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

Contract S5921, plan 389 · Virginia · 3,518 drugs on file · formulary ID 00026000. Each drug links to its cost in every CMS PDP Region 07 plan.

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155 drugs starting with N.

Drug nameTier30-day preferred pharmacy90-day mail orderUsage management
NABUMETONE 500 mg Tablet, Film Coated2Generic$10.00$0.00None
NABUMETONE 750 mg Tablet2Generic$10.00$0.00None
NADOLOL 20 mg Tablet4Non-Preferred Drug35%N/ANone
NADOLOL 40 mg Tablet4Non-Preferred Drug35%N/ANone
NADOLOL 80 mg Tablet4Non-Preferred Drug35%N/ANone
NAFCILLIN 1 g/4mL Injection, Powder, For SolutionNafcillin Sodium4Non-Preferred Drug35%N/ANone
NAFCILLIN 10 g Injection, Powder, For Solution4Non-Preferred Drug35%N/ANone
NAFCILLIN 2 g/8mL Injection, Powder, Lyophilized, For SolutionNafcillin Sodium4Non-Preferred Drug35%N/ANone
NALOXONE HYDROCHLORIDE .4 mg/mL Injection, Solution2Generic$10.00$0.00None
NALOXONE HYDROCHLORIDE .4 mg/mL Injection, Solution2Generic$10.00$0.00None
NALOXONE HYDROCHLORIDE .4 mg/mL Injection, Solution2Generic$10.00$0.00None
NALOXONE HYDROCHLORIDE 1 mg/mL Injection2Generic$10.00$0.00None
NALTREXONE HYDROCHLORIDE 50 mg Tablet, Film Coated3Preferred Brand17%17%None
NAPROXEN 250 mg Tablet1Preferred Generic$5.00$0.00None
NAPROXEN 375 mg Tablet1Preferred Generic$5.00$0.00None
NAPROXEN 375 mg Tablet, Delayed Release2Generic$10.00$0.00None
NAPROXEN 500 mg Tablet1Preferred Generic$5.00$0.00None
NAPROXEN 500 mg Tablet, Delayed Release2Generic$10.00$0.00None
NAPROXEN SODIUM 275 mg Tablet, Film Coated2Generic$10.00$0.00None
NAPROXEN SODIUM 550 mg Tablet2Generic$10.00$0.00None
NARATRIPTAN 1 mg Tablet3Preferred Brand17%17%
  • QL 12 per 30 days
NARATRIPTAN 2.5 mg Tablet3Preferred Brand17%17%
  • QL 12 per 30 days
NATACYN 50 mg/mL Suspension/ DropsNatamycin4Non-Preferred Drug35%N/ANone
NATEGLINIDE 120 mg Tablet, Film Coated2Generic$10.00$0.00
  • QL 9 per 30 days
NATEGLINIDE 60 mg Tablet, Film Coated2Generic$10.00$0.00
  • QL 18 per 30 days
NAYZILAM 5 mg/.1mL SprayMidazolam4Non-Preferred Drug35%N/A
  • PA
  • QL 1 per 30 days
NEBIVOLOL 10 mg Tablet3Preferred Brand17%17%
  • QL 3 per 30 days
NEBIVOLOL 2.5 mg Tablet3Preferred Brand17%17%
  • QL 3 per 30 days
NEBIVOLOL 20 mg Tablet3Preferred Brand17%17%
  • QL 6 per 30 days
NEBIVOLOL 5 mg Tablet3Preferred Brand17%17%
  • QL 3 per 30 days
NECON KitNorethindrone And Ethinyl Estradiol3Preferred Brand17%17%None
NEFAZODONE HYDROCHLORIDE 100 mg Tablet4Non-Preferred Drug35%N/ANone
