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2015 Medicare Part D Formulary Search By Drug Letter

This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
Select a Letter below:
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
PackagingNDCOn This Nbr of 2015 Formularies
PDPsMAPDs
AMARYL 1MG TABLET
(Glimepiride)
100 BOT000390221109
PDPs
29
MAPDs
AMARYL 2MG TABLET
(Glimepiride)
100 BOT000390222109
PDPs
29
MAPDs
AMARYL 4MG TABLET
(Glimepiride)
100 BOT000390223109
PDPs
29
MAPDs
COPAXONE 20MG/ML 30 BLISTER PACK IN 1 CRTN
(Glatiramer Acetate)
   6854603173067
PDPs
346
MAPDs
COPAXONE 40 MG/ML SYRINGE
(Glatiramer Acetate)
1 ML  6854603251260
PDPs
288
MAPDs
CUVPOSA 1 MG/5 ML SOLUTION
(Glycopyrrolate)
   0025905011620
PDPs
104
MAPDs
CYTOVENE IV INJECTION
(Ganciclovir Sodium For)
10ML X 1 X 25 VIALS CRTN 0000469400311
PDPs
54
MAPDs
DIABETA 1.25MG TABLET
(Glyburide)
50 BOT000390053051
PDPs
27
MAPDs
DIABETA TABLETS 2.5MG 100 BOT
(Glyburide)
100 BOT000390051101
PDPs
27
MAPDs
DiaBeta 5mg/1 100 TABLET BOTTLE
(Glyburide)
100 TABLET BOTTLE  000390052101
PDPs
27
MAPDs
FACTIVE 320 MG TABLET
(Gemifloxacin Mesylate)
   4400103210713
PDPs
73
MAPDs
GABAPENTIN 100mg/1
(Gabapentin)
   6275601370267
PDPs
347
MAPDs
Gabapentin 250mg/5mL 470 mL in 1 BOTTLE
(Gabapentin)
470 mL in 1 BOTTLE  5038303114767
PDPs
339
MAPDs
GABAPENTIN CAPSULES 300MG
(Gabapentin)
   6050501130167
PDPs
347
MAPDs
GABAPENTIN 400 MG CAPSULE
(Gabapentin)
100 EA  5374601030167
PDPs
347
MAPDs
GABAPENTIN 600MG TABLET
(Gabapentin)
100 BOT0022826361167
PDPs
347
MAPDs
GABAPENTIN TABLET 800MG
(Gabapentin)
   6050525520567
PDPs
347
MAPDs
GABITRIL 12 MG TABLET
(Tiagabine HCl)
30 EA  6345904123060
PDPs
317
MAPDs
GABITRIL 16mg/1
(Tiagabine HCl)
   6345904163060
PDPs
318
MAPDs
GABITRIL 2mg/1
(Tiagabine HCl)
   6345904023012
PDPs
67
MAPDs
GABITRIL 4mg/1
(Tiagabine HCl)
   6345904043012
PDPs
67
MAPDs
Gablofen 2000ug/mL 20 mL in 1 VIAL, GLASS
(Baclofen)
20 mL in 1 VIAL, GLASS  459450157029
PDPs
49
MAPDs
Gablofen 50ug/mL 1 mL in 1 SYRINGE, PLASTIC
(Baclofen)
1 mL in 1 SYRINGE, PLASTI  4594501510110
PDPs
48
MAPDs
Gablofen 500ug/mL 20 mL in 1 VIAL, GLASS
(Baclofen)
20 mL in 1 VIAL, GLASS  459450155029
PDPs
48
MAPDs
Galantamine 12mg/1 60 FILM COATED TABLETS in BOTTLE
(Galantamine Hydrobromide)
60 TABLET, FILM COATED in  0055501400965
PDPs
334
MAPDs
GALANTAMINE HYDROBROMIDE CAPSULES EXTENDED RELEASE 16MG 30 BOT
(Galantamine Hydrobromide)
30 BOT0055510210165
PDPs
326
MAPDs
GALANTAMINE HYDROBROMIDE CAPSULES EXTENDED RELEASE 24MG 30 BOT
(Galantamine Hydrobromide)
30 BOT0055510220165
PDPs
326
MAPDs
Galantamine Hydrobromide Oral Solution 4mg/mL 100 mL in 1 BOTTLE
(Galantamine Hydrobromide)
100 mL in 1 BOTTLE  0005401374964
PDPs
321
MAPDs
Galantamine 4mg/1 60 FILM COATED TABLETS in BOTTLE
(Galantamine Hydrobromide)
