2026 Wellcare Value Script (PDP) formulary (drug list)

Contract S4802, plan 165 · Alaska · 3,194 drugs on file · formulary ID 00026195. Each drug links to its cost in every CMS PDP Region 34 plan.

132 drugs starting with N.

Drug name	Tier	30-day preferred pharmacy	90-day mail order	Usage management
NABUMETONE 500 mg Tablet, Film Coated	2Generic	$3.00	$9.00	None
NABUMETONE 750 mg Tablet	2Generic	$3.00	$9.00	None
NADOLOL 20 mg Tablet	4Non-Preferred Drug	40%	40%	None
NADOLOL 40 mg Tablet	4Non-Preferred Drug	40%	40%	None
NADOLOL 80 mg Tablet	4Non-Preferred Drug	40%	40%	None
NAFCILLIN 1 g/4mL Injection, Powder, For SolutionNafcillin Sodium	4Non-Preferred Drug	40%	40%	None
NAFCILLIN 10 g Injection, Powder, For Solution	5Specialty Tier	25%	N/A	None
NAFCILLIN 2 g/8mL Injection, Powder, Lyophilized, For SolutionNafcillin Sodium	4Non-Preferred Drug	40%	40%	None
NALOXONE HYDROCHLORIDE .4 mg/mL Injection, Solution	2Generic	$3.00	$9.00	None
NALOXONE HYDROCHLORIDE .4 mg/mL Injection, Solution	2Generic	$3.00	$9.00	None
NALOXONE HYDROCHLORIDE 1 mg/mL Injection	2Generic	$3.00	$9.00	None
NALTREXONE HYDROCHLORIDE 50 mg Tablet, Film Coated	2Generic	$3.00	$9.00	None
NAPROXEN 250 mg Tablet	1Preferred Generic	$0.00	$0.00	None
NAPROXEN 375 mg Tablet	1Preferred Generic	$0.00	$0.00	None
NAPROXEN 375 mg Tablet, Delayed Release	2Generic	$3.00	$9.00	None
NAPROXEN 500 mg Tablet	1Preferred Generic	$0.00	$0.00	None
NAPROXEN SODIUM 275 mg Tablet, Film Coated	4Non-Preferred Drug	40%	40%	None
NAPROXEN SODIUM 550 mg Tablet	4Non-Preferred Drug	40%	40%	None
NARATRIPTAN 1 mg Tablet	4Non-Preferred Drug	40%	40%	QL 18 per 28 days
NARATRIPTAN 2.5 mg Tablet	4Non-Preferred Drug	40%	40%	QL 18 per 28 days
NATACYN 50 mg/mL Suspension/ DropsNatamycin	4Non-Preferred Drug	40%	40%	None
NATEGLINIDE 120 mg Tablet, Film Coated	1Preferred Generic	$0.00	$0.00	QL 9 per 30 days
NATEGLINIDE 60 mg Tablet, Film Coated	1Preferred Generic	$0.00	$0.00	QL 18 per 30 days
NAYZILAM 5 mg/.1mL SprayMidazolam	4Non-Preferred Drug	40%	40%	PA QL 1 per 30 days
NEBIVOLOL 10 mg Tablet	4Non-Preferred Drug	40%	40%	None
NEBIVOLOL 2.5 mg Tablet	4Non-Preferred Drug	40%	40%	None
NEBIVOLOL 20 mg Tablet	4Non-Preferred Drug	40%	40%	None
NEBIVOLOL 5 mg Tablet	4Non-Preferred Drug	40%	40%	None
NEFAZODONE HYDROCHLORIDE 100 mg Tablet	4Non-Preferred Drug	40%	40%	None
NEFAZODONE HYDROCHLORIDE 150 mg Tablet	4Non-Preferred Drug	40%	40%	None
NEFAZODONE HYDROCHLORIDE 200 mg Tablet	4Non-Preferred Drug	40%	40%	None
NEFAZODONE HYDROCHLORIDE 250 mg Tablet	4Non-Preferred Drug	40%	40%	None
NEFAZODONE HYDROCHLORIDE 50 mg Tablet	4Non-Preferred Drug	40%	40%	None
NEOMYCIN AND POLYMYXIN B SULFATES AND BACITRACIN ZINC 3.5/10000/400 mg/g/[USP'U]/g OintmentNeomycin Sulfate, Polymyxin B Sulfate And Bacitracin Zinc	4Non-Preferred Drug	40%	40%	None