NEFAZODONE HYDROCHLORIDE 150 mg Tablet4Non-Preferred Drug35%N/ANone
NEFAZODONE HYDROCHLORIDE 200 mg Tablet4Non-Preferred Drug35%N/ANone
NEFAZODONE HYDROCHLORIDE 250 mg Tablet4Non-Preferred Drug35%N/ANone
NEFAZODONE HYDROCHLORIDE 50 mg Tablet4Non-Preferred Drug35%N/ANone
NEOMYCIN AND POLYMYXIN B SULFATES AND BACITRACIN ZINC 3.5/10000/400 mg/g/[USP'U]/g OintmentNeomycin Sulfate, Polymyxin B Sulfate And Bacitracin Zinc3Preferred Brand17%17%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$0.00None
NEOMYCIN AND POLYMYXIN B SULFATES AND GRAMICIDIN 1.75/10000/.025 mg/mL/[USP'U]/mL Solution/ DropsNeomycin Sulfate, Polymyxin B Sulfate And Gramicidin3Preferred Brand17%17%None
NEOMYCIN AND POLYMYXIN B SULFATES AND HYDROCORTISONE 10/3.5/10000 mg/mL/[USP'U]/mL Suspension/ DropsNeomycin Sulfate, Polymyxin B Sulfate And Hydrocortisone3Preferred Brand17%17%None
NEOMYCIN AND POLYMYXIN B SULFATES AND HYDROCORTISONE 3.5/10000/10 mg/mL/[USP'U]/mL Solution/ DropsNeomycin Sulfate, Polymyxin B Sulfate, Hydrocortisone3Preferred Brand17%17%None
NEOMYCIN AND POLYMYXIN B SULFATES AND HYDROCORTISONE 3.5/10000/10 mg/mL/[USP'U]/mL SuspensionNeomycin Sulfate, Polymyxin B Sulfate And Hydrocortisone4Non-Preferred Drug35%N/ANone
NEOMYCIN AND POLYMYXIN B SULFATES, BACITRACIN ZINC AND HYDROCORTISONE 3.5/10000/400/10 mg/g/[USP'U]/g OintmentNeomycin Sulfate And Polymyxin B Sulfate, Bacitracin Zinc And Hydrocortisone3Preferred Brand17%17%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$0.00None
NEOMYCIN SULFATE 500 mg Tablet2Generic$10.00$0.00None
NERLYNX 40 mg TabletNeratinib5Specialty Tier31%N/A
  • PA
  • QL 18 per 30 days
NEUAC 10/50 mg/g GelClindamycin Phosphate And Benzoyl Peroxide4Non-Preferred Drug35%N/ANone
NEULASTA 6 mg/.6mL InjectionPegfilgrastim5Specialty Tier31%N/A
  • PA
NEUPRO 1 mg/24h Patch, Extended ReleaseRotigotine4Non-Preferred Drug35%N/ANone
NEUPRO 2 mg/24h Patch, Extended ReleaseRotigotine4Non-Preferred Drug35%N/ANone
NEUPRO 3 mg/24h Patch, Extended ReleaseRotigotine4Non-Preferred Drug35%N/ANone
NEUPRO 4 mg/24h Patch, Extended ReleaseRotigotine4Non-Preferred Drug35%N/ANone
NEUPRO 6 mg/24h Patch, Extended ReleaseRotigotine4Non-Preferred Drug35%N/ANone
NEUPRO 8 mg/24h Patch, Extended ReleaseRotigotine4Non-Preferred Drug35%N/ANone
NEVIRAPINE 200 mg Tablet3Preferred Brand17%17%
  • QL 6 per 30 days
NEVIRAPINE 400 mg Tablet, Extended Release4Non-Preferred Drug35%N/A
  • QL 3 per 30 days
NEVIRAPINE 50 mg/5mL Suspension4Non-Preferred Drug35%N/A
  • QL 12 per 30 days
NEXLETOL 180 mg Tablet, Film CoatedBempedoic Acid3Preferred Brand17%17%