60 TABLET, FILM COATED in  0055501380965
PDPs
334
MAPDs
GALANTAMINE HYDROBROMIDE CAPSULES EXTENDED RELEASE 8MG 30 BOT
(Galantamine Hydrobromide)
30 BOT0055510200165
PDPs
326
MAPDs
Galantamine 8mg/1 60 FILM COATED TABLETS in BOTTLE
(Galantamine Hydrobromide)
60 TABLET, FILM COATED in  0055501390965
PDPs
334
MAPDs
GamaSTAN S/D 0.165g/mL
(Immune Globulin (Human))
   1353306351249
PDPs
243
MAPDs
GAMMAGARD LIQUID 100mg/mL 1 BOTTLE, GLASS per CARTON / 25 mL in 1 BOTTLE, GLASS
(Immune Globulin (Human) IV)
1 BOTTLE, GLASS in 1 CART  0094427000344
PDPs
271
MAPDs
GAMMAKED 1 GRAM/10 ML VIAL
(Immune Globulin)
10 ML  7612509000130
PDPs
162
MAPDs
GAMMAPLEX INJECTION 5 GM/100 ML
(Immune Globulin)
   6420882340351
PDPs
238
MAPDs
Gamunex-C 10g/100mL 10 mL in 1 VIAL, GLASS
(Immune Globulin (Human) IV)
10 mL in 1 VIAL, GLASS  1353308001255
PDPs
315
MAPDs
GANCICLOVIR 500MG VIAL FOR INJECTION
(Ganciclovir)
25 X 10 TRAY 6332303151067
PDPs
345
MAPDs
Garamycin 0.3% eye drops
(Gentamicin Ophthalmic)
   0057440720515
PDPs
108
MAPDs
GARDASIL SYRINGE
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
   0000641090262
PDPs
315
MAPDs
GARDASIL VIAL
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
1 X 0.5 ML VIAL0000640450067
PDPs
347
MAPDs
GARDASIL 9 VIAL
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
   0000641190365
PDPs
316
MAPDs
GARDASIL 9 SYRINGE
(Quadrivalent Human Papillomavirus (HPV) Recombinant Vac)
   0000641210265
PDPs
309
MAPDs
GASTROCROM 100MG/5ML CONC
(Cromolyn Sodium Oral)
96 X 5 ML AMP188600678708
PDPs
49
MAPDs
GATIFLOXACIN 0.5% EYE DROPS [Zymar, Zymaxid]
(gatifloxacin ophthalmic)
2.5 ML  6818004350138
PDPs
237
MAPDs
GATTEX 5 MG ONE-VIAL KIT
(teduglutide)
   6887501030132
PDPs
131
MAPDs
GAVILYTE-G SOLUTION
(Polyethylene Glycol 3350 Oral)
274.31 g in 1 BOTTLE  4338600901964
PDPs
300
MAPDs
GAVILYTE-C SOLUTION
(Polyethylene Glycol 3350 Oral)
278.26 g in 1 BOTTLE  4338600601965
PDPs
308
MAPDs
GAVILYTE-N SOLUTION
(Polyethylene Glycol 3350 Oral)
438.4 g in 1 BOTTLE  4338600501965
PDPs
310
MAPDs
GELNIQUE 100mg/g 30 PACKET per CARTON / 1 g in 1 PACKET
(Oxybutynin Chloride)
30 PACKET in 1 CARTON / 1  5254400843012
PDPs
79
MAPDs
GELNIQUE 3% GEL
(Oxybutynin Chloride)
92 GM  5254400415412
PDPs
69
MAPDs
Gemcitabine Hydrochloride 1g/25mL 1 VIAL per CARTON / 25 mL in 1 VIAL
()
1 VIAL in 1 CARTON / 25 m  1672901171161
PDPs
313
MAPDs
GEMFIBROZIL TABLET 600MG (500 CT)
(Gemfibrozil)
500 BOT0014391300567
PDPs
347
MAPDs
GEMZAR 1GRAM VIAL
(Gemcitabine HCl For)
1 X 50 ML VIAL000027502019
PDPs
59
MAPDs
GENERESS FE CHEWABLE TABLET
(norethindrone and ethinyl estradiol and ferrous fumarate)
28 EA  5254402043110
PDPs
58
MAPDs
GENERLAC 10 GM/15 ML SOLUTION
(Lactulose (Encephalopathy))
1892 ML  6043200386463
PDPs
313
MAPDs
GENGRAF 100MG CAPSULE U.D.
