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2010 Medicare Part D Formulary Search By Drug Letter

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Letter X

Drug Name
PackagingNDCOn This Nbr
of 2010
PDP
Formularies
XALATAN EYE DROPS 125MCG 2.5ML BOTPL
(Latanoprost Ophth)		2.5 ML BOTPL0001383030481
XENAZINE TABLETS 12.5MG 112 BOT
(Tetrabenazine)		112 BOT6738604210175
XENAZINE TABLET 25 MG
(Tetrabenazine)		112 BOT6738604220175
XENICAL 120MG CAPSULE
(Orlistat)		90 CAPSULES BOT000040256526
XIBROM 0.09% EYE DROPS
(Bromfenac Sodium Ophth)		5.0 ML BOTDR6742500045055
XIFAXAN 200MG TABLET
(Rifaximin)		30 BOT6564903010344
XODOL 10-300 10MG-300MG TABLET
(Hydrocodone-Acetaminophen)		100 BOT6845309111020
XODOL 5MG-300MG TABLET (100 CT)
(Hydrocodone-Acetaminophen)		100 BOT6845309121019
XODOL 7.5-300MG TABLET (100 CT)
(Hydrocodone-Acetaminophen)		100 BOT6845309131017
XOLAIR 150MG VIAL
(Omalizumab For)		1 X VIAL5024200406280
XOLEGEL 2% GEL
(Ketoconazole)		   1347800030126
XOPENEX 0.31MG/3ML SOLUTION
(Levalbuterol HCl)		2 X 12 VIALS POUCHES CRTN6340205112435
XOPENEX 0.63MG/3ML SOLUTION
(Levalbuterol HCl)		2 X 12 VIAL POUCHES CRTN6340205122435
XOPENEX 1.25MG/3ML SOLUTION
(Levalbuterol HCl)		2 X 12 VIAL POUCHES CRTN6340205132435
XOPENEX HFA 45MCG HFA AEROSOL WITH ADAPTER
(Levalbuterol Tartrate)		200 INHALATIONS BOX6340205100142
XYLOCAINE 0.5% VIAL
(Lidocaine HCl)		50 CC VIALMD0018601350122
XYLOCAINE 1% VIAL
(Lidocaine HCl)		20 ML VIALMD0018601100123
XYLOCAINE 2% JELLY
(Lidocaine HCl)		30 ML TUBE0018603300120
XYLOCAINE 4% SOLUTION
(Lidocaine HCl)		50 ML BOT0018603200121
XYREM 500MG/ML ORAL SOLUTION
(Sodium Oxybate Oral)		180 ML BOT6872701000181
XYZAL ORAL SOLUTION 2.5 MG/5ML
(Levocetirizine DiHCL)		148 ML BOTGL0002458012038
XYZAL 5MG TABLET
(Levocetirizine DiHCL)		90 BOT0002458009040



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


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Tips & Disclaimers
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  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
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  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
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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.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • 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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