  • PA
  • QL 3 per 30 days
NEXLIZET 180/10 mg Tablet, Film CoatedBempedoic Acid And Ezetimibe3Preferred Brand17%17%
  • PA
  • QL 3 per 30 days
NEXPLANON 68 mg ImplantEtonogestrel3Preferred Brand17%17%None
NIACIN 1000 mg Tablet, Extended Release3Preferred Brand17%17%None
NIACIN 500 mg Tablet4Non-Preferred Drug35%N/ANone
NIACIN 500 mg Tablet, Extended Release3Preferred Brand17%17%None
NIACIN 750 mg Tablet, Film Coated, Extended Release3Preferred Brand17%17%None
NIACOR 500 mg TabletNiacin4Non-Preferred Drug35%N/ANone
NICOTROL 10 mg/mL Spray, MeteredNicotine4Non-Preferred Drug35%N/ANone
NIFEDIPINE 30 mg Tablet, Extended Release2Generic$10.00$0.00
  • QL 6 per 30 days
NIFEDIPINE 30 mg Tablet, Film Coated, Extended Release2Generic$10.00$0.00
  • QL 6 per 30 days
NIFEDIPINE 60 mg Tablet, Extended Release2Generic$10.00$0.00
  • QL 6 per 30 days
NIFEDIPINE 60 mg Tablet, Film Coated, Extended Release2Generic$10.00$0.00
  • QL 6 per 30 days
NIFEDIPINE 90 mg Tablet, Extended Release2Generic$10.00$0.00
  • QL 6 per 30 days
NIFEDIPINE 90 mg Tablet, Film Coated, Extended Release2Generic$10.00$0.00
  • QL 6 per 30 days
NIKKI KitDrospirenone And Ethinyl Estradiol3Preferred Brand17%17%None
NILOTINIB 150 mg Capsule5Specialty Tier31%N/A
  • PA
  • QL 14 per 28 days
NILOTINIB 200 mg Capsule5Specialty Tier31%N/A
  • PA
  • QL 112 per 28 days
NILOTINIB 50 mg Capsule5Specialty Tier31%N/A
  • PA
  • QL 42 per 30 days
NILUTAMIDE 150 mg Tablet5Specialty Tier31%N/ANone
NIMODIPINE 30 mg Capsule, Liquid Filled4Non-Preferred Drug35%N/ANone
NINLARO 2.3 mg CapsuleIxazomib5Specialty Tier31%N/A
  • PA
  • QL 3 per 28 days
NINLARO 3 mg CapsuleIxazomib5Specialty Tier31%N/A
  • PA
  • QL 3 per 28 days
NINLARO 4 mg CapsuleIxazomib5Specialty Tier31%N/A
  • PA
  • QL 3 per 28 days
NITAZOXANIDE 500 mg Tablet, Film Coated4Non-Preferred Drug35%N/A
  • QL 6 per 30 days
NITISINONE 10 mg Capsule5Specialty Tier31%N/ANone
NITISINONE 2 mg Capsule5Specialty Tier31%N/ANone
NITISINONE 20 mg Capsule5Specialty Tier31%N/ANone
NITISINONE 5 mg Capsule5Specialty Tier31%N/ANone
NITRO-BID 20 mg/g OintmentNitroglycerin4Non-Preferred Drug35%N/ANone
NITROFURANTOIN (MACROCRYSTALS) 100 mg Capsule3Preferred Brand17%17%None
NITROFURANTOIN (MONOHYDRATE/MACROCRYSTALS) 75/25 mg Capsule3Preferred Brand17%17%None
NITROFURANTOIN MACROCRYSTALS 50 mg Capsule3Preferred Brand17%17%None
NITROGLYCERIN .1 mg/h Patch2Generic$10.00$0.00None
NITROGLYCERIN .2 mg/h Patch2Generic$10.00$0.00None
NITROGLYCERIN .3 mg Tablet2Generic$10.00$0.00None
NITROGLYCERIN .4 mg Tablet2Generic$10.00$0.00None
