Medicare Drug Coverage — 2026
Browse all medications in our formulary database. Select a drug to see which Medicare plans cover it, tier levels, and cost information.
156 medications in our database
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{1 (0.1 Ml) (Diazepam 100 Mg/Ml Nasal Spray [Valtoco]) } Pack [Valtoco 10 Mg Dose Kit]{1 (0.1 Ml) (Diazepam 50 Mg/Ml Nasal Spray [Valtoco]) } Pack [Valtoco 5 Mg Dose Kit]{1 (0.4 Ml Adalimumab-Adaz 100 Mg/Ml Prefilled Syringe [Hyrimoz]) / 1 (0.8 Ml Adalimumab-Adaz 100 Mg/Ml Prefilled Syringe [Hyrimoz]) } Pack [Hyrimoz Pediatric Crohn'S Starter Kit Patient Weight < 40 Kg]{1 (1 Ml Mirikizumab-Mrkz 100 Mg/Ml Auto-Injector [Omvoh]) / 1 (2 Ml Mirikizumab-Mrkz 100 Mg/Ml Auto-Injector [Omvoh]) } Pack [Omvoh Prefilled Pen 300 Mg Dose Carton]{1 (1 Ml Mirikizumab-Mrkz 100 Mg/Ml Prefilled Syringe [Omvoh]) / 1 (2 Ml Mirikizumab-Mrkz 100 Mg/Ml Prefilled Syringe [Omvoh]) } Pack [Omvoh Prefilled Syringe 300 Mg Dose Carton]{1 (Aprepitant 125 Mg Oral Capsule [Emend]) / 2 (Aprepitant 80 Mg Oral Capsule [Emend]) } Pack [Emend Tri-Fold Pack]{1 (Aprepitant 125 Mg Oral Capsule) / 2 (Aprepitant 80 Mg Oral Capsule) } Pack{1 (Ascorbic Acid 7540 Mg / Polyethylene Glycol 3350 40000 Mg / Potassium Chloride 1200 Mg / Sodium Ascorbate 48110 Mg / Sodium Chloride 3200 Mg Powder For Oral Solution) / 1 (Polyethylene Glycol 3350 100000 Mg / Potassium Chloride 1000 Mg / Sodium Chloride 2000 Mg / Sodium Sulfate 9000 Mg Powder For Oral Solution) } Pack [Plenvu]{1 (Sodium Phenylbutyrate 2000 Mg Granules For Oral Suspension [Olpruva]) } Pack [Olpruva 2 Gm Pack]{1 (Sodium Phenylbutyrate 2000 Mg Granules For Oral Suspension [Olpruva]) / 1 (Sodium Phenylbutyrate 3000 Mg Granules For Oral Suspension [Olpruva]) } Pack [Olpruva 5 Gm Pack]{1 (Sodium Phenylbutyrate 3000 Mg Granules For Oral Suspension [Olpruva]) } Pack [Olpruva 3 Gm Pack]{1 (Sodium Phenylbutyrate 3000 Mg Granules For Oral Suspension [Olpruva]) / 1 (Sodium Phenylbutyrate 3670 Mg Granules For Oral Suspension [Olpruva]) } Pack [Olpruva 6.67 Gm Pack]{10 (Avatrombopag 20 Mg Oral Tablet [Doptelet]) } Pack [Doptelet 40 Mg Daily Dose Carton]{10 (Cladribine 10 Mg Oral Tablet [Mavenclad]) } Pack [Mavenclad 10 Tablet Pack]{10 (Nirmatrelvir 150 Mg Oral Tablet) / 10 (Ritonavir 100 Mg Oral Tablet) } Pack [Paxlovid 150 Mg /100 Mg Dose Pack]{11 (Varenicline 0.5 Mg Oral Tablet [Chantix]) / 42 (Varenicline 1 Mg Oral Tablet [Chantix]) } Pack [Chantix First Month Of Therapy]{11 (Varenicline 0.5 Mg Oral Tablet) / 42 (Varenicline 1 Mg Oral Tablet) } Pack{112 (Treprostinil 0.016 Mg Inhalation Powder [Tyvaso]) / 112 (Treprostinil 0.032 Mg Inhalation Powder [Tyvaso]) / 28 (Treprostinil 0.048 Mg Inhalation Powder [Tyvaso]) } Pack [Tyvaso 16-32-48 Mcg Titration Pack]{12 (Ethinyl Estradiol 0.035 Mg / Norethindrone 0.5 Mg Oral Tablet) / 9 (Ethinyl Estradiol 0.035 Mg / Norethindrone 