(Cyclosporine Modified)
30 BOXUD0007464793267
PDPs
329
MAPDs
GENGRAF 100MG/ML SOLUTION
(Cyclosporine Modified)
50 ML BOTGL0007472695067
PDPs
324
MAPDs
GENGRAF 25MG CAPSULE U.D.
(Cyclosporine Modified)
30 BOXUD0007464633267
PDPs
332
MAPDs
GENOTROPIN 13.8MG CARTRIDGE
(Somatropin For)
1 X 13.8 MG CTG0001326468127
PDPs
183
MAPDs
GENOTROPIN 5 MG CARTRIDGE
(Somatropin For)
1 PKGCOM0001326268125
PDPs
175
MAPDs
GENOTROPIN MINIQUICK 0.2MG
(Somatropin For)
7 X 0.2 MG VIALPAT0001326490225
PDPs
180
MAPDs
GENOTROPIN MINIQUICK 0.4MG
(Somatropin For)
7 X 0.4 MG VIALPAT0001326500227
PDPs
180
MAPDs
GENOTROPIN MINIQUICK 0.6MG
(Somatropin For)
7 X 0.6 MG VIALPAT0001326510225
PDPs
172
MAPDs
GENOTROPIN MINIQUICK 0.8MG
(Somatropin For)
7 X 0.8 MG VIALPAT0001326520227
PDPs
176
MAPDs
GENOTROPIN MINIQUICK 1MG
(Somatropin For)
7 X 1.0 MG VIALPAT0001326530225
PDPs
172
MAPDs
GENOTROPIN MINIQUICK 1.2MG
(Somatropin For)
7 VIALPAT0001326540225
PDPs
172
MAPDs
GENOTROPIN MINIQUICK 1.4MG
(Somatropin For)
7 VIALPAT0001326550225
PDPs
172
MAPDs
GENOTROPIN MINIQUICK 1.6MG
(Somatropin For)
7 VIALPAT0001326560225
PDPs
172
MAPDs
GENOTROPIN MINIQUICK 1.8MG
(Somatropin For)
7 VIALPAT0001326570225
PDPs
172
MAPDs
GENOTROPIN MINIQUICK 2MG
(Somatropin For)
7 X 2.0 MG VIALPAT0001326580225
PDPs
172
MAPDs
GENTAK 3MG/GM EYE OINTMENT
(Gentamicin Sulfate Ophth)
3.5 GM TUBE1747802843564
PDPs
333
MAPDs
GENTAMICIN 90MG/NS 100ML PB
(Gentamicin)
24 X 100 ML CTR0040978862356
PDPs
283
MAPDs
GENTAMICIN 100MG/NS 100ML
(Gentamicin)
24 X 100 ML CTR0040978892361
PDPs
292
MAPDs
GENTAMICIN 70MG/NS 50ML PB
(Gentamicin)
24 X 50 ML CTR0040978811356
PDPs
291
MAPDs
GENTAMICIN 80MG/NS 50ML PB
(Gentamicin)
24 X 50 ML CTR0040978831361
PDPs
299
MAPDs
GENTAMICIN 10MG/ML VIAL
(Gentamicin)
25 X 8 ML VIAL0040934010167
PDPs
336
MAPDs
GENTAMICIN SULFATE OINTMENT USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE4580200463567
PDPs
343
MAPDs
GENTAMICIN SULFATE CREAM USP 0.1% 15GM TUBE
(Gentamicin Sulfate)
15 GM TUBE4580200563567
PDPs
343
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 in 1  0040912070367
PDPs
325
MAPDs
Gentamicin Sulfate in Sodium Chloride 60mg/50mL 50 mL in 1 BAG
(Gentamicin Sulfate)
50 mL in 1 BAG  0033805074157
PDPs
290
MAPDs
GENTAMICIN SULFATE OPHTHALMIC SOLUTION 0.3% 5ML BOT
(Gentamicin Sulfate Ophth)
5 ML BOT2420805806067
PDPs
344
MAPDs
Gentamicin 3 mg/gm eye oint
(Gentamicin Sulfate Ophth)
   0057441023565
PDPs
309
MAPDs
GEODON 20MG VIAL