NEOMYCIN AND POLYMYXIN B SULFATES AND DEXAMETHASONE 3.5/10000/1 mg/g/[USP'U]/g OintmentNeomycin Sulfate, Polymyxin B Sulfate, And Dexamethasone	2Generic	$3.00	$9.00	None
NEOMYCIN AND POLYMYXIN B SULFATES AND GRAMICIDIN 1.75/10000/.025 mg/mL/[USP'U]/mL Solution/ DropsNeomycin Sulfate, Polymyxin B Sulfate And Gramicidin	4Non-Preferred Drug	40%	40%	None
NEOMYCIN AND POLYMYXIN B SULFATES AND HYDROCORTISONE 10/3.5/10000 mg/mL/[USP'U]/mL Suspension/ DropsNeomycin Sulfate, Polymyxin B Sulfate And Hydrocortisone	4Non-Preferred Drug	40%	40%	None
NEOMYCIN AND POLYMYXIN B SULFATES AND HYDROCORTISONE 3.5/10000/10 mg/mL/[USP'U]/mL Solution/ DropsNeomycin Sulfate, Polymyxin B Sulfate, Hydrocortisone	4Non-Preferred Drug	40%	40%	None
NEOMYCIN AND POLYMYXIN B SULFATES AND HYDROCORTISONE 3.5/10000/10 mg/mL/[USP'U]/mL SuspensionNeomycin Sulfate, Polymyxin B Sulfate And Hydrocortisone	4Non-Preferred Drug	40%	40%	None
NEOMYCIN AND POLYMYXIN B SULFATES, BACITRACIN ZINC AND HYDROCORTISONE 3.5/10000/400/10 mg/g/[USP'U]/g OintmentNeomycin Sulfate And Polymyxin B Sulfate, Bacitracin Zinc And Hydrocortisone	4Non-Preferred Drug	40%	40%	None
NEOMYCIN POLYMYXIN B SULFATES AND DEXAMETHASONE 3.5/10000/1 mg/mL/[USP'U]/mL Suspension/ DropsNeomycin Sulfate, Polymyxin B Sulfate And Dexamethasone	2Generic	$3.00	$9.00	None
NEOMYCIN SULFATE 500 mg Tablet	2Generic	$3.00	$9.00	None
NERLYNX 40 mg TabletNeratinib	5Specialty Tier	25%	N/A	PA
NEVIRAPINE 200 mg Tablet	2Generic	$3.00	$9.00	None
NEVIRAPINE 400 mg Tablet, Extended Release	4Non-Preferred Drug	40%	40%	None
NEVIRAPINE 50 mg/5mL Suspension	4Non-Preferred Drug	40%	40%	None
NEXLETOL 180 mg Tablet, Film CoatedBempedoic Acid	3Preferred Brand	25%	25%	PA
NEXPLANON 68 mg ImplantEtonogestrel	3Preferred Brand	25%	25%	None
NIACIN 1000 mg Tablet, Extended Release	4Non-Preferred Drug	40%	40%	None
NIACIN 500 mg Tablet, Extended Release	4Non-Preferred Drug	40%	40%	None
NIACIN 750 mg Tablet, Film Coated, Extended Release	4Non-Preferred Drug	40%	40%	None
NICARDIPINE HYDROCHLORIDE 20 mg Capsule	4Non-Preferred Drug	40%	40%	None
NICARDIPINE HYDROCHLORIDE 30 mg Capsule	4Non-Preferred Drug	40%	40%	None
NICOTROL 10 mg/mL Spray, MeteredNicotine	4Non-Preferred Drug	40%	40%	None
NIFEDIPINE 30 mg Tablet, Extended Release	2Generic	$3.00	$9.00	None
NIFEDIPINE 30 mg Tablet, Film Coated, Extended Release	2Generic	$3.00	$9.00	None
NIFEDIPINE 60 mg Tablet, Extended Release	2Generic	$3.00	$9.00	None
NIFEDIPINE 60 mg Tablet, Film Coated, Extended Release	2Generic	$3.00	$9.00	None
NIFEDIPINE 90 mg Tablet, Extended Release	2Generic	$3.00	$9.00	None
NIFEDIPINE 90 mg Tablet, Film Coated, Extended Release	2Generic	$3.00	$9.00	None
NIKKI KitDrospirenone And Ethinyl Estradiol	2Generic	$3.00	$9.00	None
NILOTINIB 150 mg Capsule	5Specialty Tier	25%	N/A	PA QL 112 per 28 days
