MedicarePartD.guide

A non-government resource built from CMS public data

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

133 drugs starting with N.

Drug nameTier30-day preferred pharmacy90-day mail orderUsage management
NABUMETONE 500 mg Tablet, Film Coated2Generic$10.00$30.00None
NABUMETONE 750 mg Tablet2Generic$10.00$30.00None
NADOLOL 20 mg Tablet4Non-Preferred Drug27%27%None
NADOLOL 40 mg Tablet4Non-Preferred Drug27%27%None
NADOLOL 80 mg Tablet4Non-Preferred Drug27%27%None
NAFCILLIN 1 g/4mL Injection, Powder, For SolutionNafcillin Sodium4Non-Preferred Drug27%27%None
NAFCILLIN 10 g Injection, Powder, For Solution5Specialty Tier25%N/ANone
NAFCILLIN 2 g/8mL Injection, Powder, Lyophilized, For SolutionNafcillin Sodium4Non-Preferred Drug27%27%None
NALOXONE HYDROCHLORIDE .4 mg/mL Injection, Solution2Generic$10.00$30.00None
NALOXONE HYDROCHLORIDE .4 mg/mL Injection, Solution2Generic$10.00$30.00None
NALOXONE HYDROCHLORIDE 1 mg/mL Injection2Generic$10.00$30.00None
NALTREXONE HYDROCHLORIDE 50 mg Tablet, Film Coated3Preferred Brand25%25%None
NAMZARIC 14/10 mg CapsuleMemantine Hydrochloride And Donepezil Hydrochloride3Preferred Brand25%25%None
NAMZARIC 21/10 mg CapsuleMemantine Hydrochloride And Donepezil Hydrochloride3Preferred Brand25%25%None
NAMZARIC 28/10 mg CapsuleMemantine Hydrochloride And Donepezil Hydrochloride3Preferred Brand25%25%None
NAMZARIC 7/10 mg CapsuleMemantine Hydrochloride And Donepezil Hydrochloride3Preferred Brand25%25%None
NAPROXEN 250 mg Tablet1Preferred Generic$0.00$0.00None
NAPROXEN 375 mg Tablet1Preferred Generic$0.00$0.00None
NAPROXEN 500 mg Tablet1Preferred Generic$0.00$0.00None
NATACYN 50 mg/mL Suspension/ DropsNatamycin4Non-Preferred Drug27%27%None
NATEGLINIDE 120 mg Tablet, Film Coated3Preferred Brand25%25%
  • QL 9 per 30 days
NATEGLINIDE 60 mg Tablet, Film Coated3Preferred Brand25%25%
  • QL 18 per 30 days
NAYZILAM 5 mg/.1mL SprayMidazolam4Non-Preferred Drug27%27%
  • PA
  • QL 1 per 30 days
NEBIVOLOL 10 mg Tablet4Non-Preferred Drug27%27%None
NEBIVOLOL 2.5 mg Tablet4Non-Preferred Drug27%27%None
NEBIVOLOL 20 mg Tablet4Non-Preferred Drug27%27%None
NEBIVOLOL 5 mg Tablet4Non-Preferred Drug27%27%None
NEFAZODONE HYDROCHLORIDE 100 mg Tablet4Non-Preferred Drug27%27%None
NEFAZODONE HYDROCHLORIDE 150 mg Tablet4Non-Preferred Drug27%27%None
NEFAZODONE HYDROCHLORIDE 200 mg Tablet4Non-Preferred Drug27%27%None
NEFAZODONE HYDROCHLORIDE 250 mg Tablet4Non-Preferred Drug27%27%None
NEFAZODONE HYDROCHLORIDE 50 mg Tablet4Non-Preferred Drug27%27%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 Zinc4Non-Preferred Drug27%27%None
