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2010 Medicare Part D Formulary Search By Drug Letter

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Letter U

Drug Name
PackagingNDCOn This Nbr
of 2010
PDP
Formularies
ACTIGALL 300MG CAPSULE
(Ursodiol)		100 BOT5254409300120
CARMOL HC 1%-10% CREAM
(Urea-HC Acetate)		85 GM TUBE1033705501929
U-CORT 1%-10% CREAM
(Urea-HC Acetate)		   5167230090253
ULORIC TABLETS 40MG 30 BOT
(Febuxostat)		30 BOT6476409183031
ULORIC TABLETS 80MG 30 BOT
(Febuxostat)		30 BOT6476406773031
ULTRACET TABLET 325MG / 37.5MG
(Tramadol-Acetaminophen)		100 BOT0004506506023
ULTRAM 50MG TABLET
(Tramadol HCl)		100 BOT0004506596020
ULTRAM ER 100MG TABLET
(Tramadol HCl)		30 TABS BOT0006206533021
ULTRAM ER 200MG TABLET
(Tramadol HCl)		30 TABS BOT0006206553021
ULTRAM ER 300MG TABLET
(Tramadol HCl)		30 TABS BOT0006206573021
ULTRASE 20-4.5-25 EC CAPSULE
(Amy-Lip-Prot DR Particles)		100 BOTPL5891400451076
ULTRASE MT 12 CAPSULE EC
(Amy-Lip-Prot DR Particles)		100 BOT5891400021076
ULTRASE MT 18 CAPSULE EC
(Amy-Lip-Prot DR Particles)		100 BOT5891400181076
ULTRASE MT 20 CAPSULE EC
(Amy-Lip-Prot DR Particles)		500 BOT5891400045075
ULTRAVATE 0.05% OINTMENT
(Halobetasol Propionate)		50 GM TUBE0007214505022
ULTRAVATE CREAM 0.05% 1GM 50GM TUBE
(Halobetasol Propionate)		   1063101035022
UNASYN 15GM VIAL
(Ampicillin & Sulbactam Sodium For)		15 GM BOT0004900242822
UNASYN 3GM VIAL
(Ampicillin & Sulbactam Sodium For)		3 GM X 10 VIAL0004900148328
UNIPHYL TABLETS 400MG 100 SCORED BOT
(Theophylline)		100 SCORED BOT6778102510126
UNIPHYL 600MG TABLET SA
(Theophylline)		100 SCORED BOT6778102520126
UNIRETIC 15/12.5 TABLET
(Moexipril-Hydrochlorothiazide)		100 BOT0009137200120
UNIRETIC 7.5/12.5 TABLET
(Moexipril-Hydrochlorothiazide)		100 BOT0009137120120
UNIRETIC 15/25 TABLET
(Moexipril-Hydrochlorothiazide)		100 BOT0009137250120
UNITHROID 100MCG TABLET
(Levothyroxine Sodium)		100 BOT0052713740177
UNITHROID 112MCG TABLET
(Levothyroxine Sodium)		100 BOT0052713750177
UNITHROID 125MCG TABLET
(Levothyroxine Sodium)		100 BOT0052713760178
UNITHROID 150MCG TABLET
(Levothyroxine Sodium)		100 BOT0052713770177
UNITHROID 175MCG TABLET
(Levothyroxine Sodium)		100 BOT0052713780177
UNITHROID 200MCG TABLET
(Levothyroxine Sodium)		100 BOT0052713790177
UNITHROID 25MCG TABLET
(Levothyroxine Sodium)		100 BOT0052713700182
UNITHROID 300MCG TABLET
(Levothyroxine Sodium)		100 BOT0052713800177
UNITHROID 50MCG TABLET
(Levothyroxine Sodium)		100 BOT0052713710177
UNITHROID 75MCG TABLET
(Levothyroxine Sodium)		100 BOT0052713720177
UNITHROID 88MCG TABLET
(Levothyroxine Sodium)		100 BOT0052713730177
UNIVASC 15MG TABLET
(Moexipril HCl)		100 BOT0009137150120
UNIVASC 7.5MG TABLET
(Moexipril HCl)		100 BOT0009137070120
URECHOLINE 10MG TABLET
(Bethanechol Chloride)		   5128506900222
URECHOLINE 25MG TABLET
(Bethanechol Chloride)		   5128506910222
URECHOLINE 50MG TABLET
(Bethanechol Chloride)		   5128506920222
URECHOLINE 5MG TABLET
(Bethanechol Chloride)		   5128506970222
UREX 1GM TABLET
(Methenamine Hippurate)		   6519912010125
UROCIT-K 1080MG TABLET SA
(Potassium Citrate)		100 BOT0017806100128
UROCIT-K 540MG TABLET SA
(Potassium Citrate)		100 BOT0017806000128
UROXATRAL 10MG TABLET
(Alfuzosin HCl)		100 BOT0002442001060
URSO 250MG TABLET
(Ursodiol)		500 BOTPL5891407855027
URSO FORTE TABLETS 500MG 100 BOT
(Ursodiol)		100 BOT5891407901027
URSODIOL TABLETS 250MG 100 BOT
(Ursodiol)		100 BOT0009353600175
URSODIOL 300MG CAPSULE
(Ursodiol)		100 BOT0059131590183
URSODIOL TABLETS 500MG 100 BOT
(Ursodiol)		100 BOT0009353610175
UVADEX SOLUTION STERILE 20MCG/ML
(Methoxsalen (Photopheresis))		12 X 10 ML VIAL6406702160142



(Chart Source: Centers for Medicare and Medicaid files: CMS Data )


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Tips & Disclaimers
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  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
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  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.
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