NILOTINIB 200 mg Capsule	5Specialty Tier	25%	N/A	PA QL 112 per 28 days
NILOTINIB 50 mg Capsule	5Specialty Tier	25%	N/A	PA QL 12 per 30 days
NILUTAMIDE 150 mg Tablet	5Specialty Tier	25%	N/A	None
NIMODIPINE 30 mg Capsule, Liquid Filled	4Non-Preferred Drug	40%	40%	None
NINLARO 2.3 mg CapsuleIxazomib	5Specialty Tier	25%	N/A	PA QL 3 per 28 days
NINLARO 3 mg CapsuleIxazomib	5Specialty Tier	25%	N/A	PA QL 3 per 28 days
NINLARO 4 mg CapsuleIxazomib	5Specialty Tier	25%	N/A	PA QL 3 per 28 days
NITAZOXANIDE 500 mg Tablet, Film Coated	5Specialty Tier	25%	N/A	QL 12 per 30 days
NITISINONE 10 mg Capsule	5Specialty Tier	25%	N/A	PA
NITISINONE 2 mg Capsule	5Specialty Tier	25%	N/A	PA
NITISINONE 20 mg Capsule	5Specialty Tier	25%	N/A	PA
NITISINONE 5 mg Capsule	5Specialty Tier	25%	N/A	PA
NITROFURANTOIN (MACROCRYSTALS) 100 mg Capsule	4Non-Preferred Drug	40%	40%	None
NITROFURANTOIN (MONOHYDRATE/MACROCRYSTALS) 75/25 mg Capsule	4Non-Preferred Drug	40%	40%	None
NITROFURANTOIN MACROCRYSTALS 50 mg Capsule	2Generic	$3.00	$9.00	None
NITROGLYCERIN .1 mg/h Patch	2Generic	$3.00	$9.00	None
NITROGLYCERIN .2 mg/h Patch	2Generic	$3.00	$9.00	None
NITROGLYCERIN .3 mg Tablet	2Generic	$3.00	$9.00	None
NITROGLYCERIN .4 mg Tablet	2Generic	$3.00	$9.00	None
NITROGLYCERIN .4 mg/h Patch	2Generic	$3.00	$9.00	None
NITROGLYCERIN .6 mg Tablet	2Generic	$3.00	$9.00	None
NITROGLYCERIN .6 mg/h Patch	2Generic	$3.00	$9.00	None
NITROGLYCERIN 4 mg/g Ointment	4Non-Preferred Drug	40%	40%	QL 3 per 30 days
NIVESTYM 300 ug/.5mL Injection, SolutionFilgrastim-Aafi	5Specialty Tier	25%	N/A	PA
NIVESTYM 300 ug/mL Injection, SolutionFilgrastim-Aafi	5Specialty Tier	25%	N/A	PA
NIVESTYM 480 ug/.8mL Injection, SolutionFilgrastim-Aafi	5Specialty Tier	25%	N/A	PA
NIVESTYM 480 ug/1.6mL Injection, SolutionFilgrastim-Aafi	5Specialty Tier	25%	N/A	PA
NORA BE .35 mg TabletNorethindrone	2Generic	$3.00	$9.00	None
NORELGESTROMIN AND ETHINYL ESTRADIOL 150/35 ug/mg Patch	3Preferred Brand	25%	25%	None
NORETHINDRONE .35 mg Tablet	2Generic	$3.00	$9.00	None
NORETHINDRONE ACETATE 5 mg Tablet	2Generic	$3.00	$9.00	None
NORETHINDRONE ACETATE AND ETHINYL ESTRADIOL 1/.02 mg Tablet	2Generic	$3.00	$9.00	None
NORETHINDRONE ACETATE AND ETHINYL ESTRADIOL 1/5 mg/ug Tablet	4Non-Preferred Drug	40%	40%	None
NORGESTIMATE AND ETHINYL ESTRADIOL Kit	2Generic	$3.00	$9.00	None
NORGESTIMATE AND ETHINYL ESTRADIOL Kit	2Generic	$3.00	$9.00	None
NORGESTIMATE AND ETHINYL ESTRADIOL Kit	2Generic	$3.00	$9.00	None
NORTREL 21 DAY 1/.035 mg TabletNorethindrone And Ethinyl Estradiol	4Non-Preferred Drug	40%	40%	None
NORTREL 28 DAY KitNorethindrone And Ethinyl Estradiol	4Non-Preferred Drug	40%	40%	None
NORTREL 28 DAY KitNorethindrone And Ethinyl Estradiol	4Non-Preferred Drug	40%	40%	None
NORTREL 7/7/7 (28 DAY REGIMEN) KitNorethindrone And Ethinyl Estradiol	4Non-Preferred Drug	40%	40%	None
