MedicarePartD.guide

A non-government resource built from CMS public data

2026 SilverScript Choice (PDP) formulary (drug list)

Contract S5601, plan 004 · Rhode Island · 3,637 drugs on file · formulary ID 00026008. Each drug links to its cost in every CMS PDP Region 02 plan.

Hide drugs on tiers

179 drugs starting with E.

Drug nameTier30-day preferred pharmacy90-day mail orderUsage management
ECONAZOLE NITRATE 10 mg/g Cream3Preferred Brand19%19%
  • QL 85 per 30 days
EDARBI 40 mg TabletAzilsartan Kamedoxomil4Non-Preferred Drug35%35%
  • QL 3 per 30 days
EDARBI 80 mg TabletAzilsartan Kamedoxomil4Non-Preferred Drug35%35%
  • QL 3 per 30 days
EDARBYCLOR 40/12.5 mg TabletAzilsartan Kamedoxomil And Chlorthalidone4Non-Preferred Drug35%35%
  • QL 3 per 30 days
EDARBYCLOR 40/25 mg TabletAzilsartan Kamedoxomil And Chlorthalidone4Non-Preferred Drug35%35%
  • QL 3 per 30 days
EDURANT 25 mg Tablet, Film CoatedRilpivirine Hydrochloride5Specialty Tier25%N/ANone
EDURANT PED 2.5 mg Tablet, For SuspensionRilpivirine Hydrochloride5Specialty Tier25%N/ANone
EFAVIRENZ 600 mg Tablet, Film Coated4Non-Preferred Drug35%35%None
EFAVIRENZ, EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE 600/200/300 mg Tablet, Film Coated5Specialty Tier25%N/ANone
EFAVIRENZ, LAMIVUDINE AND TENOFOVIR DISOPROXIL FUMARATE 400/300/300 mg Tablet, Film Coated5Specialty Tier25%N/ANone
EFAVIRENZ, LAMIVUDINE AND TENOFOVIR DISOPROXIL FUMARATE 600/300/300 mg Tablet, Film Coated5Specialty Tier25%N/ANone
ELETRIPTAN HYDROBROMIDE 20 mg Tablet, Film Coated2Generic$10.00$30.00
  • QL 12 per 30 days
ELETRIPTAN HYDROBROMIDE 40 mg Tablet, Film Coated2Generic$10.00$30.00
  • QL 12 per 30 days
ELIGARD 45 mg/.375mL Injection, Suspension, Extended ReleaseLeuprolide Acetate4Non-Preferred Drug35%35%
  • PA
ELIGARD KitLeuprolide Acetate4Non-Preferred Drug35%35%
  • PA
ELIGARD KitLeuprolide Acetate4Non-Preferred Drug35%35%
  • PA
ELIGARD KitLeuprolide Acetate4Non-Preferred Drug35%35%
  • PA
ELIQUIS 2.5 mg Tablet, Film CoatedApixaban3Preferred Brand19%19%
  • QL 6 per 30 days
ELIQUIS 30-DAY STARTER PACK KitApixaban3Preferred Brand19%19%
  • QL 74 per 30 days
ELIQUIS 5 mg Tablet, Film CoatedApixaban3Preferred Brand19%19%
  • QL 74 per 30 days
ELURYNG .12/.015 mg/d RingEtonogestrel And Ethinyl Estradiol3Preferred Brand19%19%None
EMEND 125 mg Powder, For SuspensionAprepitant4Non-Preferred Drug35%35%
  • PA
EMSAM 12 mg/24h PatchSelegiline5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
EMSAM 6 mg/24h PatchSelegiline5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
EMSAM 9 mg/24h PatchSelegiline5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
EMTRICITABINE 200 mg Capsule4Non-Preferred Drug35%35%None
EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE 100/150 mg Tablet, Film Coated5Specialty Tier25%N/A
  • QL 3 per 30 days
EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE 133/200 mg Tablet, Film Coated5Specialty Tier25%N/A
  • QL 3 per 30 days
EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE 167/250 mg Tablet, Film Coated4Non-Preferred Drug35%35%
  • QL 3 per 30 days
EMTRICITABINE AND TENOFOVIR DISOPROXIL FUMARATE 200/300 mg Tablet, Film Coated4Non-Preferred Drug35%35%
  • QL 3 per 30 days
EMTRICITABINE, RILPIVIRINE, TENOFOVIR DISOPROXIL FUMARATE 200/25/300 mg Tablet, Film Coated5Specialty Tier25%N/ANone
EMTRIVA 10 mg/mL SolutionEmtricitabine4Non-Preferred Drug35%35%None
ENALAPRIL MALEATE 10 mg Tablet1Preferred Generic$2.00$6.00None
ENALAPRIL MALEATE 2.5 mg Tablet1Preferred Generic$2.00$6.00None
ENALAPRIL MALEATE 20 mg Tablet1Preferred Generic$2.00$6.00None
ENALAPRIL MALEATE 5 mg Tablet1Preferred Generic$2.00$6.00None
ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE 10/25 mg Tablet1Preferred Generic$2.00$6.00None
ENALAPRIL MALEATE AND HYDROCHLOROTHIAZIDE 5/12.5 mg Tablet1Preferred Generic$2.00$6.00None
ENBREL 25 mg/.5mL SolutionEtanercept5Specialty Tier25%N/A
  • PA
  • QL 8 per 28 days
ENBREL 25 mg/.5mL SolutionEtanercept5Specialty Tier25%N/A
  • PA
  • QL 8 per 28 days
ENBREL 50 mg/mL SolutionEtanercept5Specialty Tier25%N/A
  • PA
  • QL 8 per 28 days
ENBREL 50 mg/mL SolutionEtanercept5Specialty Tier25%N/A
  • PA
  • QL 8 per 28 days
ENBREL 50 mg/mL SolutionEtanercept5Specialty Tier25%N/A
  • PA
  • QL 8 per 28 days
ENGERIX-B 10 ug/.5mL Injection, SuspensionHepatitis B Vaccine (Recombinant)1Preferred Generic$2.00$6.00
  • PA
ENGERIX-B 20 ug/mL Injection, SuspensionHepatitis B Vaccine (Recombinant)1Preferred Generic$2.00$6.00
  • PA
ENILLORING .015/.12 mg/d RingEtonogestrel And Ethinyl Estradiol Vaginal3Preferred Brand19%19%None
ENOXAPARIN SODIUM 100 mg/mL Injection4Non-Preferred Drug35%35%None
ENOXAPARIN SODIUM 100 mg/mL Injection4Non-Preferred Drug35%35%None
ENOXAPARIN SODIUM 100 mg/mL Injection4Non-Preferred Drug35%35%None
ENOXAPARIN SODIUM 100 mg/mL Injection4Non-Preferred Drug35%35%None
ENOXAPARIN SODIUM 100 mg/mL Injection4Non-Preferred Drug35%35%None
ENOXAPARIN SODIUM 150 mg/mL Injection4Non-Preferred Drug35%35%None
ENOXAPARIN SODIUM 150 mg/mL Injection4Non-Preferred Drug35%35%None
ENSACOVE 100 mg CapsuleEnsartinib5Specialty Tier25%N/A
  • PA
  • QL 6 per 30 days
ENSACOVE 25 mg CapsuleEnsartinib5Specialty Tier25%N/A
  • PA
  • QL 27 per 30 days
ENSKYCE KitDesogestrel And Ethinyl Estradiol2Generic$10.00$30.00None
ENTACAPONE 200 mg Tablet4Non-Preferred Drug35%35%None
ENTECAVIR .5 mg Tablet4Non-Preferred Drug35%35%
  • QL 3 per 30 days
ENTECAVIR 1 mg Tablet4Non-Preferred Drug35%35%
  • QL 3 per 30 days
ENTRESTO 15/16 mg PelletSacubitril And Valsartan3Preferred Brand19%19%None
ENTRESTO 6/6 mg PelletSacubitril And Valsartan3Preferred Brand19%19%None
ENULOSE 10 g/15mL SolutionLactulose2Generic$10.00$30.00None
EPCLUSA 100/400 mg Tablet, Film CoatedVelpatasvir And Sofosbuvir5Specialty Tier25%N/A
  • PA
EPCLUSA 37.5/150 mg PelletVelpatasvir And Sofosbuvir5Specialty Tier25%N/A
  • PA
EPCLUSA 50/200 mg PelletVelpatasvir And Sofosbuvir5Specialty Tier25%N/A
  • PA
EPCLUSA 50/200 mg Tablet, Film CoatedVelpatasvir And Sofosbuvir5Specialty Tier25%N/A