1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Aranelle 28]{12 (Risedronate Sodium 35 Mg Oral Tablet) } Pack{12 (Siponimod 0.25 Mg Oral Tablet [Mayzent]) } Pack [Mayzent 2 Mg Starter Pack]{126 (12 Hr Treprostinil 0.125 Mg Extended Release Oral Tablet [Orenitram]) / 210 (12 Hr Treprostinil 0.25 Mg Extended Release Oral Tablet [Orenitram]) } Pack [Orenitram Month 2 Titration Kit]{126 (12 Hr Treprostinil 0.125 Mg Extended Release Oral Tablet [Orenitram]) / 42 (12 Hr Treprostinil 0.25 Mg Extended Release Oral Tablet [Orenitram]) } Pack [Orenitram Month 1 Titration Kit]{126 (12 Hr Treprostinil 0.125 Mg Extended Release Oral Tablet [Orenitram]) / 42 (12 Hr Treprostinil 0.25 Mg Extended Release Oral Tablet [Orenitram]) / 84 (12 Hr Treprostinil 1 Mg Extended Release Oral Tablet [Orenitram]) } Pack [Orenitram Month 3 Titration Kit]{14 (24 Hr Apremilast 75 Mg Extended Release Oral Tablet [Otezla]) / 4 (Apremilast 10 Mg Oral Tablet [Otezla]) / 4 (Apremilast 20 Mg Oral Tablet [Otezla]) / 19 (Apremilast 30 Mg Oral Tablet [Otezla]) } Pack [Otezla 28-Day 10/20/30/75 Starter Pack]{14 (24 Hr Lamotrigine 100 Mg Extended Release Oral Tablet [Lamictal]) / 7 (24 Hr Lamotrigine 200 Mg Extended Release Oral Tablet [Lamictal]) / 14 (24 Hr Lamotrigine 50 Mg Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal Xr Green Patient Titration Kit (For Patients Taking Carbamazepine, Phenytoin, Phenobarbital, Or Primidone, And Not Taking Valproate)]{14 (Cenobamate 100 Mg Oral Tablet [Xcopri]) / 14 (Cenobamate 50 Mg Oral Tablet [Xcopri]) } Pack [Xcopri Titration Pack - 50 Mg (14), 100 Mg (14) 28 Count]{14 (Cenobamate 12.5 Mg Oral Tablet [Xcopri]) / 14 (Cenobamate 25 Mg Oral Tablet [Xcopri]) } Pack [Xcopri Titration Pack - 12.5 Mg (14), 25 Mg (14) 28 Count]{14 (Cenobamate 150 Mg Oral Tablet [Xcopri]) / 14 (Cenobamate 200 Mg Oral Tablet [Xcopri]) } Pack [Xcopri Titration Pack - 150 Mg (14), 200 Mg (14) 28 Count]{14 (Dimethyl Fumarate 120 Mg Delayed Release Oral Capsule [Tecfidera]) / 46 (Dimethyl Fumarate 240 Mg Delayed Release Oral Capsule [Tecfidera]) } Pack [Tecfidera 30-Day Starter Pack]{14 (Dimethyl Fumarate 120 Mg Delayed Release Oral Capsule) / 46 (Dimethyl Fumarate 240 Mg Delayed Release Oral Capsule) } Pack{14 (Estrogens, Conjugated (Usp) 0.625 Mg / Medroxyprogesterone Acetate 5 Mg Oral Tablet) / 14 (Estrogens, Conjugated (Usp) 0.625 Mg Oral Tablet) } Pack [Premphase 28 Day]{14 (Lamotrigine 100 Mg Disintegrating Oral Tablet) / 42 (Lamotrigine 50 Mg Disintegrating Oral Tablet) } Pack{14 (Lamotrigine 100 Mg Oral Tablet [Subvenite]) / 84 (Lamotrigine 25 Mg Oral Tablet [Subvenite]) } Pack [Subvenite Green (For Patients Taking Carbamazepine, Phenytoin, Phenobarbital, Or Primidone And Not Taking Valproate)]{14 (Lamotrigine 100 Mg Oral Tablet) / 84 (Lamotrigine 25 Mg Oral Tablet) } Pack{14 (Migalastat 123 Mg Oral Capsule [Galafold]) } Pack [Galafold 28 Day Wallet]{14 (Nirogacestat 100 Mg Oral Tablet [Ogsiveo]) } Pack [Ogsiveo 100 Mg 7-Day]{14 (Nirogacestat 150 Mg Oral Tablet [Ogsiveo]) } Pack [Ogsiveo 150 Mg 7-Day]{14 (Venetoclax 10 Mg Oral Tablet [Venclexta]) / 21 (Venetoclax 100 Mg Oral Tablet [Venclexta]) / 7 (Venetoclax 50 Mg Oral Tablet [Venclexta]) } Pack [Venclexta Starting Pack]{140 (Selexipag 0.2 Mg Oral Tablet [Uptravi]) / 60 (Selexipag 0.8 Mg Oral Tablet [Uptravi]) } Pack [Uptravi Titration Pack]{15 (Avatrombopag 20 Mg Oral Tablet [Doptelet]) } Pack [Doptelet 60 Mg Daily Dose Carton]{16 (Selinexor 10 Mg Oral Tablet [Xpovio]) } Pack [Xpovio 40 Mg Once Weekly Carton-10 Mg Tablet]{16 (Tovorafenib 100 Mg Oral Tablet [Ojemda]) } Pack [Ojemda 400 Mg Once Weekly Carton]{18 (Estradiol 0.004 Mg Vaginal Insert [Imvexxy]) } Pack [Imvexxy 4 Mcg Starter Pack]{18 (Estradiol 0.01 Mg Vaginal Insert [Imvexxy]) } Pack [Imvexxy 10 Mcg Starter Pack]{18 (Oteseconazole 150 Mg Oral Capsule [Vivjoa]) } Pack [Vivjoa 18-Count]{180 (Danicopan 100 Mg Oral Tablet [Voydeya]) } Pack [Voydeya 200 Mg Dose Bottle]{2 (0.1 Ml) (Diazepam 100 Mg/Ml Nasal Spray [Valtoco]) } Pack [Valtoco 20 Mg Dose Kit]{2 (0.1 Ml) (Diazepam 75 Mg/Ml Nasal Spray [Valtoco]) } Pack [Valtoco 15 Mg Dose Kit]{2 (0.4 Ml Adalimumab 100 Mg/Ml Auto-Injector [Humira]) / 1 (0.8 Ml Adalimumab 100 Mg/Ml Auto-Injector [Humira]) } Pack [Humira Pen 80 Mg/0.8 Ml And 40 Mg/0.4 Ml - Psoriasis/Uveitis Starter Package]{2 (0.4 Ml Adalimumab-Adaz 100 Mg/Ml Auto-Injector [Hyrimoz]) / 1 (0.8 Ml Adalimumab-Adaz 100 Mg/Ml Auto-Injector [Hyrimoz]) } Pack [Hyrimoz Plaque Psoriasis Starter Kit]{2 (1.17 Ml Romosozumab-Aqqg 89.7 Mg/Ml Prefilled Syringe [Evenity]) } Pack [Evenity 210 Mg Dose]{2 (2 Ml Guselkumab 100 Mg/Ml Auto-Injector [Tremfya]) } Pack [Tremfya Induction Pack For Crohn'S Disease]{2 (24 Hr Levomilnacipran 20 Mg Extended Release Oral Capsule [Fetzima]) / 26 (24 Hr Levomilnacipran 40 Mg Extended Release Oral Capsule [Fetzima]) } Pack [Fetzima Pack]{2 (480 Ml) (Magnesium Sulfate 0.0277 Meq/Ml / Potassium Sulfate 0.0374 Meq/Ml / Sodium Sulfate 0.257 Meq/Ml Oral Solution) } Pack{2 (480 Ml) (Magnesium Sulfate 0.0277 Meq/Ml / Potassium Sulfate 0.0374 Meq/Ml / Sodium Sulfate 0.257 Meq/Ml Oral Solution) } Pack [Suprep Bowel Prep Kit]{2 (Iloperidone 1 Mg Oral Tablet [Fanapt]) / 2 (Iloperidone 2 Mg Oral Tablet [Fanapt]) / 2 (Iloperidone 4 Mg Oral Tablet [Fanapt]) / 2 (Iloperidone 6 Mg Oral Tablet [Fanapt]) } Pack [Fanapt Titration Pack]{2 (Magnesium Sulfate 900 Mg / Polyethylene Glycol 3350 179000 Mg / Potassium Chloride 1120 Mg / Sodium Chloride 500 Mg / Sodium Sulfate 7300 Mg Powder For Oral Solution) } Pack [Suflave]{2 (Sodium Phenylbutyrate 2000 Mg Granules For Oral Suspension [Olpruva]) } Pack [Olpruva 4 Gm Pack]{2 (Sodium Phenylbutyrate 3000 Mg Granules For Oral Suspension [Olpruva]) } Pack [Olpruva 6 Gm Pack]{2 (Sotatercept-Csrk 45 Mg Injection [Winrevair]) } Pack [Winrevair 45 Mg, 2 Vial Kit]{2 (Sotatercept-Csrk 