoate-Formoterol Fumarate)		 13 GRAMS   78206012701 39
PDPs		 197
MAPDs
DULERA 200 MCG-5 MCG INHALER HFA AER AD
(Mometasone Furoate-Formoterol Fumarate)		 13 GRAMS   78206012601 39
PDPs		 197
MAPDs
DULERA 50 MCG-5 MCG INHALER HFA AER AD
(Mometasone Furoate-Formoterol Fumarate)		 13 GRAMS   78206012501 39
PDPs		 197
MAPDs
EFUDEX 5% CREAM
(Fluorouracil)		 40 G TUBE 00187320447 0
PDPs		 3
MAPDs
ENTADFI 5-5 MG CAPSULE
(Finasteride, Tadalafil)		 30 CAPSULES   69681012530 0
PDPs		 24
MAPDs
ESTRADIOL 0.025 MG PATCH(1/WK) [FemPatch]
()		 4 PATCHES   00781711954 52
PDPs		 357
MAPDs
FABHALTA 200 MG CAPSULE
(Iptacopan)		 CAPSULES   00078118920 1
PDPs		 5
MAPDs
FABIOR 0.1% FOAM
(tazarotene topical)		 50 GRAMS   51862029510 0
PDPs		 3
MAPDs
FALMINA-28 TABLET [Vienva]
(Inert;Levonorgestrel, Ethinyl Estradiol)		 28 TABLETS   16714035904 50
PDPs		 348
MAPDs
FAMCICLOVIR 125 MG TABLET
(Famciclovir)		 30 EA   33342002407 48
PDPs		 367
MAPDs
FAMCICLOVIR 250 MG TABLET [Famvir]
()		 30 TABLETS   33342002507 48
PDPs		 367
MAPDs
FAMCICLOVIR 500 MG TABLET [Famvir]
()		 21 TABLETS   33342002607 48
PDPs		 369
MAPDs
FAMOTIDINE 20 MG TABLET [Zantac 360]
()		 60 TABLETS   65862085901 54
PDPs		 369
MAPDs
FAMOTIDINE 40 MG TABLET [Pepcid]
()		 30 TABLETS   65862086001 54
PDPs		 369
MAPDs
FAMOTIDINE 40 MG/5 ML ORAL SUSPENSION [Pepcid]
()		 50 MLS   16714024401 35
PDPs		 282
MAPDs
FANAPT 1 MG TABLET
(ILOPERIDONE)		 60.000 EA   43068010102 54
PDPs		 369
MAPDs
FANAPT 10 MG TABLET
(ILOPERIDONE)		 60 EA   43068011002 54
PDPs		 369
MAPDs
FANAPT 12 MG TABLET
(ILOPERIDONE)		     43068011202 54
PDPs		 369
MAPDs
FANAPT 2 MG TABLET
(ILOPERIDONE)		 60.000 EA   43068010202 54
PDPs		 369
MAPDs
FANAPT 4 MG TABLET
(ILOPERIDONE)		 60 EA   43068010402 54
PDPs		 369
MAPDs
FANAPT 6 MG TABLET
(ILOPERIDONE)		 60.000 EA   43068010602 54
PDPs		 369
MAPDs
FANAPT 8 MG TABLET
(ILOPERIDONE)		 60 EA   43068010802 54
PDPs		 369
MAPDs
FANAPT TITR TABLETS
(ILOPERIDONE)		 8 EA   43068011304 54
PDPs		 366
MAPDs
FARESTON 60 MG TABLET
(Toremifene Citrate)		     42747032730 0
PDPs		 6
MAPDs
FARXIGA 10 MG TABLET
(dapagliflozin)		 30 EA   00310621030 49
PDPs		 325
MAPDs
FARXIGA 5 MG TABLET
(dapagliflozin)		 30 EA   00310620530 49
PDPs		 325
MAPDs
FASENRA 30 MG/ML SYRINGE
(Benralizumab)		     00310173030 31
PDPs		 276
MAPDs
FASENRA PEN 30 MG/ML AUTO INJCT
(Benralizumab)		 ml   00310183030 31
PDPs		 299
MAPDs
FEBUXOSTAT 40 MG TABLET [Uloric]
(Febuxostat)		 30 TABLETS   72205002830 22
PDPs		 292
MAPDs
FEBUXOSTAT 80 MG TABLET [Uloric]
(Febuxostat)		 90 TABLETS   00054041413 22
PDPs		 292
MAPDs
FELBAMATE 400 MG TABLET [Felbatol]
(Felbamate)		 50 TABLETS   62559073001 54
PDPs		 369
MAPDs
FELBAMATE 600 MG TABLET [Felbatol]
(Felbamate)		 180 TABLETS   62559073101 54
PDPs		 369
MAPDs
FELBAMATE 600 MG/5 ML ORAL SUSPENSION [Felbatol]
(Felbamate)		 150 MLS   51672417201 54
PDPs		 369
MAPDs
FELBATOL 400MG TABLET
(Felbamate)		 100 BOT 00037043001 0
PDPs		 1
MAPDs
FELBATOL 600MG TABLET
(Felbamate)		 100 BOT 00037043101 0
PDPs		 1
MAPDs
FELDENE 10MG CAPSULE
(Piroxicam)		 100 BOT 00069322066 0
PDPs		 4
MAPDs
FELDENE 20MG CAPSULE
(Piroxicam)		 100 BOT 00069323066 0
PDPs		 4
MAPDs
FELODIPINE ER 10 MG TABLET
(Felodipine)		 100 EA   13668013401 51
PDPs		 340
MAPDs
FELODIPINE ER 2.5 MG TABLET ER 24H [Plendil]
(Felodipine)		 30 tablets   13668013201 51
PDPs		 340
MAPDs
FELODIPINE ER 5 MG TABLET
(Felodipine)		 100 EA   13668013301 51
PDPs		 340
MAPDs
FEMARA 2.5MG TABLET
(Letrozole)		 30 BOT 00078024915 0
PDPs		 5
MAPDs
FEMRING 0.05 MG/DAY VAGINAL RING
(Estradiol Acetate Vaginal)		 1 unit   72495020105 4
PDPs		 102
MAPDs
FEMRING 0.10 MG/DAY VAGINAL RING
(Estradiol Acetate Vaginal)		 1 unit   72495020210 4
PDPs		 105
MAPDs
FENOFIBRATE 120 MG TABLET [Fenoglide]
()		 30 TABLETS   00115152310 4
PDPs		 24
MAPDs
FENOFIBRATE 130 MG CAPSULE [Antara]
(Fenofibrate, Micronized)		 90 CAPSULES   60505312109 7
PDPs		 137
MAPDs
FENOFIBRATE 134 MG CAPSULE [Tricor]
(FENOFIBRATE NANOCRYSTALLIZED)		 90 CAPSULES   27241011904 51
PDPs		 365
MAPDs
FENOFIBRATE 145 MG TABLET [Tricor]
(FENOFIBRATE NANOCRYSTALLIZED)		 30 tablets   69097045805 51
PDPs		 365
MAPDs
FENOFIBRATE 150 MG CAPSULE [LIPOFEN]
(Fenofibrate)		 90.000 EA   62559046190 3
PDPs		 54
MAPDs
FENOFIBRATE 160 MG TABLET [Triglide]
()		 30 TABLETS   70756021590 54
PDPs		 369
MAPDs
FENOFIBRATE 200 MG CAPSULE [Tricor]
(FENOFIBRATE NANOCRYSTALLIZED)		 30 CAPSULES   27241012004 51
PDPs		 362
MAPDs
FENOFIBRATE 40 MG TABLET [Fenoglide]
()		 30 TABLETS   00115152210 4
PDPs		 28
MAPDs
