MedicarePartD.guide

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2026 Wellcare Classic (PDP) formulary (drug list)

Contract S4802, plan 086 · Kentucky · 2,922 drugs on file · formulary ID 00026191. Each drug links to its cost in every CMS PDP Region 15 plan.

Hide drugs on tiers

113 drugs starting with F.

Drug nameTier30-day preferred pharmacy90-day mail orderUsage management
FALMINA KitLevonorgestrel And Ethinyl Estradiol3Preferred Brand25%25%None
FAMOTIDINE 20 mg Tablet, Film Coated2Generic$10.00$30.00None
FAMOTIDINE 40 mg Tablet, Film Coated2Generic$10.00$30.00None
FANAPT 1 mg TabletIloperidone5Specialty Tier25%N/A
  • ST
  • QL 6 per 30 days
FANAPT 10 mg TabletIloperidone5Specialty Tier25%N/A
  • ST
  • QL 6 per 30 days
FANAPT 12 mg TabletIloperidone5Specialty Tier25%N/A
  • ST
  • QL 6 per 30 days
FANAPT 2 mg TabletIloperidone5Specialty Tier25%N/A
  • ST
  • QL 6 per 30 days
FANAPT 4 mg TabletIloperidone5Specialty Tier25%N/A
  • ST
  • QL 6 per 30 days
FANAPT 6 mg TabletIloperidone5Specialty Tier25%N/A
  • ST
  • QL 6 per 30 days
FANAPT 8 mg TabletIloperidone5Specialty Tier25%N/A
  • ST
  • QL 6 per 30 days
FANAPT KitIloperidone4Non-Preferred Drug27%27%
  • ST
  • QL 8 per 180 days
FARXIGA 10 mg Tablet, Film CoatedDapagliflozin3Preferred Brand25%25%
  • QL 3 per 30 days
FARXIGA 5 mg Tablet, Film CoatedDapagliflozin3Preferred Brand25%25%
  • QL 3 per 30 days
FASENRA 10 mg/.5mL Injection, SolutionBenralizumab5Specialty Tier25%N/A
  • PA
  • QL 0.5 per 28 days
FASENRA 30 mg/mL Injection, SolutionBenralizumab5Specialty Tier25%N/A
  • PA
  • QL 1 per 28 days
FASENRA 30 mg/mL Injection, SolutionBenralizumab5Specialty Tier25%N/A
  • PA
  • QL 1 per 28 days
FELBAMATE 400 mg Tablet4Non-Preferred Drug27%27%None
FELBAMATE 600 mg Tablet4Non-Preferred Drug27%27%None
FELBAMATE 600 mg/5mL Suspension4Non-Preferred Drug27%27%None
FELODIPINE 10 mg Tablet, Extended Release3Preferred Brand25%25%None
FELODIPINE 2.5 mg Tablet, Extended Release3Preferred Brand25%25%None
FELODIPINE 5 mg Tablet, Extended Release3Preferred Brand25%25%None
FENOFIBRATE 134 mg Capsule3Preferred Brand25%25%None
FENOFIBRATE 145 mg Tablet3Preferred Brand25%25%None
FENOFIBRATE 160 mg Tablet3Preferred Brand25%25%None
FENOFIBRATE 200 mg Capsule3Preferred Brand25%25%None
FENOFIBRATE 48 mg Tablet3Preferred Brand25%25%None
FENOFIBRATE 54 mg Tablet3Preferred Brand25%25%None
FENOFIBRATE 67 mg Capsule3Preferred Brand25%25%None
FENTANYL 100 ug/h Patch4Non-Preferred Drug27%27%
  • PA
  • QL 1 per 30 days
FENTANYL 12 ug/h Patch4Non-Preferred Drug27%27%
  • PA
  • QL 1 per 30 days
FENTANYL 25 ug/h Patch4Non-Preferred Drug27%27%
  • PA
  • QL 1 per 30 days
FENTANYL 50 ug/h Patch4Non-Preferred Drug27%27%
  • PA
  • QL 1 per 30 days
FENTANYL 75 ug/h Patch4Non-Preferred Drug27%27%
  • PA
  • QL 1 per 30 days
FETZIMA 120 mg Capsule, Extended ReleaseLevomilnacipran Hydrochloride3Preferred Brand25%25%
  • QL 3 per 30 days
