MedicarePartD.guide

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2026 AARP Medicare Rx Preferred from UHC (PDP) formulary (drug list)

Contract S5921, plan 387 · Washington D.C. · 3,518 drugs on file · formulary ID 00026000. Each drug links to its cost in every CMS PDP Region 05 plan.

Hide drugs on tiers

6 drugs starting with Y.

Drug nameTier30-day preferred pharmacy90-day mail orderUsage management
YARGESA 100 mg CapsuleMiglustat5Specialty Tier31%N/A
  • PA
YESINTEK 45 mg/.5mL Injection, SolutionUstekinumab3Preferred Brand17%17%
  • PA
  • QL 3 per 84 days
YESINTEK 45 mg/.5mL Injection, SolutionUstekinumab3Preferred Brand17%17%
  • PA
  • QL 3 per 84 days
YESINTEK 90 mg/mL Injection, SolutionUstekinumab5Specialty Tier31%N/A
  • PA
  • QL 3 per 84 days
YF-VAX 4.74 [PFU]/.5mL Injection, Powder, Lyophilized, For SuspensionYellow Fever Virus Strain 17D-204 Live Antigen3Preferred Brand17%17%
  • QL 1 per 1 days
YUVAFEM 10 ug TabletEstradiol3Preferred Brand17%17%
  • QL 18 per 28 days

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.