FENOFIBRATE 43 MG CAPSULE [Antara]
(Fenofibrate, Micronized)		 30 CAPSULES   68180013006 11
PDPs		 165
MAPDs
FENOFIBRATE 48 MG TABLET [Tricor]
(FENOFIBRATE NANOCRYSTALLIZED)		 30 tablets   69097045905 51
PDPs		 365
MAPDs
FENOFIBRATE 50 MG CAPSULE [LIPOFEN]
(Fenofibrate)		 90.000 EA   62559046090 4
PDPs		 59
MAPDs
FENOFIBRATE 54 MG TABLET [Lofibra]
()		 30 TABLETS   70756021490 54
PDPs		 367
MAPDs
FENOFIBRATE 67 MG CAPSULE [Tricor]
(FENOFIBRATE NANOCRYSTALLIZED)		 30 CAPSULES   68462058001 51
PDPs		 362
MAPDs
FENOFIBRIC ACID DR 135 MG CAPSULE DR [Trilipix]
(Fenofibric Acid)		 90 UNITS   62332024590 27
PDPs		 289
MAPDs
FENOFIBRIC ACID DR 45 MG CAPSULE DR [Trilipix]
(Fenofibric Acid)		 30 UNITS   42571034790 27
PDPs		 286
MAPDs
FENOGLIDE 120 MG TABLET
(Fenofibrate)		     68012049590 0
PDPs		 1
MAPDs
FENOGLIDE 40 MG TABLET
(Fenofibrate)		     68012049090 0
PDPs		 1
MAPDs
FENOPROFEN 600 MG TABLET [ProFeno]
(Fenoprofen)		 30 tablets   42195047101 4
PDPs		 52
MAPDs
FENOPROFEN CALCIUM 400 MG CAPSULE
(FENOPROFEN CALCIUM)		 90 EA   42195010090 3
PDPs		 20
MAPDs
FENTANYL 100 MCG/HR PATCH TD72 [Duragesic]
(Fentanyl)		 10 UNITS   00378912498 54
PDPs		 365
MAPDs
FENTANYL 12 MCG/HR PATCH TD72 [Duragesic]
(Fentanyl TD)		 5 SYSTEM POU 00378911998 48
PDPs		 350
MAPDs
FENTANYL 25 MCG/HR PATCH TD72 [Duragesic]
(Fentanyl)		 10 UNITS   00406912576 54
PDPs		 366
MAPDs
FENTANYL 37.5 MCG/HR PATCH TD72
(Fentanyl TD)		     00378912598 8
PDPs		 170
MAPDs
FENTANYL 50 MCG/HR PATCH TD72 [Duragesic]
(Fentanyl)		 10 UNITS   00378912298 54
PDPs		 366
MAPDs
FENTANYL 62.5 MCG/HR PATCH TD72
(Fentanyl TD)		     00378912698 8
PDPs		 169
MAPDs
FENTANYL 75 MCG/HR PATCH TD72 [Duragesic]
(Fentanyl)		 10 UNITS   00378912398 54
PDPs		 366
MAPDs
FENTANYL 87.5 MCG/HR PATCH TD72
(Fentanyl)		 UNITS   00378912798 8
PDPs		 169
MAPDs
FENTANYL CIT 100 MCG BUCCAL TABLET EFF [Fentora]
(Fentanyl Citrate)		 1 unit   51862063428 1
PDPs		 35
MAPDs
FENTANYL CIT 200 MCG BUCCAL TABLET EFF [Fentora]
(Fentanyl Citrate)		 1 unit   51862063528 1
PDPs		 35
MAPDs
FENTANYL CIT 400 MCG BUCCAL TABLET EFF [Fentora]
(Fentanyl Citrate)		 1 unit   51862063628 1
PDPs		 35
MAPDs
FENTANYL CIT 600 MCG BUCCAL TABLET EFF [Fentora]
(Fentanyl Citrate)		 units   51862063728 1
PDPs		 35
MAPDs
FENTANYL CIT 800 MCG BUCCAL TABLET EFF [Fentora]
(Fentanyl Citrate)		 1 unit   51862063828 1
PDPs		 35
MAPDs
FENTANYL CIT OTFC 1,200 MCG LOZENGE HD [Actiq]
(Fentanyl Citrate)		 units   00093786965 54
PDPs		 359
MAPDs
FENTANYL CIT OTFC 1,600 MCG LOZENGE HD [Actiq]
(Fentanyl Citrate)		 1 unit   00093787065 54
PDPs		 359
MAPDs
FENTANYL CITRATE OTFC 200 MCG LOZENGE HD [Actiq]
(Fentanyl Citrate)		 30 units   00093786565 54
PDPs		 360
MAPDs
FENTANYL CITRATE OTFC 400 MCG LOZENGE HD [Actiq]
(Fentanyl Citrate)		 1 unit   00093786665 54
PDPs		 361
MAPDs
FENTANYL CITRATE OTFC 600 MCG LOZENGE HD [Actiq]
(Fentanyl Citrate)		 150 units   00093786765 54
PDPs		 359
MAPDs
FENTANYL CITRATE OTFC 800 MCG LOZENGE HD [Actiq]
(Fentanyl Citrate)		 4 units   00093786865 54
PDPs		 359
MAPDs
FENTORA TABLET 100MCG
(Fentanyl Citrate)		 28 BLPK 63459054128 1
PDPs		 3
MAPDs
FENTORA TABLET 200MCG
(Fentanyl Citrate)		 28 BLPK 63459054228 1
PDPs		 3
MAPDs
FENTORA TABLET 400MCG
(Fentanyl Citrate)		 28 BLPK 63459054428 1
PDPs		 3
MAPDs
FENTORA TABLET 600MCG
(Fentanyl Citrate)		 28 BLPK 63459054628 1
PDPs		 3
MAPDs
FENTORA TABLET 800MCG
(Fentanyl Citrate)		 28 BLPK 63459054828 1
PDPs		 3
MAPDs
FERRIPROX 1,000 MG TABLET (2X/DAY)
(Deferiprone)		 TABLETS   10122010401 0
PDPs		 80
MAPDs
FERRIPROX 100 MG/ML SOLUTION
(Deferiprone)		 MLS   10122010150 0
PDPs		 111
MAPDs
FERRIPROX 500 MG TABLET
(Deferiprone)		 TABLETS   10122010010 0
PDPs		 3
MAPDs
FESOTERODINE ER 4 MG TABLET 24H [Toviaz]
()		 30 TABLETS   65862076630 18
PDPs		 236
MAPDs
FESOTERODINE ER 8 MG TABLET 24H [Toviaz]
()		 30 TABLETS   65862076730 18
PDPs		 236
MAPDs
FETZIMA 20-40 MG TITRATION PAK
(levomilnacipran)		 28 EA   00456220228 54
PDPs		 368
MAPDs
FETZIMA ER 120 MG CAPSULE
(levomilnacipran)		 30 EA   00456221230 54
PDPs		 369
MAPDs
FETZIMA ER 20 MG CAPSULE
(levomilnacipran)		 30 EA   00456222030 54
PDPs		 369
MAPDs
FETZIMA ER 40 MG CAPSULE
(levomilnacipran)		 30 EA   00456224030 54
PDPs		 369
MAPDs
FETZIMA ER 80 MG CAPSULE
(levomilnacipran)		 30 EA   00456228030 54
PDPs		 369
MAPDs
FEXMID 7.5 MG TABLET
(Cyclobenzaprine)		 30 tablets   70199001401 2
PDPs		 4
MAPDs
FIASP 100 UNIT/ML FLEXTOUCH INSULIN PEN
(Insulin Aspart (Recombinant))		 15 mls   00169320415 14
PDPs		 187
MAPDs