(Ziprasidone HCl)
1 VIAL VIALSD0004939208367
PDPs
347
MAPDs
GEODON 20MG CAPSULE
(Ziprasidone HCl)
60 BOT000493960609
PDPs
39
MAPDs
GEODON 40MG CAPSULE
(Ziprasidone HCl)
60 BOT000493970609
PDPs
39
MAPDs
GEODON 60MG CAPSULE
(Ziprasidone HCl)
60 BOT000493980609
PDPs
39
MAPDs
GEODON 80MG CAPSULE
(Ziprasidone HCl)
60 BOT000493990609
PDPs
39
MAPDs
Gianvi 3 BLISTER PACK in 1 PACKAGE / 1 KIT per BLISTER PACK
(Drospirenone-Ethinyl Estradiol)
3 BLISTER PACK in 1 PACKA  0009354235852
PDPs
228
MAPDs
GIAZO 180 GM
(balsalazide disodium)
   656490102027
PDPs
43
MAPDs
gildagia 0.4 mg-0.035 mg tab
(ethinyl estradiol / norethindrone)
   0060335901761
PDPs
274
MAPDs
Gildess 1.5 mg-30 mcg tablet
(Ethinyl Estradiol and Norethindrone)
   0060376060262
PDPs
279
MAPDs
Gildess 24 fe 1-20 Tablet
(Ethinyl Estradiol and Norethindrone)
   0060376101738
PDPs
179
MAPDs
Gilenya 0.5mg/1 28 CAPSULE per CARTON
(FINGOLIMOD HCL)
28 CAPSULE in 1 CARTON  0007806075146
PDPs
301
MAPDs
GILOTRIF 20 MG TABLET
(afatinib)
30 EA  0059701413067
PDPs
347
MAPDs
GILOTRIF 30 MG TABLET
(afatinib)
30 EA  0059701373067
PDPs
347
MAPDs
GILOTRIF 40 MG TABLET
(afatinib)
30 EA  0059701383067
PDPs
347
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  0094428840118
PDPs
130
MAPDs
Glatopa 20 mg/ml syringe
(Glatiramer Acetate)
   0078132343450
PDPs
187
MAPDs
GLEEVEC 100MG TABLET (90 CT)
(Imatinib Mesylate)
90 BOT0007804013467
PDPs
347
MAPDs
GLEEVEC 400MG TABLET
(Imatinib Mesylate)
30 BOT0007804381567
PDPs
347
MAPDs
GLEOSTINE 10 MG CAPSULE
(lomustine)
   5818130400538
PDPs
174
MAPDs
GLEOSTINE 100 MG CAPSULE
(lomustine)
   5818130420538
PDPs
174
MAPDs
GLEOSTINE 40 MG CAPSULE
(lomustine)
   5818130410538
PDPs
174
MAPDs
GLIMEPIRIDE 1MG TABLET (100 CT)
(Glimepiride)
100 BOT5511103200167
PDPs
347
MAPDs
GLIMEPIRIDE 2MG TABLET (100 CT)
(Glimepiride)
100 BOT5511103210167
PDPs
347
MAPDs
GLIMEPIRIDE 4MG TABLET (100 CT)
(Glimepiride)
100 BOT5511103220167
PDPs
347
MAPDs
GLIPIZIDE 10MG TABLET (100 CT)
(Glipizide)
100 BOT0037811100167
PDPs
347
MAPDs
GLIPIZIDE 10MG TABLETS EXTENDED RELEASE
(Glipizide)
100 BOT 0059108450167
PDPs
346
MAPDs
GLIPIZIDE ER 2.5MG TABLET SR OSMOTIC PUSH 24HR
(Glipizide)
30 BOTPL0059109003067
PDPs
346
MAPDs
GLIPIZIDE-METFORMIN 2.5-500MG TABLET
(Glipizide)
100 BOT0009374560165
PDPs
342
MAPDs
GLIPIZIDE 5MG TABLETS EXTENDED RELEASE
(Glipizide)
100 BOT 0059108440167
PDPs
346
MAPDs
Glipizide 5mg/1 500 TABLET BOTTLE
(Glipizide)