60 Mg Injection [Winrevair]) } Pack [Winrevair 60 Mg, 2 Vial Kit]{20 (Nirmatrelvir 150 Mg Oral Tablet) / 10 (Ritonavir 100 Mg Oral Tablet) } Pack [Paxlovid 5-Day]{20 (Tovorafenib 100 Mg Oral Tablet [Ojemda]) } Pack [Ojemda 500 Mg Once Weekly Carton]{21 (24 Hr Lamotrigine 25 Mg Extended Release Oral Tablet [Lamictal]) / 7 (24 Hr Lamotrigine 50 Mg Extended Release Oral Tablet [Lamictal]) } Pack [Lamictal Xr Blue Patient Titration Kit (For Patients Taking Valproate)]{21 (Desogestrel 0.15 Mg / Ethinyl Estradiol 0.02 Mg Oral Tablet) / 5 (Ethinyl Estradiol 0.01 Mg Oral Tablet) / 2 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Azurette 28 Day]{21 (Desogestrel 0.15 Mg / Ethinyl Estradiol 0.02 Mg Oral Tablet) / 5 (Ethinyl Estradiol 0.01 Mg Oral Tablet) / 2 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Kariva 28 Day]{21 (Desogestrel 0.15 Mg / Ethinyl Estradiol 0.02 Mg Oral Tablet) / 5 (Ethinyl Estradiol 0.01 Mg Oral Tablet) / 2 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Pimtrea Pack]{21 (Desogestrel 0.15 Mg / Ethinyl Estradiol 0.03 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Apri 28 Day]{21 (Desogestrel 0.15 Mg / Ethinyl Estradiol 0.03 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Cyred 28 Day]{21 (Desogestrel 0.15 Mg / Ethinyl Estradiol 0.03 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Enskyce 28 Day]{21 (Desogestrel 0.15 Mg / Ethinyl Estradiol 0.03 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Isibloom 28 Day]{21 (Desogestrel 0.15 Mg / Ethinyl Estradiol 0.03 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Juleber 28 Day]{21 (Desogestrel 0.15 Mg / Ethinyl Estradiol 0.03 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Reclipsen 28 Day]{21 (Dexamethasone 1.5 Mg Oral Tablet) } Pack{21 (Drospirenone 3 Mg / Ethinyl Estradiol 0.03 Mg / Levomefolate Calcium 0.451 Mg Oral Tablet) / 7 (Levomefolate Calcium 0.451 Mg Oral Tablet) } Pack [Safyral 28 Day]{21 (Drospirenone 3 Mg / Ethinyl Estradiol 0.03 Mg / Levomefolate Calcium 0.451 Mg Oral Tablet) / 7 (Levomefolate Calcium 0.451 Mg Oral Tablet) } Pack [Tydemy 28 Day]{21 (Drospirenone 3 Mg / Ethinyl Estradiol 0.03 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack{21 (Drospirenone 3 Mg / Ethinyl Estradiol 0.03 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Syeda 28 Day]{21 (Drospirenone 3 Mg / Ethinyl Estradiol 0.03 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Yasmin 28 Day]{21 (Ethinyl Estradiol 0.02 Mg / Levonorgestrel 0.1 Mg Oral Tablet) / 7 (Ferrous Bisglycinate 36.5 Mg Oral Tablet) } Pack [Balcoltra 28 Day]{21 (Ethinyl Estradiol 0.02 Mg / Levonorgestrel 0.1 Mg Oral Tablet) / 7 (Ferrous Bisglycinate 36.5 Mg Oral Tablet) } Pack [Minzoya 28 Day]{21 (Ethinyl Estradiol 0.02 Mg / Levonorgestrel 0.1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack{21 (Ethinyl Estradiol 0.02 Mg / Levonorgestrel 0.1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Aubra 