FIASP 100 UNIT/ML VIAL
(Insulin Aspart (Recombinant))		 10 mls   00169320111 14
PDPs		 187
MAPDs
FIASP PENFILL 100 UNIT/ML CART CARTRIDGE
(Insulin Aspart (Recombinant))		 mls   00169320515 14
PDPs		 186
MAPDs
FILSPARI 200 MG TABLET
(Sparsentan)		 TABLETS   68974020030 3
PDPs		 103
MAPDs
FILSPARI 400 MG TABLET
(Sparsentan)		 TABLETS   68974040030 3
PDPs		 103
MAPDs
FINACEA 15% FOAM
(Azelaic Acid)		 grams   50222030350 31
PDPs		 132
MAPDs
FINACEA 15% GEL
(Azelaic Acid)		 50 grams   50222050550 0
PDPs		 4
MAPDs
FINASTERIDE 5 MG TABLET [Proscar]
(Finasteride)		 90 tablets   16729009016 54
PDPs		 369
MAPDs
FINGOLIMOD 0.5 MG CAPSULE [Gilenya]
()		 30 CAPSULES   00378452593 42
PDPs		 362
MAPDs
FINTEPLA 2.2 MG/ML SOLUTION
(Fenfluramine)		 30 MLS   43376032236 54
PDPs		 369
MAPDs
FINZALA 1-0.02(24)-75 CHEWABLE TABLET [Minastrin]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)		 84 CHEWABLE TABLETS   00093821028 10
PDPs		 97
MAPDs
FIRAZYR 30 MG/3 ML SYRINGE
(ICATIBANT ACETATE)		 3.000 ML   54092070203 0
PDPs		 7
MAPDs
FIRDAPSE 10 MG TABLET
(Amifampridine)		 10 TABLETS   69616021103 4
PDPs		 129
MAPDs
FIRMAGON 2 X 120 MG KIT
(DEGARELIX)		     55566840301 50
PDPs		 364
MAPDs
FIRMAGON 80 MG KIT
(DEGARELIX)		     55566830301 50
PDPs		 364
MAPDs
FIRVANQ 25 MG/ML SOLUTION SOLUTION RECON
(Vancomycin)		 150 MLS   65628020405 4
PDPs		 67
MAPDs
FIRVANQ 50 MG/ML SOLUTION RECON
(Vancomycin)		 150 mls   65628020605 5
PDPs		 60
MAPDs
FLAC OTIC OIL 0.01% EAR DROPS [Flac]
(Fluocinolone)		 20 mls   39328007920 42
PDPs		 219
MAPDs
FLAGYL 375MG CAPSULE
(Metronidazole)		 50 BOT 00025194250 0
PDPs		 4
MAPDs
FLAREX 0.1% EYE DROPS EYE DROPPER
(Fluorometholone Acetate Ophth)		 5 MLS   71776010005 17
PDPs		 124
MAPDs
FLAVOXATE HCL 100 MG TABLET [Urispas]
()		 90 TABLETS   00574011501 5
PDPs		 151
MAPDs
FLECAINIDE ACETATE 100 MG TABLET [Tambocor]
(Flecainide Acetate)		 60 tablets   62559038101 54
PDPs		 369
MAPDs
FLECAINIDE ACETATE 150 MG TABLET [Tambocor]
(Flecainide Acetate)		 60 tablets   62559038201 54
PDPs		 369
MAPDs
FLECAINIDE ACETATE 50 MG TABLET [Tambocor]
(Flecainide Acetate)		 60 tablets   62559038001 54
PDPs		 369
MAPDs
FLECTOR 1.3% PATCH TD12
(Diclofenac Epolamine)		 30 UNITS   71858040505 1
PDPs		 21
MAPDs
FLEQSUVY 25 MG/5 ML ORAL SUSPENSION
(Baclofen)		 120 MLS   52652600102 0
PDPs		 2
MAPDs
FLOLIPID 20 MG/5 ML ORAL SUSP
(Simvastatin Oral Suspension)		     29273040104 0
PDPs		 7
MAPDs
FLOLIPID 40 MG/5 ML ORAL SUSP
(Simvastatin Oral Suspension)		     29273040204 0
PDPs		 7
MAPDs
FLOMAX 0.4 MG CAPSULE
(Tamsulosin HCl)		 30 CAPSULES   00024583701 0
PDPs		 4
MAPDs
FLUCONAZOLE 10 MG/ML ORAL SUSPENSION [Diflucan]
(Fluconazole)		 35 MLS   57237014935 54
PDPs		 369
MAPDs
FLUCONAZOLE 100 MG TABLET [Diflucan]
(Fluconazole)		 3 TABLETS   70710113803 54
PDPs		 369
MAPDs
FLUCONAZOLE 150 MG TABLET [Diflucan]
(Fluconazole)		 1 TABLET   57237000511 54
PDPs		 369
MAPDs
FLUCONAZOLE 200 MG TABLET [Diflucan]
(Fluconazole)		 2 TABLETS   68462010430 54
PDPs		 369
MAPDs
FLUCONAZOLE 40 MG/ML ORAL SUSPENSION [Diflucan]
(Fluconazole)		 35 MLS   57237015035 54
PDPs		 369
MAPDs
FLUCONAZOLE 50 MG TABLET [Diflucan]
(Fluconazole)		 30 TABLETS   57237000330 54
PDPs		 369
MAPDs
FLUCONAZOLE-NACL 200 MG/100 ML PIGGYBACK [Diflucan]
(Fluconazole, Sodium Chloride)		 MLS   25021018482 54
PDPs		 368
MAPDs
FLUCONAZOLE-NACL 400 MG/200 ML PIGGYBACK [Diflucan]
(Fluconazole, Sodium Chloride)		 MLS   25021018487 54
PDPs		 369
MAPDs
FLUCYTOSINE 250 MG CAPSULE [Ancobon]
(Flucytosine)		 1 CAPSULE   43386077101 54
PDPs		 369
MAPDs
FLUCYTOSINE 500 MG CAPSULE [Ancobon]
(Flucytosine)		 40 CAPSULES   23155086101 54
PDPs		 369
MAPDs
FLUDROCORTISONE 0.1 MG TABLET [Florinef]
()		 30 TABLETS   00115703301 54
PDPs		 369
MAPDs
FLUNISOLIDE NASAL SOLUTION 0.025% 25ML INHL
(Flunisolide Nasal)		 25 ML INHL 24208034425 43
PDPs		 362
MAPDs
FLUOCINOLONE 0.01% CREAM (G)
(Fluocinolone Acetonide)		 15 GRAMS   00713022315 43
PDPs		 362
MAPDs
FLUOCINOLONE 0.01% SCALP OIL [Derma-Smoothe/FS]
(Fluocinolone Acetonide)		 118.28 MLS   51672135708 33
PDPs		 290
MAPDs
FLUOCINOLONE 0.01% SOLUTION [Synalar]
(Fluocinolone)		 60 MLS   51672136504 40
PDPs		 320
MAPDs
FLUOCINOLONE 0.025% CREAM (G) [Synalar]
(Fluocinolone)		 60 GRAMS   00713070915 46
PDPs		 361
MAPDs
FLUOCINOLONE 0.025% OINTMENT [Synalar]
(Fluocinolone)		 15 GRAMS   00713022415 46
PDPs		 365
MAPDs
FLUOCINOLONE OIL 0.01% EAR DROPS [Flac]
()		 20 MLS   45802000910 46
PDPs		 333
MAPDs
FLUOCINONIDE 0.05% CREAM (G) [Lidex]
(Fluocinonide)		 60 GRAMS   51672138603 51