500 TABLET in 1 BOTTLE  1672901391667
PDPs
347
MAPDs
GLIPIZIDE-METFORMIN 5-500 MG
(Glipizide)
100 EA  0009374570165
PDPs
342
MAPDs
Glipizide and Metformin Hydrochloride 2.5; 250mg/1; mg/1 100 BOTTLE, PLASTIC in 1 BOTTLE, PLASTIC /
(Glipizide-Metformin HCl)
100 BOTTLE, PLASTIC in 1  0037831310165
PDPs
342
MAPDs
GLUCAGEN 1MG HYPOKIT
(Glucagon HCl (rDNA) For)
1 X 1 MG PKGCOM0016970651564
PDPs
321
MAPDs
GLUCAGON 1MG EMERGENCY KIT
(Glucagon (rDNA) For)
1 KIT PKGCOM0000280310162
PDPs
339
MAPDs
GLUCOPHAGE 1000MG TABLET
(Metformin HCl)
100 BOT000876071119
PDPs
28
MAPDs
GLUCOPHAGE 500MG TABLET
(Metformin HCl)
500 BOT000876060109
PDPs
28
MAPDs
GLUCOPHAGE 850MG TABLET
(Metformin HCl)
100 BOT000876070059
PDPs
28
MAPDs
GLUCOPHAGE XR 500MG TABLET SA
(Metformin HCl)
100 BOT000876063139
PDPs
28
MAPDs
GLUCOPHAGE XR 750MG TABLET SA
(Metformin HCl)
100 BOT000876064139
PDPs
28
MAPDs
GLUCOTROL 10MG TABLET
(Glipizide)
100 BOT000494120669
PDPs
29
MAPDs
GLUCOTROL 5MG TABLET
(Glipizide)
100 BOT000494110669
PDPs
29
MAPDs
GLUCOTROL XL 10 MG TABLET
(Glipizide)
500 EA  000490178089
PDPs
29
MAPDs
GLUCOTROL XL 2.5 MG TABLET
(Glipizide)
30 EA 000490170019
PDPs
29
MAPDs
GLUCOTROL XL 5MG TABLET SA
(Glipizide)
500 BOT000491550739
PDPs
29
MAPDs
GLUCOVANCE 2.5/500MG TABLET
(Glyburide-Metformin)
100 BOT000876073111
PDPs
16
MAPDs
GLUCOVANCE 5/500MG TABLET
(Glyburide-Metformin)
100 BOT000876074111
PDPs
16
MAPDs
GLUMETZA ER 1,000 MG TABLET
(Metformin HCl)
   6801200031610
PDPs
92
MAPDs
GLUMETZA ER 500 MG TABLET
(Metformin HCl)
   6801200021311
PDPs
94
MAPDs
GLYBURIDE 1.25MG TABLETS
(Glyburide)
100 TABLETS BOT 0009383420138
PDPs
208
MAPDs
GLYBURIDE AND METFORMIN HCL 1.25-250MG TABLET (100 CT)
(Glyburide)
100 BOT0009357100139
PDPs
212
MAPDs
GLYBURIDE 2.5MG TABLET (100 CT)
(Glyburide)
100 TABLETS BOT0009383430138
PDPs
208
MAPDs
GLYBURIDE 5MG TABLETS
(Glyburide)
500 TABLETS BOT 0009383440538
PDPs
209
MAPDs
Glyburide 6mg/1 500 TABLET BOTTLE, PLASTIC
(Glyburide)
500 TABLET BOTTLE  0014399200538
PDPs
204
MAPDs
GLYBURIDE MICRONIZED 1.5MG TABLET (100 CT)
(Glyburide Micronized)
100 BOT0037811130138
PDPs
204
MAPDs
GLYBURIDE MICRO 3MG TABLET (100 CT)
(Glyburide Micronized)
100 TABLETS BOT0009380350138
PDPs
205
MAPDs
GLYBURIDE-METFORMIN HCL 2.5-500MG TABLET
(Glyburide-Metformin)
500 BOT0022827525039
PDPs
212
MAPDs
GLYBURIDE-METFORMIN HCL 5MG-500MG TABLET
(Glyburide-Metformin)
500 BOT0022827535039
PDPs
212
MAPDs
GLYCOPYRROLATE 0.2MG/ML VL
(Glycopyrrolate)