NEOMYCIN AND POLYMYXIN B SULFATES AND DEXAMETHASONE 3.5/10000/1 mg/g/[USP'U]/g OintmentNeomycin Sulfate, Polymyxin B Sulfate, And Dexamethasone2Generic$10.00$30.00None
NEOMYCIN AND POLYMYXIN B SULFATES AND GRAMICIDIN 1.75/10000/.025 mg/mL/[USP'U]/mL Solution/ DropsNeomycin Sulfate, Polymyxin B Sulfate And Gramicidin4Non-Preferred Drug27%27%None
NEOMYCIN AND POLYMYXIN B SULFATES AND HYDROCORTISONE 10/3.5/10000 mg/mL/[USP'U]/mL Suspension/ DropsNeomycin Sulfate, Polymyxin B Sulfate And Hydrocortisone4Non-Preferred Drug27%27%None
NEOMYCIN AND POLYMYXIN B SULFATES AND HYDROCORTISONE 3.5/10000/10 mg/mL/[USP'U]/mL Solution/ DropsNeomycin Sulfate, Polymyxin B Sulfate, Hydrocortisone4Non-Preferred Drug27%27%None
NEOMYCIN POLYMYXIN B SULFATES AND DEXAMETHASONE 3.5/10000/1 mg/mL/[USP'U]/mL Suspension/ DropsNeomycin Sulfate, Polymyxin B Sulfate And Dexamethasone2Generic$10.00$30.00None
NEOMYCIN SULFATE 500 mg Tablet2Generic$10.00$30.00None
NERLYNX 40 mg TabletNeratinib5Specialty Tier25%N/A
  • PA
NEUPRO 1 mg/24h Patch, Extended ReleaseRotigotine4Non-Preferred Drug27%27%None
NEUPRO 2 mg/24h Patch, Extended ReleaseRotigotine4Non-Preferred Drug27%27%None
NEUPRO 3 mg/24h Patch, Extended ReleaseRotigotine4Non-Preferred Drug27%27%None
NEUPRO 4 mg/24h Patch, Extended ReleaseRotigotine4Non-Preferred Drug27%27%None
NEUPRO 6 mg/24h Patch, Extended ReleaseRotigotine4Non-Preferred Drug27%27%None
NEUPRO 8 mg/24h Patch, Extended ReleaseRotigotine4Non-Preferred Drug27%27%None
NEVIRAPINE 200 mg Tablet3Preferred Brand25%25%None
NEVIRAPINE 400 mg Tablet, Extended Release4Non-Preferred Drug27%27%None
NEVIRAPINE 50 mg/5mL Suspension4Non-Preferred Drug27%27%None
NEXLETOL 180 mg Tablet, Film CoatedBempedoic Acid3Preferred Brand25%25%
  • PA
NEXPLANON 68 mg ImplantEtonogestrel3Preferred Brand25%25%None
NIACIN 1000 mg Tablet, Extended Release4Non-Preferred Drug27%27%None
NIACIN 500 mg Tablet, Extended Release4Non-Preferred Drug27%27%None
NIACIN 750 mg Tablet, Film Coated, Extended Release4Non-Preferred Drug27%27%None
NICOTROL 10 mg/mL Spray, MeteredNicotine4Non-Preferred Drug27%27%None
NIFEDIPINE 30 mg Tablet, Extended Release3Preferred Brand25%25%None
NIFEDIPINE 30 mg Tablet, Film Coated, Extended Release3Preferred Brand25%25%None
NIFEDIPINE 60 mg Tablet, Extended Release3Preferred Brand25%25%None
NIFEDIPINE 60 mg Tablet, Film Coated, Extended Release3Preferred Brand25%25%None
NIFEDIPINE 90 mg Tablet, Extended Release3Preferred Brand25%25%None
NIFEDIPINE 90 mg Tablet, Film Coated, Extended Release3Preferred Brand25%25%None
NIKKI KitDrospirenone And Ethinyl Estradiol3Preferred Brand25%25%None
NILOTINIB 150 mg Capsule5Specialty Tier25%N/A
  • PA
  • QL 112 per 28 days
NILOTINIB 200 mg Capsule5Specialty Tier25%N/A