PDPs		 343
MAPDs
FLUOCINONIDE 0.05% GEL [Lidex]
(Fluocinonide)		 15 GRAMS   51672127901 54
PDPs		 338
MAPDs
FLUOCINONIDE 0.05% OINTMENT [Lidex]
(Fluocinonide)		 60 GRAMS   51672126403 46
PDPs		 338
MAPDs
FLUOCINONIDE 0.05% SOLUTION
(Fluocinonide)		 60 ML   51672127304 47
PDPs		 366
MAPDs
FLUOCINONIDE 0.1% CREAM (g) [Vanos]
(Fluocinonide)		 30 grams   68462050566 6
PDPs		 99
MAPDs
FLUOCINONIDE-E 0.05% CREAM (G) [Lidex -E]
()		 60 GRAMS   00713066460 42
PDPs		 340
MAPDs
Fluorometholone 0.1% drops
(Fluorometholone Ophth)		     60758088005 48
PDPs		 368
MAPDs
FLUOROURACIL 0.5% CREAM (G) [Carac]
()		 30 GRAMS   00378807849 11
PDPs		 130
MAPDs
FLUOROURACIL 2% TOPICAL SOLUTION
(Fluorouracil)		 10 ML   51672406201 54
PDPs		 366
MAPDs
FLUOROURACIL 5% CREAM (g) [Efudex]
(Fluorouracil)		 40 grams   51672411806 54
PDPs		 369
MAPDs
FLUOROURACIL 5% TOPICAL SOLUTION
(Fluorouracil)		 10 ML   51672406301 54
PDPs		 369
MAPDs
FLUOXETINE 20 MG/5 ML SOLUTION [Prozac]
(Fluoxetine HCl)		 120 MLS   54838052340 54
PDPs		 369
MAPDs
FLUOXETINE DR 90 MG CAPSULE
(Fluoxetine)		 4 EA   55111028448 16
PDPs		 132
MAPDs
FLUOXETINE HCL 10 MG CAPSULE [Prozac]
(Fluoxetine HCl)		 30 CAPSULES   50111064701 54
PDPs		 369
MAPDs
FLUOXETINE HCL 10 MG TABLET [Sarafem]
(Fluoxetine HCl)		 30 TABLETS   13668044330 4
PDPs		 55
MAPDs
FLUOXETINE HCL 10 MG TABLET [Sarafem]
(Fluoxetine HCl)		 30 TABLETS   55111015001 25
PDPs		 120
MAPDs
FLUOXETINE HCL 20 MG CAPSULE
(Fluoxetine HCl)		 1000 EA   65862019399 54
PDPs		 369
MAPDs
FLUOXETINE HCL 20 MG TABLET [Sarafem]
(Fluoxetine HCl)		 30 TABLETS   13668047330 4
PDPs		 55
MAPDs
FLUOXETINE HCL 20 MG TABLET [Sarafem]
(Fluoxetine HCl)		 30 TABLETS   43598056601 26
PDPs		 142
MAPDs
FLUOXETINE HCL 40 MG CAPSULE [Prozac]
(Fluoxetine HCl)		 30 capsules   65862019405 54
PDPs		 369
MAPDs
FLUOXETINE HCL 60 MG TABLET
(Fluoxetine HCl)		 30 TABLETS   68180099706 8
PDPs		 93
MAPDs
FLUPHENAZINE 1 MG TABLET
(Fluphenazine)		 100.000 EA   00527178801 54
PDPs		 369
MAPDs
FLUPHENAZINE 10 MG TABLET [Prolixin]
(Fluphenazine)		 60 TABLETS   00527179101 54
PDPs		 369
MAPDs
FLUPHENAZINE 2.5 MG TABLET
(Fluphenazine)		 100.000 EA   00527178901 54
PDPs		 369
MAPDs
FLUPHENAZINE 2.5 MG/5 ML ELIXIR [Prolixin]
(Fluphenazine)		 60 MLS   00121065402 53
PDPs		 366
MAPDs
FLUPHENAZINE 2.5MG/ML VIAL
(Fluphenazine)		 10 ML VIALMD 63323028110 54
PDPs		 369
MAPDs
FLUPHENAZINE 5 MG TABLET
(Fluphenazine)		 100.000 EA   00527179001 54
PDPs		 369
MAPDs
FLUPHENAZINE 5MG/ML CONC
(Fluphenazine)		 120 ML BOT 00121065304 54
PDPs		 364
MAPDs
FLUPHENAZINE DEC 125 MG/5 ML VIAL [Prolixin Decanoate]
(Fluphenazine Decanoate)		 5 MLS   67457035959 54
PDPs		 369
MAPDs
FLURANDRENOLIDE 0.05% CREAM (G) [Nolix]
()		 120 GRAMS   51672530104 2
PDPs		 13
MAPDs
FLURANDRENOLIDE 0.05% LOTION [Nolix]
()		 MLS   45802092803 1
PDPs		 12
MAPDs
FLURBIPROFEN 0.03% EYE DROPS [Ocufen]
(Flurbiprofen Sodium Ophth)		 2.5 mls   69292072225 54
PDPs		 366
MAPDs
Flurbiprofen 100mg/1 100 BOTTLE in 1 BOTTLE / 100 FILM COATED TABLETS in BOTTLE
(Flurbiprofen)		 100 BOTTLE in 1 BOTTLE   00093071101 50
PDPs		 356
MAPDs
FLUTICASONE PROP 0.005% OINTMENT [Cutivate]
(Fluticasone Propionate)		 30 GRAMS   45802022137 48
PDPs		 326
MAPDs
FLUTICASONE PROP 0.05% LOTION [Cutivate]
(Fluticasone Propionate)		 60 MLS   68462042702 3
PDPs		 51
MAPDs
FLUTICASONE PROP 100 MCG DISKUS BLST W/DEV [Flovent Diskus]
(Fluticasone Propionate)		 60 UNITS   66993079197 5
PDPs		 69
MAPDs
FLUTICASONE PROP 250 MCG DISKUS BLST W/DEV [Flovent Diskus]
(Fluticasone Propionate)		 60 UNITS   66993079297 5
PDPs		 69
MAPDs
FLUTICASONE PROP 50 MCG DISKUS BLST W/DEV [Flovent Diskus]
(Fluticasone Propionate)		 60 UNITS   66993079097 5
PDPs		 69
MAPDs
FLUTICASONE PROP HFA 110 MCG AER W/ADAP [Flovent HFA]
(Fluticasone Propionate)		 12 GRAMS   66993007996 24
PDPs		 208
MAPDs
FLUTICASONE PROP HFA 220 MCG AER W/ADAP [Flovent HFA]
(Fluticasone Propionate)		 12 GRAMS   66993008096 24
PDPs		 208
MAPDs
FLUTICASONE PROP HFA 44 MCG AER W/ADAP [Flovent HFA]
(Fluticasone Propionate)		 10.6 GRAMS   66993007896 24
PDPs		 210
MAPDs
Fluticasone Propionate 0.5mg/g 1 TUBE per CARTON / 30 g in 1 TUBE
(Fluticasone Propionate)		 1 TUBE in 1 CARTON / 30 g   45802022211 52
PDPs		 340
MAPDs
FLUTICASONE PROPIONATE 50 MCG SPRAY SUSPENSION
(Fluticasone Propionate Nasal)		 16 G BOTSPR 00054327099 54
PDPs		 369
MAPDs
FLUTICASONE-SALMETEROL 100-50 INHALER [Advair]
(Fluticasone Propionate, Salmeterol)		 60 INHALATIONS (1 INHALER   66993058497 45
PDPs		 355
MAPDs