NITROGLYCERIN .4 mg/h Patch2Generic$10.00$0.00None
NITROGLYCERIN .6 mg Tablet2Generic$10.00$0.00None
NITROGLYCERIN .6 mg/h Patch2Generic$10.00$0.00None
NITROGLYCERIN 4 mg/g Ointment4Non-Preferred Drug35%N/A
  • QL 3 per 30 days
NITROGLYCERIN LINGUAL 400 ug SprayNitroglycerin4Non-Preferred Drug35%N/ANone
NIZATIDINE 150 mg Capsule3Preferred Brand17%17%None
NIZATIDINE 300 mg Capsule3Preferred Brand17%17%None
NORA BE .35 mg TabletNorethindrone3Preferred Brand17%17%None
NORELGESTROMIN AND ETHINYL ESTRADIOL 150/35 ug/mg Patch3Preferred Brand17%17%None
NORETHINDRONE .35 mg Tablet3Preferred Brand17%17%None
NORETHINDRONE ACETATE 5 mg Tablet2Generic$10.00$0.00None
NORETHINDRONE ACETATE AND ETHINYL ESTRADIOL 1/.02 mg Tablet3Preferred Brand17%17%None
NORETHINDRONE ACETATE AND ETHINYL ESTRADIOL 1/5 mg/ug Tablet3Preferred Brand17%17%None
NORETHINDRONE ACETATE AND ETHINYL ESTRADIOL KitNorethindrone Acetate And Ethinyl Estradiol Tablets And Ferrous Fumarate Tablets3Preferred Brand17%17%None
NORGESTIMATE AND ETHINYL ESTRADIOL Kit3Preferred Brand17%17%None
NORGESTIMATE AND ETHINYL ESTRADIOL Kit3Preferred Brand17%17%None
NORGESTIMATE AND ETHINYL ESTRADIOL Kit3Preferred Brand17%17%None
NORTREL 21 DAY 1/.035 mg TabletNorethindrone And Ethinyl Estradiol3Preferred Brand17%17%None
NORTREL 28 DAY KitNorethindrone And Ethinyl Estradiol3Preferred Brand17%17%None
NORTREL 28 DAY KitNorethindrone And Ethinyl Estradiol3Preferred Brand17%17%None
NORTREL 7/7/7 (28 DAY REGIMEN) KitNorethindrone And Ethinyl Estradiol3Preferred Brand17%17%None
NORTRIPTYLINE HYDROCHLORIDE 10 mg Capsule4Non-Preferred Drug35%N/A
  • PA
NORTRIPTYLINE HYDROCHLORIDE 10 mg/5mL Solution4Non-Preferred Drug35%N/A
  • PA
NORTRIPTYLINE HYDROCHLORIDE 25 mg Capsule4Non-Preferred Drug35%N/A
  • PA
NORTRIPTYLINE HYDROCHLORIDE 50 mg Capsule4Non-Preferred Drug35%N/A
  • PA
NORTRIPTYLINE HYDROCHLORIDE 75 mg Capsule4Non-Preferred Drug35%N/A
  • PA
NORVIR 100 mg PowderRitonavir4Non-Preferred Drug35%N/A
  • QL 36 per 30 days
NOVOLIN 70/30 100 [iU]/mL Injection, SuspensionHuman Insulin3Preferred Brand17%17%None
NOVOLIN 70/30 100 [iU]/mL Injection, SuspensionHuman Insulin3Preferred Brand17%17%None
NOVOLIN N 100 [iU]/mL Injection, SuspensionHuman Insulin3Preferred Brand17%17%None
NOVOLIN N 100 [iU]/mL Injection, SuspensionHuman Insulin3Preferred Brand17%17%None
NOVOLIN R 100 [iU]/mL Injection, SolutionHuman Insulin3Preferred Brand17%17%None
NOVOLIN R 100 [iU]/mL Injection, SolutionHuman Insulin3Preferred Brand17%17%None