25 X 20 ML VIALMD0051746202548
PDPs
251
MAPDs
GLYCOPYRROLATE TABLET 1MG (100 CT)
(Glycopyrrolate)
100 BOT4988400650161
PDPs
325
MAPDs
GLYCOPYRROLATE TABLET 2MG (100 CT)
(Glycopyrrolate)
100 BOT4988400660161
PDPs
325
MAPDs
GLYNASE 1.5MG PRESTAB
(Glyburide Micronized)
100 BOT000090341011
PDPs
14
MAPDs
Glynase 3mg/1 1000 TABLET BOTTLE, PLASTIC
(Glyburide Micronized)
1000 TABLET in 1 BOTTLE,  000090352041
PDPs
14
MAPDs
Glynase 6mg/1 500 TABLET BOTTLE, PLASTIC
(Glyburide Micronized)
500 TABLET in 1 BOTTLE, P  000093449031
PDPs
14
MAPDs
GLYSET 100MG TABLET
(Miglitol)
100 BOTPL0000950140123
PDPs
164
MAPDs
GLYSET 25MG TABLET
(Miglitol)
100 BOT0000950120123
PDPs
164
MAPDs
GLYSET 50MG TABLET
(Miglitol)
100 BOTPL0000950130123
PDPs
164
MAPDs
GLYXAMBI 10 MG-5 MG TABLET
(Empagliflozin and Linagliptin)
   005970182307
PDPs
72
MAPDs
GLYXAMBI 25 MG-5 MG TABLET
(Empagliflozin and Linagliptin)
   005970164307
PDPs
72
MAPDs
GOLYTELY PACKET 227.1 GM/2.82 GM
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
263 GM PKT5226807000132
PDPs
148
MAPDs
GOLYTELY SOLUTION 236 GM/2.97 GM/6 GM
(PEG 3350-KCl-Na Bicarb-NaCl-Na Sulfate For)
4 L BOT5226801000124
PDPs
108
MAPDs
Gralise Starter Pack 1 KIT per BLISTER PACK
(Gabapentin)
1 KIT in 1 BLISTER PACK  1391300061616
PDPs
93
MAPDs
Gralise 300mg/1 30 FILM COATED TABLETS in BOTTLE
(Gabapentin)
30 TABLET, FILM COATED in  1391300041316
PDPs
96
MAPDs
Gralise 600mg/1 90 FILM COATED TABLETS in BOTTLE
(Gabapentin)
90 TABLET, FILM COATED in  1391300051916
PDPs
96
MAPDs
Granisetron HCl 0.1 mg/ml vial
(Granisetron HCl)
   6332303170151
PDPs
272
MAPDs
Granisetron Hydrochloride 1mg/mL 10 VIAL, SINGLE-USE in 1 PACKAGE / 1 mL in 1 VIAL, SINGLE-USE
(Granisetron HCl)
10 VIAL, SINGLE-USE in 1  0014397441051
PDPs
269
MAPDs
Granisetron Hydrochloride 1mg/1 2 TABLET BOTTLE
(Granisetron HCl)
2 TABLET in 1 BOTTLE  0005401438763
PDPs
317
MAPDs
GRANIX 300 MCG/0.5 ML SYRINGE
(tbo-filgrastim)
   6345909101140
PDPs
206
MAPDs
GRANIX 480 MCG/0.8 ML SYRINGE
(tbo-filgrastim)
   6345909121140
PDPs
206
MAPDs
GRASTEK 2;800 BAU SL TABLET
(timothy grass pollen allergen extract)
   0000642293021
PDPs
97
MAPDs
GRIS-PEG 125MG TABLET
(Griseofulvin Ultramicrosize)
100 BOT0088407630413
PDPs
67
MAPDs
GRIS-PEG 250 MG TABLET
(Griseofulvin Ultramicrosize)
100 EA  0088407730413
PDPs
67
MAPDs
Griseofulvin 125mg/5mL 120 mL in 1 BOTTLE
(Griseofulvin Microsize)
120 mL in 1 BOTTLE  0009371021265
PDPs
315
MAPDs