FLUTICASONE-SALMETEROL 113-14 [Advair Diskus, Advair HFA, AIRDUO RESPICLICK]
(Fluticasone and Salmeterol)		     00093360882 25
PDPs		 144
MAPDs
FLUTICASONE-SALMETEROL 115-21 HFA AER AD [Advair HFA]
(Fluticasone Propionate, Salmeterol)		 12 GRAMS   66993008796 2
PDPs		 28
MAPDs
FLUTICASONE-SALMETEROL 230-21 HFA AER AD [Advair HFA]
(Fluticasone Propionate, Salmeterol)		 12 GRAMS   66993008896 2
PDPs		 28
MAPDs
FLUTICASONE-SALMETEROL 232-14 [Advair Diskus, Advair HFA, AIRDUO RESPICLICK]
(Fluticasone and Salmeterol)		     00093360982 25
PDPs		 144
MAPDs
FLUTICASONE-SALMETEROL 250-50 INHALER [Advair]
(Fluticasone Propionate, Salmeterol)		 60 INHALATIONS (1 INHALER   66993058597 45
PDPs		 355
MAPDs
FLUTICASONE-SALMETEROL 45-21 HFA AER AD [Advair HFA]
(Fluticasone Propionate, Salmeterol)		 12 GRAMS   66993008696 2
PDPs		 28
MAPDs
FLUTICASONE-SALMETEROL 500-50 INHALER [Advair]
(Fluticasone Propionate, Salmeterol)		 INHALATIONS (1 INHALER)   00054032856 45
PDPs		 355
MAPDs
FLUTICASONE-SALMETEROL 55-14 [Advair Diskus, Advair HFA, AIRDUO RESPICLICK]
(Fluticasone and Salmeterol)		     00093360782 25
PDPs		 144
MAPDs
FLUTICASONE-VILANTEROL 100-25 BLST W/DEV [BREO ELLIPTA]
(Fluticasone Furoate;Vilanterol)		 60 UNITS   66993013597 0
PDPs		 10
MAPDs
FLUTICASONE-VILANTEROL 200-25 BLST W/DEV [BREO ELLIPTA]
(Fluticasone Furoate;Vilanterol)		 60 UNITS   66993013697 0
PDPs		 10
MAPDs
FLUVASTATIN ER 80 MG TABLET ER 24H [Lescol XL]
(Fluvastatin Sodium)		 90 tablets   00781801731 11
PDPs		 221
MAPDs
FLUVASTATIN SODIUM 20 MG CAPSULE [Lescol]
(Fluvastatin Sodium)		 30.000 EA   00378802093 27
PDPs		 276
MAPDs
FLUVASTATIN SODIUM 40 MG CAPSULE [Lescol]
(Fluvastatin Sodium)		     00378802193 27
PDPs		 276
MAPDs
FLUVOXAMINE ER 100 MG CAPSULE
(Fluvoxamine Maleate)		 30.000 EA   00228284803 5
PDPs		 87
MAPDs
FLUVOXAMINE ER 150 MG CAPSULE
(Fluvoxamine Maleate)		 30.000 EA   00228284903 5
PDPs		 87
MAPDs
FLUVOXAMINE MALEATE 100 MG TABLET [Luvox]
(Fluvoxamine Maleate)		 90 TABLETS   62559016001 54
PDPs		 369
MAPDs
FLUVOXAMINE MALEATE 25 MG TABLET [Luvox]
(Fluvoxamine Maleate)		 30 TABLETS   62559015801 54
PDPs		 369
MAPDs
FLUVOXAMINE MALEATE 50 MG TABLET [Luvox]
(Fluvoxamine Maleate)		 28 TABLETS   62559015901 54
PDPs		 369
MAPDs
FML FORTE 0.25% EYE DROPS
(Fluorometholone Ophth)		 5.000 ML   11980022805 2
PDPs		 46
MAPDs
FML LIQUIFILM 0.1% EYE DROP
(Fluorometholone Ophth)		 5.000 ML   11980021105 0
PDPs		 6
MAPDs
FOCALIN 10MG TABLET
(Dexmethylphenidate HCl)		 100 BOT 00078038205 0
PDPs		 4
MAPDs
FOCALIN 2.5MG TABLET
(Dexmethylphenidate HCl)		 100 BOT 00078038005 0
PDPs		 4
MAPDs
FOCALIN 5MG TABLET
(Dexmethylphenidate HCl)		 100 BOT 00078038105 0
PDPs		 4
MAPDs
FOCALIN XR 10MG CAPSULE
(Dexmethylphenidate HCl)		 100 BOT 00078043105 0
PDPs		 1
MAPDs
FOCALIN XR 15MG CAPSULE
(Dexmethylphenidate HCl)		 100 BOT 00078049305 0
PDPs		 1
MAPDs
FOCALIN XR 20MG CAPSULE
(Dexmethylphenidate HCl)		 100 BOT 00078043205 0
PDPs		 1
MAPDs
Focalin XR 25mg EXTENDED RELEASE 100 CAPSULE BOTTLE
(Dexmethylphenidate HCl)		 100 CAPSULE BOTTLE   00078060805 0
PDPs		 1
MAPDs
FOCALIN XR 30MG CAPSULES
(Dexmethylphenidate HCl)		 100 BOT 00078043305 0
PDPs		 1
MAPDs
Focalin XR 35mg EXTENDED RELEASE 100 CAPSULE BOTTLE
(Dexmethylphenidate HCl)		 100 CAPSULE BOTTLE   00078060905 0
PDPs		 1
MAPDs
Focalin XR 40mg EXTENDED RELEASE 100 CAPSULE BOTTLE
(Dexmethylphenidate HCl)		 100 CAPSULE BOTTLE   00078043405 0
PDPs		 1
MAPDs
FOCALIN XR 5 MG CAPSULE
(Dexmethylphenidate HCl)		 100 BOT 00078043005 0
PDPs		 1
MAPDs
FONDAPARINUX 10 MG/0.8 ML SYRINGE [Arixtra]
(Fondaparinux )		 4 mls   67457058508 51
PDPs		 351
MAPDs
FONDAPARINUX 2.5 MG/0.5 ML SYRINGE [Arixtra]
(Fondaparinux )		 2.5 MLS   55150023010 51
PDPs		 352
MAPDs
FONDAPARINUX 5 MG/0.4 ML SYRINGE [Arixtra]
(Fondaparinux )		 ml   67457058304 51
PDPs		 351
MAPDs
FONDAPARINUX 7.5 MG/0.6 ML SYRINGE [Arixtra]
(Fondaparinux )		 3.6 mls   67457058406 51
PDPs		 351
MAPDs
Fondaparinux sodium 10 MG per 0.8 ML Prefilled Syringe [Arixtra]
(Fondaparinux Sodium)		     67457059508 0
PDPs		 1
MAPDs
Fondaparinux sodium 2.5 MG in 0.5 ML Prefilled Syringe Prefilled Syringe [Arixtra]
(Fondaparinux Sodium)		     67457059210 0
PDPs		 1
MAPDs
Fondaparinux sodium 5 MG in 0.4 ML Prefilled Syringe [Arixtra]
(Fondaparinux Sodium)		     67457059304 0
PDPs		 1
MAPDs
FORFIVO XL 450 MG TABLET
(bupropion hydrochloride)		 30 EA   52427057530 0
PDPs		 3
MAPDs
FORMOTEROL 20 MCG/2 ML VIAL-NEB [Perforomist]
(Formoterol Fumarate)		 120 MLS   00093406106 7
PDPs		 173
MAPDs