FETZIMA 20 mg Capsule, Extended ReleaseLevomilnacipran Hydrochloride3Preferred Brand25%25%
  • QL 3 per 30 days
FETZIMA 40 mg Capsule, Extended ReleaseLevomilnacipran Hydrochloride3Preferred Brand25%25%
  • QL 3 per 30 days
FETZIMA 80 mg Capsule, Extended ReleaseLevomilnacipran Hydrochloride3Preferred Brand25%25%
  • QL 3 per 30 days
FETZIMA KitLevomilnacipran Hydrochloride3Preferred Brand25%25%
  • QL 28 per 180 days
FIASP 100 [iU]/mL Injection, SolutionInsulin Aspart Injection3Preferred Brand25%25%None
FIASP 100 [iU]/mL Injection, SolutionInsulin Aspart Injection3Preferred Brand25%25%None
FIASP 100 [iU]/mL Injection, SolutionInsulin Aspart Injection3Preferred Brand25%25%None
FIDAXOMICIN 200 mg Tablet, Film Coated5Specialty Tier25%N/A
  • QL 2 per 10 days
FINASTERIDE 5 mg Tablet, Film Coated2Generic$10.00$30.00None
FINGOLIMOD HYDROCHLORIDE .5 mg Capsule5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
FINTEPLA 2.2 mg/mL SolutionFenfluramine5Specialty Tier25%N/A
  • PA
  • QL 36 per 30 days
FIRMAGON KitDegarelix4Non-Preferred Drug27%27%
  • PA
FIRMAGON KitDegarelix5Specialty Tier25%N/A
  • PA
FLECAINIDE ACETATE 100 mg TabletFlecainide Acetate Tablet3Preferred Brand25%25%None
FLECAINIDE ACETATE 150 mg TabletFlecainide Acetate Tablet3Preferred Brand25%25%None
FLECAINIDE ACETATE 50 mg TabletFlecainide Acetate Tablet3Preferred Brand25%25%None
FLUCONAZOLE 10 mg/mL Powder, For Suspension4Non-Preferred Drug27%27%None
FLUCONAZOLE 100 mg Tablet3Preferred Brand25%25%None
FLUCONAZOLE 150 mg Tablet2Generic$10.00$30.00None
FLUCONAZOLE 2 mg/mL Injection, Solution4Non-Preferred Drug27%27%None
FLUCONAZOLE 2 mg/mL Injection, Solution4Non-Preferred Drug27%27%None
FLUCONAZOLE 200 mg Tablet3Preferred Brand25%25%None
FLUCONAZOLE 40 mg/mL Powder, For Suspension4Non-Preferred Drug27%27%None
FLUCONAZOLE 50 mg Tablet3Preferred Brand25%25%None
FLUCYTOSINE 250 mg Capsule5Specialty Tier25%N/A
  • PA
FLUCYTOSINE 500 mg Capsule5Specialty Tier25%N/A
  • PA
FLUDROCORTISONE ACETATE .1 mg Tablet2Generic$10.00$30.00None
FLUNISOLIDE .25 mg/mL Solution3Preferred Brand25%25%
  • QL 5 per 30 days
FLUOCINOLONE ACETONIDE .1 mg/g Cream4Non-Preferred Drug27%27%
  • QL 12 per 30 days
FLUOCINOLONE ACETONIDE .1 mg/mL Solution4Non-Preferred Drug27%27%
  • QL 12 per 30 days
FLUOCINOLONE ACETONIDE .11 mg/118.28mL Oil4Non-Preferred Drug27%27%
  • QL 118.28 per 30 days
FLUOCINOLONE ACETONIDE .25 mg/g Cream4Non-Preferred Drug27%27%
  • QL 12 per 30 days
FLUOCINOLONE ACETONIDE .25 mg/g Ointment4Non-Preferred Drug27%27%
  • QL 12 per 30 days
FLUOCINOLONE ACETONIDE OIL .11 mg/mL OilFluocinolone Acetonide2Generic$10.00$30.00None
FLUOCINONIDE .5 mg/g Cream4Non-Preferred Drug27%27%
  • QL 12 per 30 days
FLUOCINONIDE .5 mg/g Cream4Non-Preferred Drug27%27%
  • QL 12 per 30 days
FLUOCINONIDE .5 mg/g Gel4Non-Preferred Drug27%27%
  • QL 12 per 30 days
FLUOCINONIDE .5 mg/g Ointment4Non-Preferred Drug27%27%
  • QL 12 per 30 days