  • PA
EPIDIOLEX 100 mg/mL SolutionCannabidiol5Specialty Tier25%N/A
  • PA
  • QL 6 per 30 days
EPINASTINE HYDROCHLORIDE .5 mg/mL Solution/ Drops2Generic$10.00$30.00None
EPINEPHRINE .15 mg/.15mL Injection3Preferred Brand19%19%
  • QL 2 per 30 days
EPINEPHRINE .15 mg/.3mL Injection3Preferred Brand19%19%
  • QL 2 per 30 days
EPINEPHRINE .3 mg/.3mL Injection3Preferred Brand19%19%
  • QL 2 per 30 days
EPINEPHRINE .3 mg/.3mL Injection3Preferred Brand19%19%
  • QL 2 per 30 days
EPLERENONE 25 mg Tablet, Film Coated4Non-Preferred Drug35%35%None
EPLERENONE 50 mg Tablet, Film Coated4Non-Preferred Drug35%35%None
EPRONTIA 25 mg/mL SolutionTopiramate4Non-Preferred Drug35%35%
  • PA
  • QL 48 per 30 days
ERGOTAMINE TARTRATE AND CAFFEINE 1/100 mg Tablet, Film Coated3Preferred Brand19%19%
  • PA
  • QL 4 per 28 days
ERIVEDGE 150 mg CapsuleVismodegib5Specialty Tier25%N/A
  • PA
ERLEADA 240 mg Tablet, Film CoatedApalutamide5Specialty Tier25%N/A
  • PA
ERLEADA 60 mg Tablet, Film CoatedApalutamide5Specialty Tier25%N/A
  • PA
ERLOTINIB 100 mg Tablet, Film Coated3Preferred Brand19%19%
  • PA
  • QL 3 per 30 days
ERLOTINIB 150 mg Tablet, Film Coated5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
ERLOTINIB 25 mg Tablet5Specialty Tier25%N/A
  • PA
  • QL 9 per 30 days
ERTACZO 20 mg/g CreamSertaconazole Nitrate4Non-Preferred Drug35%35%
  • QL 6 per 30 days
ERTAPENEM 1 g/20mL InjectionErtapenem Sodium3Preferred Brand19%19%None
ERY 20 mg/mL SwabErythromycin2Generic$10.00$30.00None
ERYTHROMYCIN 20 mg/g Gel4Non-Preferred Drug35%35%
  • QL 6 per 30 days
ERYTHROMYCIN 20 mg/mL Solution4Non-Preferred Drug35%35%
  • QL 6 per 30 days
ERYTHROMYCIN 250 mg Capsule, Delayed Release Pellets4Non-Preferred Drug35%35%None
ERYTHROMYCIN 250 mg Tablet, Coated4Non-Preferred Drug35%35%None
ERYTHROMYCIN 250 mg Tablet, Delayed Release4Non-Preferred Drug35%35%None
ERYTHROMYCIN 333 mg Tablet, Delayed Release4Non-Preferred Drug35%35%None
ERYTHROMYCIN 5 mg/g Ointment2Generic$10.00$30.00
  • QL 42 per 30 days
ERYTHROMYCIN 500 mg Tablet, Coated4Non-Preferred Drug35%35%None
ERYTHROMYCIN 500 mg Tablet, Delayed Release4Non-Preferred Drug35%35%None
ERYTHROMYCIN AND BENZOYL PEROXIDE 30/50 mg/g Gel4Non-Preferred Drug35%35%None
ERZOFRI EXTENDED-RELEASE 117 mg/.75mL InjectionPaliperidone Palmitate5Specialty Tier25%N/A
  • QL 0.75 per 28 days
ERZOFRI EXTENDED-RELEASE 156 mg/mL InjectionPaliperidone Palmitate5Specialty Tier25%N/A
  • QL 1 per 28 days
ERZOFRI EXTENDED-RELEASE 234 mg/1.5mL InjectionPaliperidone Palmitate5Specialty Tier25%N/A
  • QL 1.5 per 28 days
ERZOFRI EXTENDED-RELEASE 351 mg/2.25mL InjectionPaliperidone Palmitate5Specialty Tier25%N/A
  • QL 4.5 per 365 days
ERZOFRI EXTENDED-RELEASE 39 mg/.25mL InjectionPaliperidone Palmitate4Non-Preferred Drug35%35%
  • QL 0.25 per 28 days
ERZOFRI EXTENDED-RELEASE 78 mg/.5mL InjectionPaliperidone Palmitate5Specialty Tier25%N/A
  • QL 0.5 per 28 days
ESCITALOPRAM 10 mg Tablet, Film Coated2Generic$10.00$30.00