Forteo 250ug/mL 1 SYRINGE per CARTON / 2.4 mL in 1 SYRINGE
(Teriparatide (Recombinant))		 1 SYRINGE in 1 CARTON   00002840001 30
PDPs		 179
MAPDs
FOSAMAX 70 MG TABLET
(Alendronate Sodium)		 12 TABLETS   78206013501 0
PDPs		 4
MAPDs
FOSAMAX PLUS D 70 MG-2800 UNIT TABLET
(Alendronate Sodium-Cholecalciferol)		 4 TABLETS   78206013701 2
PDPs		 62
MAPDs
FOSAMAX PLUS D 70 MG-5600 UNIT TABLET
(Alendronate Sodium-Cholecalciferol)		 TABLETS   78206013601 2
PDPs		 62
MAPDs
FOSAMPRENAVIR 700 MG TABLET [Lexiva]
(Fosamprenavir Calcium)		 60 EA   00378352091 54
PDPs		 369
MAPDs
FOSFOMYCIN 3 GM SACHET PACKET [Monurol]
(Fosfomycin Tromethamine)		 1 UNIT   70700026894 3
PDPs		 118
MAPDs
FOSINOPRIL SODIUM 10 MG TABLET [Monopril]
()		 90 TABLETS   43547038609 54
PDPs		 366
MAPDs
FOSINOPRIL SODIUM 20 MG TABLET [Monopril]
()		 90 TABLETS   43547038709 54
PDPs		 366
MAPDs
FOSINOPRIL SODIUM 40 MG TABLET [Monopril]
()		 90 TABLETS   43547038809 54
PDPs		 366
MAPDs
FOSINOPRIL-HCTZ 10-12.5 MG TABLET [Monopril-HCT]
(Fosinopril Sodium & Hydrochlorothiazide)		 30 TABLETS   65862030801 41
PDPs		 360
MAPDs
FOSINOPRIL-HCTZ 20-12.5 MG TABLET [Monopril-HCT]
(Fosinopril Sodium & Hydrochlorothiazide)		 30 TABLETS   65862030901 41
PDPs		 360
MAPDs
FOSRENOL 1,000 MG CHEWABLE TABLET
(Lanthanum Carbonate)		 270 chewable tablets   54092025490 0
PDPs		 5
MAPDs
FOSRENOL 1,000 MG POWDER PACK
(Lanthanum Carbonate Chew)		 90 EA   54092025702 9
PDPs		 63
MAPDs
FOSRENOL 500 MG CHEWABLE TABLET
(Lanthanum Carbonate)		 90 chewable tablets   54092025290 0
PDPs		 4
MAPDs
FOSRENOL 750 MG CHEWABLE TABLET
(Lanthanum Carbonate)		 90 chewable tablets   54092025390 0
PDPs		 4
MAPDs
FOSRENOL 750 MG POWDER PACKET
(Lanthanum Carbonate Chew)		 90 EA   54092025602 9
PDPs		 63
MAPDs
FOTIVDA 0.89 MG CAPSULE
(Tivozanib)		 CAPSULES   45629008901 54
PDPs		 369
MAPDs
FOTIVDA 1.34 MG CAPSULE
(Tivozanib)		 CAPSULES   45629013401 54
PDPs		 369
MAPDs
FRAGMIN 10,000 UNITS SYRINGE
(Dalteparin Sodium)		     00069021702 1
PDPs		 65
MAPDs
FRAGMIN 12,500 UNITS SYRINGE
(Dalteparin Sodium)		     00069022002 1
PDPs		 64
MAPDs
FRAGMIN 15,000 UNITS SYRINGE
(Dalteparin Sodium)		     00069022302 1
PDPs		 64
MAPDs
FRAGMIN 18,000 UNITS SYRINGE
(Dalteparin Sodium)		     00069022802 1
PDPs		 64
MAPDs
FRAGMIN 2,500 UNITS SYRINGE
(Dalteparin Sodium)		     00069019502 1
PDPs		 63
MAPDs
FRAGMIN 5,000 UNITS SYRINGE
(Dalteparin Sodium)		     00069019602 1
PDPs		 63
MAPDs
FRAGMIN 7,500 UNITS/0.3 ML SYRINGE
(Dalteparin Sodium)		     00069020602 1
PDPs		 64
MAPDs
FRAGMIN 95,000 UNITS/3.8 ML VIAL
(Dalteparin Sodium)		     00069023201 1
PDPs		 66
MAPDs
FROVA 2.5MG TABLET
(Frovatriptan Succinate)		 BLISTER PACK 1 BOTTLE 63481002509 0
PDPs		 1
MAPDs
FROVATRIPTAN SUCC 2.5 MG TABLET [Frova]
(Frovatriptan Succinate)		 9 TABLETS   00603371834 2
PDPs		 25
MAPDs
FRUZAQLA 1 MG CAPSULE
(Fruquintinib)		 CAPSULES   63020021021 54
PDPs		 369
MAPDs
FRUZAQLA 5 MG CAPSULE
(Fruquintinib)		 CAPSULES   63020022521 54
PDPs		 369
MAPDs
FULPHILA 6 MG/0.6 ML SYRINGE
(Pegfilgrastim (E. coli))		 ML   83257000541 11
PDPs		 127
MAPDs
FUROSCIX 80 MG/10ML ON-BODY KIT
(Furosemide)		 KIT   71767010001 1
PDPs		 40
MAPDs
FUROSEMIDE 10 MG/ML SOLUTION
(Furosemide)		 60.000 ML   00054329446 48
PDPs		 350
MAPDs
FUROSEMIDE 100 MG/10 ML VIAL
(Furosemide)		 8 MLS   23155047344 54
PDPs		 369
MAPDs
FUROSEMIDE 20 MG TABLET [Lasix]
(Furosemide)		 30 TABLETS   69315011610 54
PDPs		 369
MAPDs
FUROSEMIDE 40 MG TABLET [Lasix]
(Furosemide)		 30 TABLETS   69315011710 54
PDPs		 369
MAPDs
FUROSEMIDE 40MG/5ML TUBEX
(Furosemide)		 500 ML BOT 00054329863 48
PDPs		 343
MAPDs
FUROSEMIDE 80 MG TABLET [Lasix]
(Furosemide)		 30 TABLETS   43547040350 54
PDPs		 369
MAPDs
FUZEON 90 MG VIAL
(Enfuvirtide For)		 60 EA   00004038140 54
PDPs		 369
MAPDs
FYAVOLV 0.5 MG-2.5 MCG TABLET [Jevantique]
(Ethinyl Estradiol, Norethindrone)		 28 TABLETS   68180082773 24
PDPs		 271
MAPDs
FYAVOLV 1 MG-5 MCG TABLET [Jinteli 1/5]
(Ethinyl Estradiol, Norethindrone)		 28 TABLETS   68180082873 26
PDPs		 278
MAPDs
FYCOMPA 0.5 MG/ML ORAL SUSP
(perampanel)		 340 ML   62856029038 54
PDPs		 369
MAPDs
FYCOMPA 10 MG TABLET
(perampanel)		 30 EA   62856028030 54
PDPs		 369
MAPDs
FYCOMPA 12 MG TABLET
(perampanel)		 30 EA   62856028230 54
PDPs		 369
MAPDs
FYCOMPA 2 MG TABLET
(perampanel)		 30 EA   62856027230 54
PDPs		 369
MAPDs
FYCOMPA 4 MG TABLET
(perampanel)		 30 EA   62856027430 54
PDPs		 369
MAPDs
FYCOMPA 6 MG TABLET
(perampanel)		 30 EA   62856027630 54
PDPs		 369
MAPDs
FYCOMPA 8 MG TABLET
(perampanel)		 30 EA   62856027830 54
