MedicarePartD.guide

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2026 BlueCross Rx Value (PDP) formulary (drug list)

Contract S5953, plan 001 · South Carolina · 3,082 drugs on file · formulary ID 00026220. Each drug links to its cost in every CMS PDP Region 09 plan.

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36 drugs starting with K.

Drug nameTier30-day preferred pharmacy90-day mail orderUsage management
KALETRA 80/20 mg/mL SolutionLopinavir And Ritonavir4Non-Preferred Drug50%50%None
KALYDECO 13.4 mg GranuleIvacaftor5Specialty Tier25%N/A
  • PA
  • QL 56 per 28 days
KALYDECO 150 mg Tablet, Film CoatedIvacaftor5Specialty Tier25%N/A
  • PA
  • QL 6 per 30 days
KALYDECO 25 mg GranuleIvacaftor5Specialty Tier25%N/A
  • PA
  • QL 56 per 28 days
KALYDECO 5.8 mg GranuleIvacaftor5Specialty Tier25%N/A
  • PA
  • QL 56 per 28 days
KALYDECO 50 mg GranuleIvacaftor5Specialty Tier25%N/A
  • PA
  • QL 56 per 28 days
KALYDECO 75 mg GranuleIvacaftor5Specialty Tier25%N/A
  • PA
  • QL 56 per 28 days
KARIVA KitDesogestrel/Ethinyl Estradiol And Ethinyl Estradiol3Preferred Brand17%17%None
KELNOR 1/35 KitEthynodiol Diacetate And Ethinyl Estradiol3Preferred Brand17%17%None
KERENDIA 10 mg Tablet, Film CoatedFinerenone4Non-Preferred Drug50%50%
  • PA
  • QL 3 per 30 days
KERENDIA 20 mg Tablet, Film CoatedFinerenone4Non-Preferred Drug50%50%
  • PA
  • QL 3 per 30 days
KERENDIA 40 mg TabletFinerenone4Non-Preferred Drug50%50%
  • PA
  • QL 3 per 30 days
KESIMPTA 20 mg/.4mL Injection, SolutionOfatumumab5Specialty Tier25%N/A
  • PA
  • QL 0.4 per 28 days
KETOCONAZOLE 20 mg/g CreamKetoconazole Cream, 2%3Preferred Brand17%17%
  • QL 9 per 30 days
KETOCONAZOLE 20 mg/mL Shampoo, Suspension2Generic$17.00$42.50None
KETOCONAZOLE 200 mg Tablet3Preferred Brand17%17%None
KETOROLAC TROMETHAMINE 10 mg Tablet, Film Coated3Preferred Brand17%17%
  • QL 2 per 30 days
KETOROLAC TROMETHAMINE 5 mg/mL Solution2Generic$17.00$42.50None
KINERET 100 mg/.67mL Injection, SolutionAnakinra5Specialty Tier25%N/A
  • PA
KINRIX 25/10/25/8/25/40/8/32 [iU]/.5mL/ug/.5mL Injection, SuspensionDiphtheria And Tetanus Toxoids And Acellular Pertussis Adsorbed And Inactivated Poliovirus Vaccine3Preferred Brand17%17%None
KISQALI 200 mg Tablet, Film CoatedRibociclib5Specialty Tier25%N/A
  • PA
KISQALI 200 mg Tablet, Film CoatedRibociclib5Specialty Tier25%N/A
  • PA
KISQALI 200 mg Tablet, Film CoatedRibociclib5Specialty Tier25%N/A
  • PA
KLOR-CON 600 mg Tablet, Film Coated, Extended ReleasePotassium Chloride2Generic$17.00$42.50None
KLOR-CON 750 mg Tablet, Film Coated, Extended ReleasePotassium Chloride2Generic$17.00$42.50None
KLOR-CON M 1125 mg Tablet, Extended ReleasePotassium Chloride3Preferred Brand17%17%None
KLOR-CON M 1500 mg Tablet, Extended ReleasePotassium Chloride2Generic$17.00$42.50None
KLOR-CON M 750 mg Tablet, Extended ReleasePotassium Chloride2Generic$17.00$42.50None
KLOXXADO 8 mg/.1mL SprayNaloxone Hcl4Non-Preferred Drug50%50%None
KOSELUGO 10 mg CapsuleSelumetinib5Specialty Tier25%N/A
  • PA
KOSELUGO 25 mg CapsuleSelumetinib5Specialty Tier25%N/A
  • PA
KOSELUGO 5 mg GranuleSelumetinib5Specialty Tier25%N/A
  • PA
KOSELUGO 7.5 mg GranuleSelumetinib5Specialty Tier25%N/A
  • PA
KOURZEQ 1 mg/g PasteTriamcinolone Acetonide3Preferred Brand17%17%None
KRAZATI 200 mg Tablet, CoatedAdagrasib5Specialty Tier25%N/A
  • PA
KURVELO KitLevonorgestrel And Ethinyl Estradiol3Preferred Brand17%17%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.