28 Day]{21 (Ethinyl Estradiol 0.02 Mg / Levonorgestrel 0.1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Aviane 28]{21 (Ethinyl Estradiol 0.02 Mg / Levonorgestrel 0.1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Falmina 28 Day]{21 (Ethinyl Estradiol 0.02 Mg / Levonorgestrel 0.1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Joyeaux 28 Day]{21 (Ethinyl Estradiol 0.02 Mg / Levonorgestrel 0.1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Lessina 28 Day]{21 (Ethinyl Estradiol 0.02 Mg / Levonorgestrel 0.1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Lutera 28 Day]{21 (Ethinyl Estradiol 0.02 Mg / Levonorgestrel 0.1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Sronyx 28 Day]{21 (Ethinyl Estradiol 0.02 Mg / Levonorgestrel 0.1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Vienva 28 Day]{21 (Ethinyl Estradiol 0.02 Mg / Norethindrone Acetate 1 Mg Oral Tablet) } Pack{21 (Ethinyl Estradiol 0.02 Mg / Norethindrone Acetate 1 Mg Oral Tablet) } Pack [Junel 1/20 21 Day]{21 (Ethinyl Estradiol 0.02 Mg / Norethindrone Acetate 1 Mg Oral Tablet) } Pack [Larin 1/20]{21 (Ethinyl Estradiol 0.02 Mg / Norethindrone Acetate 1 Mg Oral Tablet) } Pack [Loestrin 1/20 21 Day]{21 (Ethinyl Estradiol 0.02 Mg / Norethindrone Acetate 1 Mg Oral Tablet) } Pack [Luizza 1/20 21 Day]{21 (Ethinyl Estradiol 0.02 Mg / Norethindrone Acetate 1 Mg Oral Tablet) } Pack [Microgestin 1/20 21 Day]{21 (Ethinyl Estradiol 0.02 Mg / Norethindrone Acetate 1 Mg Oral Tablet) / 7 (Ferrous Fumarate 75 Mg Oral Tablet) } Pack [Feirza 1/20 28 Day]{21 (Ethinyl Estradiol 0.02 Mg / Norethindrone Acetate 1 Mg Oral Tablet) / 7 (Ferrous Fumarate 75 Mg Oral Tablet) } Pack [Junel Fe 1/20 28 Day]{21 (Ethinyl Estradiol 0.02 Mg / Norethindrone Acetate 1 Mg Oral Tablet) / 7 (Ferrous Fumarate 75 Mg Oral Tablet) } Pack [Larin Fe 1/20]{21 (Ethinyl Estradiol 0.02 Mg / Norethindrone Acetate 1 Mg Oral Tablet) / 7 (Ferrous Fumarate 75 Mg Oral Tablet) } Pack [Loestrin Fe 1/20 28 Day]{21 (Ethinyl Estradiol 0.02 Mg / Norethindrone Acetate 1 Mg Oral Tablet) / 7 (Ferrous Fumarate 75 Mg Oral Tablet) } Pack [Microgestin Fe 1/20 28 Day]{21 (Ethinyl Estradiol 0.02 Mg / Norethindrone Acetate 1 Mg Oral Tablet) / 7 (Ferrous Fumarate 75 Mg Oral Tablet) } Pack [Tarina Fe 1/20 28 Day]{21 (Ethinyl Estradiol 0.03 Mg / Levonorgestrel 0.15 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack{21 (Ethinyl Estradiol 0.03 Mg / Levonorgestrel 0.15 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Altavera 28 Day]{21 (Ethinyl Estradiol 0.03 Mg / Levonorgestrel 0.15 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Kurvelo]{21 (Ethinyl Estradiol 0.03 Mg / Levonorgestrel 0.15 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Levora 0.15/30 28 Day]{21 (Ethinyl Estradiol 0.03 Mg / Levonorgestrel 0.15 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Marlissa 28 Day]{21 (Ethinyl