PDPs		 369
MAPDs
FYLNETRA 6 MG/0.6 ML SYRINGE
(Pegfilgrastim (E. coli))		 ML   70121162701 0
PDPs		 41
MAPDs
GILENYA 0.25 MG CAPSULE
(FINGOLIMOD HCL)		 CAPSULES   00078096589 4
PDPs		 83
MAPDs
GILENYA 0.5 MG CAPSULE
(FINGOLIMOD HCL)		 30 EA   00078060715 1
PDPs		 15
MAPDs
GRANIX 300 MCG/0.5 ML SYRINGE
(Tbo-Filgrastim)		 5 mls   63459091017 16
PDPs		 95
MAPDs
GRANIX 300 MCG/ML VIAL
(tbo-filgrastim)		 MLS   63459091859 16
PDPs		 98
MAPDs
GRANIX 480 MCG/0.8 ML SYRINGE
(Tbo-Filgrastim)		 5.6 mls   63459091217 16
PDPs		 95
MAPDs
GRANIX 480 MCG/1.6 ML VIAL
(tbo-filgrastim)		 MLS   63459092059 16
PDPs		 98
MAPDs
IBUPROFEN-FAMOTIDIN 800-26.6MG TABLET [DUEXIS]
(IBUPROFEN AND FAMOTIDINE)		 90 TABLETS   67877062690 2
PDPs		 21
MAPDs
ICATIBANT 30 MG/3 ML SYRINGE [FIRAZYR]
(ICATIBANT ACETATE)		 9 mls   00093306693 54
PDPs		 369
MAPDs
INREBIC 100 MG CAPSULE
(Fedratinib)		 capsules   59572072012 54
PDPs		 369
MAPDs
INTRALIPID 20% IV FAT EMULSION
(Soybean Oil Injection)		     00338051909 45
PDPs		 335
MAPDs
INTRALIPID 30% IV FAT EMULSION
(Fat)		     00338052013 27
PDPs		 255
MAPDs
JOYEAUX-28 TABLET
(Ferrous Fumarate;Levonorgestrel, Ethinyl Estradiol)		 28 TABLETS   70700017785 3
PDPs		 24
MAPDs
KERENDIA 10 MG TABLET
(Finerenone)		 30 TABLETS   50419054001 54
PDPs		 369
MAPDs
KERENDIA 20 MG TABLET
(Finerenone)		 30 TABLETS   50419054101 54
PDPs		 369
MAPDs
LANTHANUM CARB 1,000 MG CHEWABLE TABLET [Fosrenol]
(Lanthanum Carbonate)		 270 chewable tablets   68180082147 14
PDPs		 152
MAPDs
LANTHANUM CARB 500 MG CHEWABLE TABLET [Fosrenol]
(Lanthanum Carbonate Chew)		     68180081942 14
PDPs		 152
MAPDs
LANTHANUM CARB 750 MG CHEWABLE TABLET [Fosrenol]
(Lanthanum Carbonate Chew)		     68180082046 14
PDPs		 152
MAPDs
LASIX 20 MG TABLET
(Furosemide)		     30698006701 0
PDPs		 4
MAPDs
LASIX 40 MG TABLET
(Furosemide)		     30698006001 0
PDPs		 4
MAPDs
LASIX 80 MG TABLET
(Furosemide)		     30698006605 0
PDPs		 4
MAPDs
LESCOL XL 80 MG TABLET
(Fluvastatin Sodium)		 30.000 EA   00078035415 0
PDPs		 1
MAPDs
LETROZOLE 2.5 MG TABLET [Femara]
()		 10 TABLETS   51991075933 54
PDPs		 369
MAPDs
LEXIVA 50mg/mL 225 mL in 1 BOTTLE
(Fosamprenavir Calcium)		 225 mL in 1 BOTTLE   49702020853 54
PDPs		 369
MAPDs
LEXIVA 700MG TABLETS
(Fosamprenavir Calcium)		 60 BOT 49702020718 0
PDPs		 4
MAPDs
LIPOFEN 150 MG CAPSULE
(Fenofibrate)		 30 CAPSULES   62559030690 1
PDPs		 18
MAPDs
LIPOFEN 50 MG CAPSULE
(Fenofibrate)		 30 CAPSULES   62559030590 1
PDPs		 18
MAPDs
LYTGOBI 12 MG DOSE (3X 4MG TB) TABLET
(Futibatinib)		 21 TABLETS   64842012004 54
PDPs		 369
MAPDs
LYTGOBI 16 MG DOSE (4X 4MG TB) TABLET
(Futibatinib)		 21 TABLETS   64842012005 54
PDPs		 369
MAPDs
LYTGOBI 20 MG DOSE (5X 4MG TB) TABLET
(Futibatinib)		 21 TABLETS   64842012006 54
PDPs		 369
MAPDs
METFORMIN ER 1,000 MG OSM TABLET ER 24 [Fortamet]
(Metformin Hydrochloride)		 180 UNITS   50742063460 4
PDPs		 10
MAPDs
METRONIDAZOLE 250 MG TABLET [Flagyl]
(Metronidazole)		 100.000 EA   50111033301 54
PDPs		 369
MAPDs
METRONIDAZOLE 375 MG CAPSULE [Flagyl]
(Metronidazole)		 50 EA   62332001850 11
PDPs		 88
MAPDs
METRONIDAZOLE 500 MG/100 ML PIGGYBACK [Flagyl RTU]
()		 14 MLS   25021013182 54
PDPs		 369
MAPDs
NALFON 400 MG CAPSULE
(Fenoprofen Calcium)		 90 CAPSULES   42195030809 0
PDPs		 2
MAPDs
NALFON 600 MG TABLET
(Fenoprofen Calcium)		 90 tablets   42195068810 0
PDPs		 1
MAPDs
NEO-SYNALAR 0.5%-0.025% CREAM
(Neomycin Sulfate and Fluocinolone Acetonide)		     43538094060 1
PDPs		 6
MAPDs
NEUPOGEN 300 MCG/ML VIAL
(Filgrastim)		 1 ML   55513053010 0
PDPs		 34
MAPDs
NEUPOGEN 300MCG/ML VIAL
(Filgrastim)		 10 X 1.6 ML VIALSD 55513054610 0
PDPs		 34
MAPDs
NEUPOGEN 300ug/0.5mL 10 SYRINGE in 1 BOX / 0.5 mL in 1 SYRINGE
(Filgrastim)		 10 SYRINGE in 1 BOX   55513092410 0
PDPs		 34
MAPDs
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR
(Filgrastim)		 10 X 0.8 ML SYR 55513020910 0
PDPs		 34
MAPDs
NITROFURANTOIN 25 MG/5 ML ORAL SUSPENSION [Furadantin]
(Nitrofurantoin)		 200 MLS   00472199208 1
PDPs		 50
MAPDs
NIVESTYM 300 MCG/0.5 ML SYRINGE
(Filgrastim (E. coli))		 ml   00069029101 16
PDPs		 192
MAPDs
NIVESTYM 300 MCG/ML VIAL
(Filgrastim (E. coli))		 ml   00069029310 16
PDPs		 186
MAPDs
NIVESTYM 480 MCG/0.8 ML SYRINGE
(Filgrastim (E. coli))		 ml   00069029201 16
PDPs		 191
MAPDs
NIVESTYM 480 MCG/1.6 ML VIAL
(Filgrastim (E. coli))		 mls   00069029410 16
PDPs		 186
MAPDs
OFLOXACIN 0.3% EAR DROPS [Floxin]
(Ofloxacin)		 5 mls   60505036301 54
PDPs		 369
MAPDs
OFLOXACIN 300 MG TABLET [Floxin]
(Ofloxacin)		 14 TABLETS   75834011950 8
