MedicarePartD.guide

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2026 Blue MedicareRx Value Plus (PDP) formulary (drug list)

Contract S2893, plan 001 · Connecticut · 3,150 drugs on file · formulary ID 00026129. Each drug links to its cost in every CMS PDP Region 02 plan.

Hide drugs on tiers

10 drugs starting with Y.

Drug nameTier30-day preferred pharmacy90-day mail orderUsage management
YESINTEK 45 mg/.5mL Injection, SolutionUstekinumab3Preferred Brand17%17%
  • PA
  • QL 0.5 per 28 days
YESINTEK 45 mg/.5mL Injection, SolutionUstekinumab3Preferred Brand17%17%
  • PA
  • QL 0.5 per 28 days
YESINTEK 90 mg/mL Injection, SolutionUstekinumab5Specialty Tier25%N/A
  • PA
  • QL 1 per 28 days
YF-VAX 4.74 [PFU]/.5mL Injection, Powder, Lyophilized, For SuspensionYellow Fever Virus Strain 17D-204 Live Antigen1Preferred Generic$0.00$0.00None
YONSA 125 mg TabletAbiraterone Acetate5Specialty Tier25%N/A
  • PA
  • QL 12 per 30 days
YUTREPIA 106 ug CapsuleTreprostinil5Specialty Tier25%N/A
  • PA
  • QL 224 per 28 days
YUTREPIA 26.5 ug CapsuleTreprostinil5Specialty Tier25%N/A
  • PA
  • QL 14 per 28 days
YUTREPIA 53 ug CapsuleTreprostinil5Specialty Tier25%N/A
  • PA
  • QL 14 per 28 days
YUTREPIA 79.5 ug CapsuleTreprostinil5Specialty Tier25%N/A
  • PA
  • QL 14 per 28 days
YUVAFEM 10 ug TabletEstradiol4Non-Preferred Drug32%32%None

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.