NORTRIPTYLINE HYDROCHLORIDE 10 mg Capsule	2Generic	$3.00	$9.00	None
NORTRIPTYLINE HYDROCHLORIDE 10 mg/5mL Solution	4Non-Preferred Drug	40%	40%	None
NORTRIPTYLINE HYDROCHLORIDE 25 mg Capsule	2Generic	$3.00	$9.00	None
NORTRIPTYLINE HYDROCHLORIDE 50 mg Capsule	2Generic	$3.00	$9.00	None
NORTRIPTYLINE HYDROCHLORIDE 75 mg Capsule	2Generic	$3.00	$9.00	None
NORVIR 100 mg PowderRitonavir	3Preferred Brand	25%	25%	None
NOVOLIN 70/30 100 [iU]/mL Injection, SuspensionHuman Insulin	3Preferred Brand	25%	25%	None
NOVOLIN 70/30 100 [iU]/mL Injection, SuspensionHuman Insulin	3Preferred Brand	25%	25%	None
NOVOLIN N 100 [iU]/mL Injection, SuspensionHuman Insulin	3Preferred Brand	25%	25%	None
NOVOLIN N 100 [iU]/mL Injection, SuspensionHuman Insulin	3Preferred Brand	25%	25%	None
NOVOLIN R 100 [iU]/mL Injection, SolutionHuman Insulin	3Preferred Brand	25%	25%	None
NOVOLIN R 100 [iU]/mL Injection, SolutionHuman Insulin	3Preferred Brand	25%	25%	None
NOVOLOG 100 [iU]/mL Injection, SolutionInsulin Aspart	3Preferred Brand	25%	25%	None
NOVOLOG 100 [iU]/mL Injection, SolutionInsulin Aspart	3Preferred Brand	25%	25%	None
NOVOLOG 100 [iU]/mL Injection, SolutionInsulin Aspart	3Preferred Brand	25%	25%	None
NOVOLOG MIX 70/30 100 [iU]/mL Injection, SuspensionInsulin Aspart	3Preferred Brand	25%	25%	None
NOVOLOG MIX 70/30 100 [iU]/mL Injection, SuspensionInsulin Aspart	3Preferred Brand	25%	25%	None
NUBEQA 300 mg Tablet, Film CoatedDarolutamide	5Specialty Tier	25%	N/A	PA QL 12 per 30 days
NUEDEXTA 20/10 mg Capsule, Gelatin CoatedDextromethorphan Hydrobromide And Quinidine Sulfate	3Preferred Brand	25%	25%	PA QL 6 per 30 days
NUPLAZID 10 mg Tablet, CoatedPimavanserin Tartrate	5Specialty Tier	25%	N/A	PA QL 3 per 30 days
NUPLAZID 34 mg CapsulePimavanserin Tartrate	5Specialty Tier	25%	N/A	PA QL 3 per 30 days
NURTEC ODT 75 mg Tablet, Orally DisintegratingRimegepant Sulfate	5Specialty Tier	25%	N/A	PA QL 16 per 30 days
NYAMYC 100000 [USP'U]/g PowderNystatin	4Non-Preferred Drug	40%	40%	QL 12 per 30 days
NYSTATIN 100000 [USP'U]/g Cream	2Generic	$3.00	$9.00	QL 3 per 28 days
NYSTATIN 100000 [USP'U]/g Ointment	2Generic	$3.00	$9.00	QL 3 per 28 days
NYSTATIN 100000 [USP'U]/g Powder	2Generic	$3.00	$9.00	QL 12 per 30 days
NYSTATIN 100000 [USP'U]/mL Suspension	4Non-Preferred Drug	40%	40%	None
NYSTATIN 500000 [USP'U] Tablet, Coated	4Non-Preferred Drug	40%	40%	None
NYSTOP 100000 [USP'U]/g PowderNystatin	4Non-Preferred Drug	40%	40%	QL 12 per 30 days
NYVEPRIA 6 mg/.6mL Injection, SolutionPegfilgrastim-Apgf	5Specialty Tier	25%	N/A	PA

PA = prior authorization, ST = step therapy, QL = quantity limit. Costs are the plan’s initial-coverage cost-sharing from the CMS 2026 formulary files; a drug not listed here is not on this plan’s formulary, though a formulary exception may still be possible.