  • PA
  • QL 112 per 28 days
NILOTINIB 50 mg Capsule5Specialty Tier25%N/A
  • PA
  • QL 12 per 30 days
NILUTAMIDE 150 mg Tablet5Specialty Tier25%N/ANone
NIMODIPINE 30 mg Capsule, Liquid Filled4Non-Preferred Drug27%27%None
NINLARO 2.3 mg CapsuleIxazomib5Specialty Tier25%N/A
  • PA
  • QL 3 per 28 days
NINLARO 3 mg CapsuleIxazomib5Specialty Tier25%N/A
  • PA
  • QL 3 per 28 days
NINLARO 4 mg CapsuleIxazomib5Specialty Tier25%N/A
  • PA
  • QL 3 per 28 days
NITAZOXANIDE 500 mg Tablet, Film Coated5Specialty Tier25%N/A
  • QL 12 per 30 days
NITISINONE 10 mg Capsule5Specialty Tier25%N/A
  • PA
NITISINONE 2 mg Capsule5Specialty Tier25%N/A
  • PA
NITISINONE 20 mg Capsule5Specialty Tier25%N/A
  • PA
NITISINONE 5 mg Capsule5Specialty Tier25%N/A
  • PA
NITRO-BID 20 mg/g OintmentNitroglycerin4Non-Preferred Drug27%27%None
NITROFURANTOIN (MONOHYDRATE/MACROCRYSTALS) 75/25 mg Capsule4Non-Preferred Drug27%27%None
NITROFURANTOIN MACROCRYSTALS 50 mg Capsule2Generic$10.00$30.00None
NITROGLYCERIN .1 mg/h Patch3Preferred Brand25%25%None
NITROGLYCERIN .2 mg/h Patch3Preferred Brand25%25%None
NITROGLYCERIN .3 mg Tablet3Preferred Brand25%25%None
NITROGLYCERIN .4 mg Tablet3Preferred Brand25%25%None
NITROGLYCERIN .4 mg/h Patch3Preferred Brand25%25%None
NITROGLYCERIN .6 mg Tablet3Preferred Brand25%25%None
NITROGLYCERIN .6 mg/h Patch3Preferred Brand25%25%None
NITROGLYCERIN 4 mg/g Ointment4Non-Preferred Drug27%27%
  • QL 3 per 30 days
NIVESTYM 300 ug/.5mL Injection, SolutionFilgrastim-Aafi5Specialty Tier25%N/A
  • PA
NIVESTYM 300 ug/mL Injection, SolutionFilgrastim-Aafi5Specialty Tier25%N/A
  • PA
NIVESTYM 480 ug/.8mL Injection, SolutionFilgrastim-Aafi5Specialty Tier25%N/A
  • PA
NIVESTYM 480 ug/1.6mL Injection, SolutionFilgrastim-Aafi5Specialty Tier25%N/A
  • PA
NORA BE .35 mg TabletNorethindrone3Preferred Brand25%25%None
NORELGESTROMIN AND ETHINYL ESTRADIOL 150/35 ug/mg Patch3Preferred Brand25%25%None
NORETHINDRONE .35 mg Tablet3Preferred Brand25%25%None
NORETHINDRONE ACETATE 5 mg Tablet3Preferred Brand25%25%None
NORETHINDRONE ACETATE AND ETHINYL ESTRADIOL 1/.02 mg Tablet3Preferred Brand25%25%None
NORETHINDRONE ACETATE AND ETHINYL ESTRADIOL 1/5 mg/ug Tablet4Non-Preferred Drug27%27%None
NORGESTIMATE AND ETHINYL ESTRADIOL Kit3Preferred Brand25%25%None
NORGESTIMATE AND ETHINYL ESTRADIOL Kit3Preferred Brand25%25%None
NORGESTIMATE AND ETHINYL ESTRADIOL Kit3Preferred Brand25%25%None
NORTREL 21 DAY 1/.035 mg TabletNorethindrone And Ethinyl Estradiol4Non-Preferred Drug27%27%None
NORTREL 28 DAY KitNorethindrone And Ethinyl Estradiol4Non-Preferred Drug27%27%None
NORTREL 28 DAY KitNorethindrone And Ethinyl Estradiol4Non-Preferred Drug27%27%None