Estradiol 0.03 Mg / Levonorgestrel 0.15 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Portia 28 Day]{21 (Ethinyl Estradiol 0.03 Mg / Norethindrone Acetate 1.5 Mg Oral Tablet) } Pack [Junel 1.5/30 21 Day]{21 (Ethinyl Estradiol 0.03 Mg / Norethindrone Acetate 1.5 Mg Oral Tablet) } Pack [Larin 1.5/30]{21 (Ethinyl Estradiol 0.03 Mg / Norethindrone Acetate 1.5 Mg Oral Tablet) } Pack [Loestrin 1.5/30 21 Day]{21 (Ethinyl Estradiol 0.03 Mg / Norethindrone Acetate 1.5 Mg Oral Tablet) } Pack [Luizza 1.5/30 21 Day]{21 (Ethinyl Estradiol 0.03 Mg / Norethindrone Acetate 1.5 Mg Oral Tablet) } Pack [Microgestin 1.5/30 21 Day]{21 (Ethinyl Estradiol 0.03 Mg / Norethindrone Acetate 1.5 Mg Oral Tablet) / 7 (Ferrous Fumarate 75 Mg Oral Tablet) } Pack [Blisovi 21 Fe 1.5/30 28 Day Pack]{21 (Ethinyl Estradiol 0.03 Mg / Norethindrone Acetate 1.5 Mg Oral Tablet) / 7 (Ferrous Fumarate 75 Mg Oral Tablet) } Pack [Feirza 1.5/30 28 Day]{21 (Ethinyl Estradiol 0.03 Mg / Norethindrone Acetate 1.5 Mg Oral Tablet) / 7 (Ferrous Fumarate 75 Mg Oral Tablet) } Pack [Junel Fe 1.5/30 28 Day]{21 (Ethinyl Estradiol 0.03 Mg / Norethindrone Acetate 1.5 Mg Oral Tablet) / 7 (Ferrous Fumarate 75 Mg Oral Tablet) } Pack [Larin Fe 1.5/30]{21 (Ethinyl Estradiol 0.03 Mg / Norethindrone Acetate 1.5 Mg Oral Tablet) / 7 (Ferrous Fumarate 75 Mg Oral Tablet) } Pack [Loestrin Fe 1.5/30 28 Day]{21 (Ethinyl Estradiol 0.03 Mg / Norethindrone Acetate 1.5 Mg Oral Tablet) / 7 (Ferrous Fumarate 75 Mg Oral Tablet) } Pack [Microgestin Fe 1.5/30 28 Day]{21 (Ethinyl Estradiol 0.03 Mg / Norgestrel 0.3 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Cryselle 28]{21 (Ethinyl Estradiol 0.03 Mg / Norgestrel 0.3 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Low-Ogestrel 28 Day]{21 (Ethinyl Estradiol 0.03 Mg / Norgestrel 0.3 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Turqoz 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Ethynodiol Diacetate 1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Kelnor 1/35 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Ethynodiol Diacetate 1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Valtya 1/35 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Ethynodiol Diacetate 1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Zovia 1/35E 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Norethindrone 0.4 Mg Chewable Tablet) / 7 (Ferrous Fumarate 75 Mg Chewable Tablet) } Pack [Wymzya Fe 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Norethindrone 0.4 Mg Chewable Tablet) / 7 (Ferrous Fumarate 75 Mg Chewable Tablet) } Pack [Xelria Fe 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Norethindrone 0.4 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Balziva 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Norethindrone 0.4 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Briellyn 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Norethindrone 