PDPs		 129
MAPDs
OFLOXACIN 400 MG TABLET [Floxin]
(Ofloxacin)		 28 TABLETS   75834011250 17
PDPs		 186
MAPDs
OTOVEL 0.3%-0.025% EAR DROPS VIAL
(Ciprofloxacin and fluocinolone otic)		 14 MLS   66992012814 1
PDPs		 2
MAPDs
PEPCID 20 MG TABLET
(Famotidine)		     00187442030 0
PDPs		 2
MAPDs
PEPCID 40 MG TABLET
(Famotidine)		     00187444010 0
PDPs		 1
MAPDs
PERFOROMIST 20MCG/2ML VIAL NEBULIZER
(Formoterol Fumarate)		 60 X 2ML CRTN 49502060561 4
PDPs		 13
MAPDs
PIROXICAM 10 MG CAPSULE [Feldene]
()		 30 CAPSULES   42571017601 26
PDPs		 349
MAPDs
PIROXICAM 20 MG CAPSULE [Feldene]
()		 30 CAPSULES   42571017701 26
PDPs		 349
MAPDs
PROSCAR 5 MG TABLET
(Finasteride)		 30 TABLETS   78206015301 0
PDPs		 4
MAPDs
PROZAC 10MG PULVULE
(Fluoxetine HCl)		 100 BOT 00777310402 0
PDPs		 4
MAPDs
PROZAC 20 MG PULVULE CAPSULE
(Fluoxetine)		 30 capsules   00777310530 0
PDPs		 5
MAPDs
PROZAC 40MG PULVULE
(Fluoxetine HCl)		 30 BOT 00777310730 0
PDPs		 4
MAPDs
RELEUKO 300 MCG/0.5 ML SYRINGE
(Filgrastim (E. coli))		 ML   70121156801 0
PDPs		 53
MAPDs
RELEUKO 480 MCG/0.8 ML SYRINGE
(Filgrastim (E. coli))		 ML   70121157001 0
PDPs		 53
MAPDs
RUKOBIA ER 600 MG TABLETLET 12H
(Fostemsavir)		 TABLETS   49702025018 54
PDPs		 369
MAPDs
SYNALAR 0.025% CREAM (G)
(Fluocinolone)		 15 GRAMS   43538090012 0
PDPs		 1
MAPDs
TAMSULOSIN HCL 0.4 MG CAPSULE [Flomax]
()		 30 CAPSULES   68382013201 54
PDPs		 369
MAPDs
TASCENSO ODT 0.25 MG TABLET RAPDIS
(Fingolimod Lauryl Sulfate)		 UNITS   70709006230 1
PDPs		 60
MAPDs
TASCENSO ODT 0.5 MG TABLET RAPDIS
(Fingolimod Lauryl Sulfate)		 UNITS   70709006530 1
PDPs		 60
MAPDs
TAVALISSE 100 MG TABLET
(Fostamatinib)		 tablets   71332000101 1
PDPs		 57
MAPDs
TAVALISSE 150 MG TABLET
(Fostamatinib)		 tablets   71332000201 1
PDPs		 57
MAPDs
TAZAROTENE 0.1% FOAM [Fabior]
()		 100 GRAMS   68308068550 0
PDPs		 14
MAPDs
TERIPARATIDE 620 MCG/2.48 ML PEN INJECTOR [Forteo]
()		 MLS   47781065289 33
PDPs		 326
MAPDs
TESTOSTERONE 10 MG GEL MD PUMP [FORTESTA]
()		 60 GRAMS   00591236360 5
PDPs		 101
MAPDs
TOREMIFENE CITRATE 60 MG TABLET [Fareston]
(Toremifene)		 tablets   64980040403 54
PDPs		 369
MAPDs
TOVIAZ TABLETS 4MG EXTENDED RELEASE
(Fesoterodine)		 30 BOT 00069024230 0
PDPs		 7
MAPDs
TOVIAZ TABLETS 8MG EXTENDED RELEASE
(Fesoterodine)		 30 BOT 00069024430 0
PDPs		 7
MAPDs
TRELEGY ELLIPTA 100-62.5-25
(Fluticasone Furoate, /umeclidinium Bromide and Vilanterol Trifenatate )		 60 EA   00173088710 52
PDPs		 358
MAPDs
TRELEGY ELLIPTA 200-62.5-25 BLST W/DEV
(Fluticasone Furoate, /umeclidinium Bromide and Vilanterol Trifenatate )		 60 UNITS   00173089310 52
PDPs		 357
MAPDs
TRICOR 145 MG TABLET
(Fenofibrate)		     00074318990 0
PDPs		 1
MAPDs
TRICOR 48 MG TABLET
(Fenofibrate)		     00074317390 0
PDPs		 1
MAPDs
TRILIPIX DR 135 MG CAPSULE
(Fenofibric Acid)		     00074316290 0
PDPs		 1
MAPDs
TRILIPIX DR 45 MG CAPSULE
(Fenofibric Acid)		     00074316190 0
PDPs		 1
MAPDs
ULORIC TABLETS 40MG 30 BOTTLE
(Febuxostat)		 30 BOT 64764091830 0
PDPs		 1
MAPDs
ULORIC TABLETS 80MG 30 BOTTLE
(Febuxostat)		 30 BOT 64764067730 0
PDPs		 1
MAPDs
VANCOMYCIN 25 MG/ML ORAL SOLUTION RECON [FIRVANQ]
()		 300 MLS   52536010405 5
PDPs		 119
MAPDs
VANOS 0.1% CREAM (G)
(Fluocinonide)		 30 GRAMS   99207052560 0
PDPs		 1
MAPDs
VEOZAH 45 MG TABLET
(Fezolinetant)		 30 TABLETS   00469266030 2
PDPs		 16
MAPDs
VOWST CAPSULE
(Fecal Microbiota)		 CAPSULES   71881040012 5
PDPs		 111
MAPDs
WIXELA 100-50 INHUB BLST W/DEV [Advair]
(Fluticasone Propionate, Salmeterol)		 60 units   00378932032 44
PDPs		 325
MAPDs
WIXELA 250-50 INHUB BLST W/DEV [Advair]
(Fluticasone Propionate, Salmeterol)		 60 units   00378932132 44
PDPs		 325
MAPDs
WIXELA 500-50 INHUB BLST W/DEV [Advair]
(Fluticasone Propionate, Salmeterol)		 60 units   00378932232 44
PDPs		 325
MAPDs
XHANCE 93 MCG NASAL SPRAY AER BR.ACT
(Fluticasone Propionate)		 16 mls   71143037501 17
PDPs		 152
MAPDs
ZARXIO 300 MCG/0.5 ML SYRINGE
(Filgrastim-sndz)		 mls   61314031810 32
PDPs		 321
MAPDs
ZARXIO 480 MCG/0.8 ML SYRINGE
(Filgrastim-sndz)		 0.8 ml   61314032610 32
PDPs		 321
MAPDs





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  • 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.
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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.
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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.
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  • 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.
.