NOVOLOG 100 [iU]/mL Injection, SolutionInsulin Aspart3Preferred Brand17%17%None
NOVOLOG 100 [iU]/mL Injection, SolutionInsulin Aspart3Preferred Brand17%17%None
NOVOLOG 100 [iU]/mL Injection, SolutionInsulin Aspart3Preferred Brand17%17%None
NOVOLOG MIX 70/30 100 [iU]/mL Injection, SuspensionInsulin Aspart3Preferred Brand17%17%None
NOVOLOG MIX 70/30 100 [iU]/mL Injection, SuspensionInsulin Aspart3Preferred Brand17%17%None
NUBEQA 300 mg Tablet, Film CoatedDarolutamide5Specialty Tier31%N/A
  • PA
  • QL 12 per 30 days
NUCALA 100 mg/mL Injection, Powder, For SolutionMepolizumab5Specialty Tier31%N/A
  • PA
  • QL 3 per 28 days
NUCALA 100 mg/mL Injection, SolutionMepolizumab5Specialty Tier31%N/A
  • PA
  • QL 3 per 28 days
NUCALA 100 mg/mL Injection, SolutionMepolizumab5Specialty Tier31%N/A
  • PA
  • QL 3 per 28 days
NUCALA 40 mg/.4mL Injection, SolutionMepolizumab5Specialty Tier31%N/A
  • PA
  • QL 0.4 per 28 days
NUEDEXTA 20/10 mg Capsule, Gelatin CoatedDextromethorphan Hydrobromide And Quinidine Sulfate4Non-Preferred Drug35%N/A
  • PA
  • QL 6 per 30 days
NUPLAZID 10 mg Tablet, CoatedPimavanserin Tartrate4Non-Preferred Drug35%N/A
  • PA
  • QL 3 per 30 days
NUPLAZID 34 mg CapsulePimavanserin Tartrate4Non-Preferred Drug35%N/A
  • PA
  • QL 3 per 30 days
NURTEC ODT 75 mg Tablet, Orally DisintegratingRimegepant Sulfate4Non-Preferred Drug35%N/A
  • PA
  • QL 18 per 30 days
NUTRILIPID I.V. FAT EMULSION 20 g/100mL Injection, SolutionSoybean Oil4Non-Preferred Drug35%N/A
  • PA
NUZYRA 100 mg/5mL Injection, Powder, Lyophilized, For SolutionOmadacycline5Specialty Tier31%N/A
  • PA
NUZYRA 150 mg Tablet, Film CoatedOmadacycline5Specialty Tier31%N/A
  • PA
  • QL 3 per 14 days
NYAMYC 100000 [USP'U]/g PowderNystatin2Generic$10.00$0.00
  • QL 12 per 30 days
NYLIA 1/35 KitNorethindrone And Ethinyl Estradiol3Preferred Brand17%17%None
NYLIA 7/7/7 KitNorethindrone And Ethinyl Estradiol3Preferred Brand17%17%None
NYSTATIN 100000 [USP'U]/g Cream2Generic$10.00$0.00None
NYSTATIN 100000 [USP'U]/g Ointment2Generic$10.00$0.00None
NYSTATIN 100000 [USP'U]/g Powder2Generic$10.00$0.00
  • QL 12 per 30 days
NYSTATIN 100000 [USP'U]/mL Suspension2Generic$10.00$0.00None
NYSTATIN 500000 [USP'U] Tablet, Coated2Generic$10.00$0.00None
NYSTATIN AND TRIAMCINOLONE ACETONIDE 100000/1 [USP'U]/g/mg/g CreamNystatin, Triamcinolone Acetonide3Preferred Brand17%17%None
NYSTATIN AND TRIAMCINOLONE ACETONIDE 100000/1 [USP'U]/g/mg/g Ointment3Preferred Brand17%17%None
NYSTOP 100000 [USP'U]/g PowderNystatin2Generic$10.00$0.00
  • QL 12 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.