0.4 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Vyfemla 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Norethindrone 0.5 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Necon 0.5/35 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Norethindrone 0.5 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Nortrel 0.5/35 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Norethindrone 1 Mg Oral Tablet) } Pack [Nortrel 1/35 21 Day]{21 (Ethinyl Estradiol 0.035 Mg / Norethindrone 1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Alyacen 1/35]{21 (Ethinyl Estradiol 0.035 Mg / Norethindrone 1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Nortrel 1/35 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Norethindrone 1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Nylia 1/35 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Norgestimate 0.25 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack{21 (Ethinyl Estradiol 0.035 Mg / Norgestimate 0.25 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Estarylla 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Norgestimate 0.25 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Mili 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Norgestimate 0.25 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Sprintec 28 Day]{21 (Ethinyl Estradiol 0.035 Mg / Norgestimate 0.25 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Vylibra 28 Day]{21 (Ethinyl Estradiol 0.05 Mg / Ethynodiol Diacetate 1 Mg Oral Tablet) / 7 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Valtya 1/50 28 Day]{21 (Futibatinib 4 Mg Oral Tablet [Lytgobi]) } Pack [Lytgobi 12 Mg Daily Dose]{21 (Lamotrigine 25 Mg Disintegrating Oral Tablet) / 7 (Lamotrigine 50 Mg Disintegrating Oral Tablet) } Pack{21 (Memantine Hydrochloride 10 Mg Oral Tablet) / 28 (Memantine Hydrochloride 5 Mg Oral Tablet) } Pack{21 (Methylprednisolone 4 Mg Oral Tablet [Medrol]) } Pack [Medrol Dosepak]{21 (Methylprednisolone 4 Mg Oral Tablet) } Pack{21 (Prednisone 10 Mg Oral Tablet) } Pack{21 (Prednisone 5 Mg Oral Tablet) } Pack{21 (Ribociclib 200 Mg Oral Tablet [Kisqali]) } Pack [Kisqali 200 Mg Daily Dose Carton]{224 (Tobramycin 28 Mg Inhalation Powder [Tobi]) } Pack [Tobi Podhaler Kit]{23 (Brigatinib 180 Mg Oral Tablet [Alunbrig]) / 7 (Brigatinib 90 Mg Oral Tablet [Alunbrig]) } Pack [Alunbrig Initiation Pack]{24 (Avutometinib 0.8 Mg Oral Capsule [Avmapki]) / 42 (Defactinib 200 Mg Oral Tablet [Fakzynja]) } Pack [Avmapki Fakzynja Co-Pack]{24 (Drospirenone 3 Mg / Estetrol 14.2 Mg Oral Tablet) / 4 (Inert Ingredients 1 Mg Oral Tablet) } Pack [Nextstellis 28 Day]{24 (Drospirenone 3 Mg / Ethinyl Estradiol 0.02 Mg / Levomefolate Calcium 0.451 Mg Oral Tablet) / 4 (Levomefolate Calcium 0.451 Mg Oral Tablet) } Pack
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.
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