2026 Blue MedicareRx Premier (PDP) formulary (drug list)
Contract S2893, plan 003 · Connecticut · 3,277 drugs on file · formulary ID 00026130. Each drug links to its cost in every CMS PDP Region 02 plan.
10 drugs starting with Y.
| Drug name | Tier | 30-day preferred pharmacy | 90-day mail order | Usage management |
|---|---|---|---|---|
| YESINTEK 45 mg/.5mL Injection, SolutionUstekinumab | 3Preferred Brand | $30.00 | $60.00 |
|
| YESINTEK 45 mg/.5mL Injection, SolutionUstekinumab | 3Preferred Brand | $30.00 | $60.00 |
|
| YESINTEK 90 mg/mL Injection, SolutionUstekinumab | 5Specialty Tier | 33% | N/A |
|
| YF-VAX 4.74 [PFU]/.5mL Injection, Powder, Lyophilized, For SuspensionYellow Fever Virus Strain 17D-204 Live Antigen | 1Preferred Generic | $1.00 | $1.00 | None |
| YONSA 125 mg TabletAbiraterone Acetate | 5Specialty Tier | 33% | N/A |
|
| YUTREPIA 106 ug CapsuleTreprostinil | 5Specialty Tier | 33% | N/A |
|
| YUTREPIA 26.5 ug CapsuleTreprostinil | 5Specialty Tier | 33% | N/A |
|
| YUTREPIA 53 ug CapsuleTreprostinil | 5Specialty Tier | 33% | N/A |
|
| YUTREPIA 79.5 ug CapsuleTreprostinil | 5Specialty Tier | 33% | N/A |
|
| YUVAFEM 10 ug TabletEstradiol | 4Non-Preferred Drug | 35% | 35% | 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.