griseofulvin micro 500 mg tab
(Griseofulvin Microsize)
   6498001860146
PDPs
253
MAPDs
griseofulvin ultra 125 mg tab
(Griseofulvin Ultra)
   6498001840161
PDPs
279
MAPDs
griseofulvin ultra 250 mg tab
(Griseofulvin Ultra)
   6498001850161
PDPs
279
MAPDs
Guanfacine hcl er 1 mg tablet
(Guanfacine HCl)
   0022828501141
PDPs
212
MAPDs
GUANFACINE 1MG TABLET
(Guanfacine HCl)
100 BOT0059104440120
PDPs
175
MAPDs
Guanfacine hcl er 2 mg tablet
(Guanfacine HCl)
   0022828511141
PDPs
212
MAPDs
GUANFACINE 2MG TABLET (100 CT)
(Guanfacine HCl)
100 BOT0037811900120
PDPs
176
MAPDs
Guanfacine hcl er 3 mg tablet
(Guanfacine HCl)
   0022828531143
PDPs
220
MAPDs
Guanfacine hcl er 4 mg tablet
(Guanfacine HCl)
   0022828551143
PDPs
220
MAPDs
guanidine hcl 125 mg tablet
(Guanidine HCl)
   0008504920152
PDPs
297
MAPDs
GYNAZOLE-1 2% CREAM
(Butoconazole Nitrate (One Dose) Vaginal)
   640110246018
PDPs
61
MAPDs
HORIZANT ER 300 MG TABLET
(GABAPENTIN ENACARBIL)
   5345101030114
PDPs
87
MAPDs
HORIZANT ER 600 MG TABLET
(GABAPENTIN ENACARBIL)
   5345101010114
PDPs
87
MAPDs
ISOTON GENTAMICIN 80MG/100ML
(Gentamicin in Saline)
100 ML BAG0033805034859
PDPs
282
MAPDs
LOPID 600MG TABLET (500 CT)
(Gemfibrozil)
500 BOT000710737307
PDPs
27
MAPDs
NAGLAZYME 5MG/5ML VIAL
(Galsulfase)
5ML VIALSU6813500200167
PDPs
347
MAPDs
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M
(Neomycin-Polymyxin B-Gramicidin Ophth)
10 ML BOT2420807906264
PDPs
327
MAPDs
NEURONTIN 100MG CAPSULE
(Gabapentin)
100 BOT0007108032412
PDPs
41
MAPDs
NEURONTIN 250MG/5ML TUBEX
(Gabapentin)
470 ML BOT0007120122312
PDPs
51
MAPDs
NEURONTIN 300MG CAPSULE
(Gabapentin)
100 BOT0007108052412
PDPs
41
MAPDs
NEURONTIN 400MG CAPSULE
(Gabapentin)
100 BOT0007108062412
PDPs
41
MAPDs
NEURONTIN 600MG TABLET
(Gabapentin)
100 BOT0007105132412
PDPs
41
MAPDs
NEURONTIN 800MG TABLET
(Gabapentin)
100 BOT0007104012412
PDPs
41
MAPDs
NutreStore 5g/1 84 PACKET in 1 BOX / 1 POWDER, FOR SOLUTION in 1 PACKET
(Glutamine)
84 PACKET in 1 BOX / 1 PO  4245700018411
PDPs
59
MAPDs
POLYETH GLYC NF POWDER FOR ORAL SOLUTION 17GM (527 CT)
(Polyethylene Glycol 3350 Powder)
527 BOT0057404120567
PDPs
347
MAPDs
PRED G OPHTHALMIC SUSPENSION 1;0.3%;% 5 ML BOTDR
(Gentamicin-Prednisolone Ace Ophth)
5 ML BOTDR0002301060525
PDPs
137
MAPDs
PRED-G S.O.P. EYE OINTMENT
(Gentamicin-Prednisolone Ace Ophth)
3.5 GM TUBE0002300660423
PDPs
118
MAPDs
RAVICTI 1.1 GRAM/ML LIQUID
(glycerol phenylbutyrate)
25 ML  7632501000417
PDPs