  • QL 45 per 30 days
ESCITALOPRAM 15 mg Capsule4Non-Preferred Drug35%35%
  • PA
  • QL 3 per 30 days
ESCITALOPRAM 20 mg Tablet, Film Coated2Generic$10.00$30.00
  • QL 3 per 30 days
ESCITALOPRAM 5 mg Tablet, Film Coated2Generic$10.00$30.00
  • QL 45 per 30 days
ESCITALOPRAM OXALATE 5 mg/5mL SolutionEscitalopram4Non-Preferred Drug35%35%
  • QL 6 per 30 days
ESLICARBAZEPINE ACETATE 200 mg Tablet4Non-Preferred Drug35%35%
  • QL 3 per 30 days
ESLICARBAZEPINE ACETATE 400 mg Tablet4Non-Preferred Drug35%35%
  • QL 3 per 30 days
ESLICARBAZEPINE ACETATE 600 mg Tablet4Non-Preferred Drug35%35%
  • QL 6 per 30 days
ESLICARBAZEPINE ACETATE 800 mg Tablet4Non-Preferred Drug35%35%
  • QL 6 per 30 days
ESOMEPRAZOLE MAGNESIUM 20 mg Capsule, Delayed Release2Generic$10.00$30.00
  • QL 3 per 30 days
ESOMEPRAZOLE MAGNESIUM 40 mg Capsule, Delayed Release2Generic$10.00$30.00
  • QL 3 per 30 days
ESTARYLLA KitNorgestimate And Ethinyl Estradiol2Generic$10.00$30.00None
ESTRADIOL .025 mg/d Patch2Generic$10.00$30.00
  • QL 4 per 28 days
ESTRADIOL .025 mg/d Patch2Generic$10.00$30.00
  • QL 8 per 28 days
ESTRADIOL .0375 mg/d Patch2Generic$10.00$30.00
  • QL 4 per 28 days
ESTRADIOL .0375 mg/d Patch2Generic$10.00$30.00
  • QL 8 per 28 days
ESTRADIOL .05 mg/d Patch2Generic$10.00$30.00
  • QL 4 per 28 days
ESTRADIOL .05 mg/d Patch2Generic$10.00$30.00
  • QL 8 per 28 days
ESTRADIOL .06 mg/d Patch2Generic$10.00$30.00
  • QL 4 per 28 days
ESTRADIOL .075 mg/d Patch2Generic$10.00$30.00
  • QL 4 per 28 days
ESTRADIOL .075 mg/d Patch2Generic$10.00$30.00
  • QL 8 per 28 days
ESTRADIOL .1 mg/d Patch2Generic$10.00$30.00
  • QL 4 per 28 days
ESTRADIOL .1 mg/d Patch2Generic$10.00$30.00
  • QL 8 per 28 days
ESTRADIOL .5 mg Tablet1Preferred Generic$2.00$6.00None
ESTRADIOL / NORETHINDRONE ACETATE .5/.1 mg Tablet, Film CoatedEstradiol And Norethindrone Acetate4Non-Preferred Drug35%35%None
ESTRADIOL / NORETHINDRONE ACETATE 1/.5 mg Tablet, Film CoatedEstradiol And Norethindrone Acetate4Non-Preferred Drug35%35%None
ESTRADIOL 1 mg Tablet1Preferred Generic$2.00$6.00None
ESTRADIOL 10 ug Insert2Generic$10.00$30.00None
ESTRADIOL 2 mg Tablet1Preferred Generic$2.00$6.00None
ESTRADIOL VAGINAL .1 mg/g CreamEstradiol3Preferred Brand19%19%None
ESTRADIOL VALERATE 10 mg/mL Injection4Non-Preferred Drug35%35%None
ESTRADIOL VALERATE 20 mg/mL Injection, Solution4Non-Preferred Drug35%35%None
ESTRADIOL VALERATE 40 mg/mL Injection, Solution4Non-Preferred Drug35%35%None
ESTRING 2 mg SystemEstradiol4Non-Preferred Drug35%35%
  • QL 1 per 90 days
ESTROGENS, CONJUGATED .3 mg Tablet, Film Coated4Non-Preferred Drug35%35%None
ESTROGENS, CONJUGATED .45 mg Tablet, Film Coated4Non-Preferred Drug35%35%None
ESTROGENS, CONJUGATED .625 mg Tablet, Film Coated4Non-Preferred Drug35%35%None
ESTROGENS, CONJUGATED .9 mg Tablet, Film Coated4Non-Preferred Drug35%35%None
ESTROGENS, CONJUGATED 1.25 mg Tablet, Film Coated4Non-Preferred Drug35%35%None
ETHAMBUTOL HYDROCHLORIDE 100 mg Tablet4Non-Preferred Drug35%35%None