FLUOCINONIDE .5 mg/mL SolutionFluocinonide Topical Solution Usp, 0.05%4Non-Preferred Drug27%27%
  • QL 12 per 30 days
FLUOROMETHOLONE OPHTHALMIC SUSPENSION 1 mg/mL Suspension/ DropsFluorometholone4Non-Preferred Drug27%27%None
FLUOROURACIL 20 mg/mL Solution4Non-Preferred Drug27%27%
  • QL 1 per 30 days
FLUOROURACIL 50 mg/g Cream4Non-Preferred Drug27%27%
  • QL 4 per 30 days
FLUOROURACIL 50 mg/mL Solution4Non-Preferred Drug27%27%
  • QL 1 per 30 days
FLUOXETINE 10 mg Capsule1Preferred Generic$0.00$0.00None
FLUOXETINE 20 mg Capsule1Preferred Generic$0.00$0.00None
FLUOXETINE 20 mg/5mL Solution4Non-Preferred Drug27%27%None
FLUOXETINE 40 mg Capsule2Generic$10.00$30.00None
FLUPHENAZINE DECANOATE 25 mg/mL Injection, Solution4Non-Preferred Drug27%27%None
FLUPHENAZINE HYDROCHLORIDE .5 mg/mL Elixir4Non-Preferred Drug27%27%None
FLUPHENAZINE HYDROCHLORIDE 1 mg Tablet, Film Coated4Non-Preferred Drug27%27%None
FLUPHENAZINE HYDROCHLORIDE 10 mg Tablet, Film Coated4Non-Preferred Drug27%27%None
FLUPHENAZINE HYDROCHLORIDE 2.5 mg Tablet, Film Coated4Non-Preferred Drug27%27%None
FLUPHENAZINE HYDROCHLORIDE 2.5 mg/mL Injection, Solution4Non-Preferred Drug27%27%None
FLUPHENAZINE HYDROCHLORIDE 5 mg Tablet, Film Coated4Non-Preferred Drug27%27%None
FLUPHENAZINE HYDROCHLORIDE 5 mg/mL Solution, Concentrate4Non-Preferred Drug27%27%None
FLURBIPROFEN 100 mg Tablet4Non-Preferred Drug27%27%None
FLURBIPROFEN SODIUM .3 mg/mL Solution/ Drops4Non-Preferred Drug27%27%None
FLUTICASONE PROPIONATE .5 mg/g Cream3Preferred Brand25%25%None
FLUTICASONE PROPIONATE 50 ug Spray, Metered2Generic$10.00$30.00
  • QL 16 per 30 days
FLUVOXAMINE MALEATE 100 mg Tablet3Preferred Brand25%25%None
FLUVOXAMINE MALEATE 25 mg Tablet3Preferred Brand25%25%None
FLUVOXAMINE MALEATE 50 mg Tablet3Preferred Brand25%25%None
FOSAMPRENAVIR CALCIUM 700 mg Tablet, Film Coated4Non-Preferred Drug27%27%None
FOSFOMYCIN TROMETHAMINE 3 g PowderGranules For Oral Solution4Non-Preferred Drug27%27%None
FOSINOPRIL SODIUM 10 mg TabletFosinopirl Sodium2Generic$10.00$30.00None
FOSINOPRIL SODIUM 20 mg Tablet2Generic$10.00$30.00None
FOSINOPRIL SODIUM 40 mg Tablet2Generic$10.00$30.00None
FRUZAQLA 1 mg CapsuleFruquintinib5Specialty Tier25%N/A
  • PA
  • QL 84 per 28 days
FRUZAQLA 5 mg CapsuleFruquintinib5Specialty Tier25%N/A
  • PA
  • QL 21 per 28 days
FULPHILA 6 mg/.6mL InjectionPegfilgrastim-Jmdb5Specialty Tier25%N/A
  • PA
FUROSEMIDE 10 mg/mL Injection, Solution4Non-Preferred Drug27%27%None
FUROSEMIDE 10 mg/mL Solution2Generic$10.00$30.00None
FUROSEMIDE 20 mg Tablet1Preferred Generic$0.00$0.00None
FUROSEMIDE 40 mg Tablet1Preferred Generic$0.00$0.00None
FUROSEMIDE 40 mg/5mL Solution2Generic$10.00$30.00None
FUROSEMIDE 80 mg Tablet1Preferred Generic$0.00$0.00None
FYAVOLV .0025/.5 mg Tablet, Film CoatedNorethindrone Acetate And Ethinyl Estradiol4Non-Preferred Drug27%27%None
FYAVOLV .005/1 mg Tablet, Film CoatedNorethindrone Acetate And Ethinyl Estradiol4Non-Preferred Drug27%27%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.