NORTREL 7/7/7 (28 DAY REGIMEN) KitNorethindrone And Ethinyl Estradiol4Non-Preferred Drug27%27%None
NORTRIPTYLINE HYDROCHLORIDE 10 mg Capsule2Generic$10.00$30.00None
NORTRIPTYLINE HYDROCHLORIDE 10 mg/5mL Solution4Non-Preferred Drug27%27%None
NORTRIPTYLINE HYDROCHLORIDE 25 mg Capsule2Generic$10.00$30.00None
NORTRIPTYLINE HYDROCHLORIDE 50 mg Capsule2Generic$10.00$30.00None
NORTRIPTYLINE HYDROCHLORIDE 75 mg Capsule2Generic$10.00$30.00None
NORVIR 100 mg PowderRitonavir3Preferred Brand25%25%None
NOVOLIN 70/30 100 [iU]/mL Injection, SuspensionHuman Insulin3Preferred Brand25%25%None
NOVOLIN 70/30 100 [iU]/mL Injection, SuspensionHuman Insulin3Preferred Brand25%25%None
NOVOLIN N 100 [iU]/mL Injection, SuspensionHuman Insulin3Preferred Brand25%25%None
NOVOLIN N 100 [iU]/mL Injection, SuspensionHuman Insulin3Preferred Brand25%25%None
NOVOLIN R 100 [iU]/mL Injection, SolutionHuman Insulin3Preferred Brand25%25%None
NOVOLIN R 100 [iU]/mL Injection, SolutionHuman Insulin3Preferred Brand25%25%None
NOVOLOG 100 [iU]/mL Injection, SolutionInsulin Aspart3Preferred Brand25%25%None
NOVOLOG 100 [iU]/mL Injection, SolutionInsulin Aspart3Preferred Brand25%25%None
NOVOLOG 100 [iU]/mL Injection, SolutionInsulin Aspart3Preferred Brand25%25%None
NOVOLOG MIX 70/30 100 [iU]/mL Injection, SuspensionInsulin Aspart3Preferred Brand25%25%None
NOVOLOG MIX 70/30 100 [iU]/mL Injection, SuspensionInsulin Aspart3Preferred Brand25%25%None
NUBEQA 300 mg Tablet, Film CoatedDarolutamide5Specialty Tier25%N/A
  • PA
  • QL 12 per 30 days
NUEDEXTA 20/10 mg Capsule, Gelatin CoatedDextromethorphan Hydrobromide And Quinidine Sulfate3Preferred Brand25%25%
  • PA
  • QL 6 per 30 days
NUPLAZID 10 mg Tablet, CoatedPimavanserin Tartrate5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
NUPLAZID 34 mg CapsulePimavanserin Tartrate5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
NURTEC ODT 75 mg Tablet, Orally DisintegratingRimegepant Sulfate5Specialty Tier25%N/A
  • PA
  • QL 16 per 30 days
NYAMYC 100000 [USP'U]/g PowderNystatin4Non-Preferred Drug27%27%
  • QL 12 per 30 days
NYSTATIN 100000 [USP'U]/g Cream3Preferred Brand25%25%
  • QL 3 per 28 days
NYSTATIN 100000 [USP'U]/g Ointment3Preferred Brand25%25%
  • QL 3 per 28 days
NYSTATIN 100000 [USP'U]/g Powder3Preferred Brand25%25%
  • QL 12 per 30 days
NYSTATIN 100000 [USP'U]/mL Suspension4Non-Preferred Drug27%27%None
NYSTATIN 500000 [USP'U] Tablet, Coated4Non-Preferred Drug27%27%None
NYSTOP 100000 [USP'U]/g PowderNystatin4Non-Preferred Drug27%27%
  • QL 12 per 30 days
NYVEPRIA 6 mg/.6mL Injection, SolutionPegfilgrastim-Apgf5Specialty Tier25%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.