ETHAMBUTOL HYDROCHLORIDE 400 mg Tablet4Non-Preferred Drug35%35%None
ETHOSUXIMIDE 250 mg/5mL Solution4Non-Preferred Drug35%35%None
ETODOLAC 200 mg Capsule2Generic$10.00$30.00
  • QL 9 per 30 days
ETODOLAC 300 mg Capsule2Generic$10.00$30.00
  • QL 12 per 30 days
ETODOLAC 400 mg Tablet, Extended Release4Non-Preferred Drug35%35%
  • QL 6 per 30 days
ETODOLAC 400 mg Tablet, Film Coated2Generic$10.00$30.00
  • QL 9 per 30 days
ETODOLAC 500 mg Tablet, Extended Release4Non-Preferred Drug35%35%
  • QL 6 per 30 days
ETODOLAC 500 mg Tablet, Film Coated2Generic$10.00$30.00
  • QL 6 per 30 days
ETODOLAC 600 mg Tablet, Film Coated, Extended Release4Non-Preferred Drug35%35%
  • QL 3 per 30 days
ETONOGESTREL/ETHINYL ESTRADIOL .12/.015 mg/d Insert, Extended ReleaseEtonogestrel And Ethinyl Estradiol3Preferred Brand19%19%None
ETRAVIRINE 100 mg Tablet5Specialty Tier25%N/ANone
ETRAVIRINE 200 mg Tablet5Specialty Tier25%N/ANone
EUCRISA 20 mg/g OintmentCrisaborole4Non-Preferred Drug35%35%
  • PA
  • QL 12 per 30 days
EULEXIN 125 mg CapsuleFlutamide5Specialty Tier25%N/ANone
EVEROLIMUS .25 mg Tablet4Non-Preferred Drug35%35%
  • PA
EVEROLIMUS .5 mg Tablet5Specialty Tier25%N/A
  • PA
EVEROLIMUS .75 mg Tablet5Specialty Tier25%N/A
  • PA
EVEROLIMUS 1 mg Tablet5Specialty Tier25%N/A
  • PA
EVEROLIMUS 10 mg Tablet5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
EVEROLIMUS 2 mg Tablet, For Suspension5Specialty Tier25%N/A
  • PA
  • QL 15 per 30 days
EVEROLIMUS 2.5 mg Tablet5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
EVEROLIMUS 3 mg Tablet, For Suspension5Specialty Tier25%N/A
  • PA
  • QL 9 per 30 days
EVEROLIMUS 5 mg Tablet5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
EVEROLIMUS 5 mg Tablet, For Suspension5Specialty Tier25%N/A
  • PA
  • QL 6 per 30 days
EVEROLIMUS 7.5 mg Tablet5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
EVOTAZ 300/150 mg TabletAtazanavir And Cobicistat5Specialty Tier25%N/ANone
EXEMESTANE 25 mg Tablet4Non-Preferred Drug35%35%None
EXXUA 18.2 mg Tablet, Extended ReleaseGepirone5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
EXXUA 18.2 mg Tablet, Extended ReleaseGepirone5Specialty Tier25%N/A
  • PA
  • QL 64 per 365 days
EXXUA 36.3 mg Tablet, Extended ReleaseGepirone5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
EXXUA 54.5 mg Tablet, Extended ReleaseGepirone5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
EXXUA 72.6 mg Tablet, Extended ReleaseGepirone5Specialty Tier25%N/A
  • PA
  • QL 3 per 30 days
EYSUVIS 2.5 mg/mL Suspension/ DropsLoteprednol Etabonate4Non-Preferred Drug35%35%None
EZETIMIBE 10 mg Tablet2Generic$10.00$30.00None
EZETIMIBE AND SIMVASTATIN 10/10 mg Tablet1Preferred Generic$2.00$6.00
  • QL 3 per 30 days
EZETIMIBE AND SIMVASTATIN 10/20 mg Tablet1Preferred Generic$2.00$6.00
  • QL 3 per 30 days
EZETIMIBE AND SIMVASTATIN 10/40 mg Tablet1Preferred Generic$2.00$6.00
  • QL 3 per 30 days
EZETIMIBE AND SIMVASTATIN 10/80 mg Tablet1Preferred Generic$2.00$6.00
  • QL 3 per 30 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.