92
MAPDs
RAZADYNE 12MG TABLET
(Galantamine Hydrobromide)
TABLETS BOT504580398608
PDPs
29
MAPDs
RAZADYNE 4MG TABLET
(Galantamine Hydrobromide)
60 TABLETS BOT504580396608
PDPs
29
MAPDs
RAZADYNE 8MG TABLET
(Galantamine Hydrobromide)
60 TABLETS BOT504580397608
PDPs
29
MAPDs
RAZADYNE ER 16MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT504580388308
PDPs
37
MAPDs
RAZADYNE ER 24MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT504580389308
PDPs
37
MAPDs
RAZADYNE ER 8MG CAPSULE
(Galantamine Hydrobromide)
30 CAPSULES BOT504580387308
PDPs
37
MAPDs
ROBINUL 1MG TABLET
(Glycopyrrolate)
100 TABS BOTPL596300200108
PDPs
46
MAPDs
ROBINUL FORTE 2MG TABLET
(Glycopyrrolate)
100 TABS BOTPL596300205108
PDPs
46
MAPDs
SANCUSO TRANSDERMAL SYSTEM 3.1MG/24HRS 1 PATCH CRTN
(Granisetron Transdermal)
1 PATCH CRTN4274707260129
PDPs
147
MAPDs
SIMPONI 100 MG/ML SYRINGE
(Golimumab Subcutaneous)
1 ML  5789400710126
PDPs
161
MAPDs
SIMPONI 100 MG/ML PEN INJECTOR
(Golimumab Subcutaneous)
1 ML  5789400710225
PDPs
158
MAPDs
SIMPONI 50 MG/0.5 ML PEN INJEC
(Golimumab Subcutaneous)
0.5 ML  5789400700224
PDPs
147
MAPDs
SIMPONI GOLIMUMAB INJECTION 50MG/0.5ML 1 50 MG SINGLE DOSE SYR SYR
(Golimumab Subcutaneous)
1 50 MG SINGLE DOSE SYR SYR5789400700124
PDPs
161
MAPDs
SIMPONI ARIA 50 MG/4 ML VIAL
(golimumab)
4 ML  5789403500117
PDPs
118
MAPDs
TENEX 1MG TABLET
(Guanfacine HCl)
500 TABS BOTPL678570705051
PDPs
18
MAPDs
TENEX 2MG TABLET
(Guanfacine HCl)
100 TABS BOTPL678570706011
PDPs
19
MAPDs
tiagabine hcl 2 mg tablet [Gabitril]
(Tiagabine HCl)
   6275602008367
PDPs
338
MAPDs
tiagabine hcl 4 mg tablet [Gabitril]
(Tiagabine HCl)
   6275602248367
PDPs
338
MAPDs
ZIPRASIDONE HCL 20 MG CAPSULE [Geodon]
(Ziprasidone HCl)
   6818003310767
PDPs
347
MAPDs
ZIPRASIDONE HCL 40 MG CAPSULE [Geodon]
(Ziprasidone HCl)
   6818003320767
PDPs
347
MAPDs
ZIPRASIDONE HCL 60 MG CAPSULE [Geodon]
(Ziprasidone HCl)
   5511102586067
PDPs
347
MAPDs
ZIPRASIDONE HCL 80 MG CAPSULE [Geodon]
(Ziprasidone HCl)
   0090462720867
PDPs
347
MAPDs
ZIRGAN 1.5mg/g 1 TUBE, WITH APPLICATOR per CARTON / 5 g in 1 TUBE, WITH APPLICATOR
(Ganciclovir Ophth)
1 TUBE, WITH APPLICATOR i  2420805353538
PDPs
210
MAPDs
ZYMAXID 5mg/mL 1 BOTTLE, DROPPER per CARTON / 2.5 mL in 1 BOTTLE, DROPPER
(Gatifloxacin Ophth)
1 BOTTLE, DROPPER in 1 CA  000233615258
PDPs
56
MAPDs



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





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