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2014 Medicare Part D Formulary Search By Drug Letter

Select a Letter below:
Links to Summaries by State for LTC Drugs on LIS/SNP Plans:
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Drug Names Containing the Letter K in Alphabetical Order.
Example: Lipitor® is found on letter page "L" as well as letter page "A" for Atorvastatin.

Drug Name
PackagingNDCOn This Nbr of 2014 Formularies
PDPsMAPDs
ACULAR 0.5% EYE DROPS
(Ketorolac Tromethamine Ophth)
5 ML BOT0002321810513
PDPs
37
MAPDs
ACULAR LS 0.4% OPHTH SOL
(Ketorolac Tromethamine Ophth)
5 ML BOTDR0002392770513
PDPs
36
MAPDs
ACUVAIL 0.45% OPHTH SOLUTION #30X0.4 EA
(Ketorolac Tromethamine Ophth)
#30X0.4  0002335073016
PDPs
85
MAPDs
EXTINA 2% FOAM
(Ketoconazole)
   630320051001
PDPs
1
MAPDs
EXTINA 2% FOAM
(Ketoconazole)
100 GM  400760051009
PDPs
46
MAPDs
K-TAB ER 20 MEQ TABLET
(Potassium Chloride)
   0007430231326
PDPs
73
MAPDs
K-TAB 10MEQ 750 MG TABLET SA
(Potassium Chloride)
1000 BOT0007478041930
PDPs
83
MAPDs
KADCYLA 100 MG VIAL
(Trastuzumab Emtansine)
   5024200880172
PDPs
288
MAPDs
KADIAN ER 10 MG CAPSULE
(Morphine Sulfate)
100 EA  4698704101127
PDPs
106
MAPDs
KADIAN ER 100 MG CAPSULE
(Morphine Sulfate)
100 EA  4698703241115
PDPs
71
MAPDs
KADIAN ER 20 MG CAPSULE
(Morphine Sulfate)
100 EA  4698703221113
PDPs
63
MAPDs
KADIAN ER 200 MG CAPSULE
(Morphine Sulfate)
100 EA  4698703771130
PDPs
119
MAPDs
KADIAN ER 30 MG CAPSULE
(Morphine Sulfate)
100 EA  4698703251113
PDPs
63
MAPDs
KADIAN ER 50 MG CAPSULE
(Morphine Sulfate)
100 EA  4698703231113
PDPs
63
MAPDs
KADIAN ER 60 MG CAPSULE
(Morphine Sulfate)
100 EA  4698703261115
PDPs
69
MAPDs
KADIAN ER 80 MG CAPSULE
(Morphine Sulfate)
100 EA  4698704121115
PDPs
68
MAPDs
Kaletra 100; 25mg/1; mg/1 60 FILM COATED TABLETS in BOTTLE
(Lopinavir-Ritonavir)
60 TABLET, FILM COATED in  0007405226077
PDPs
309
MAPDs
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)
120 BOT0007467992277
PDPs
309
MAPDs
KALETRA 80MG/20MG ORAL SOLUTION
(Lopinavir-Ritonavir)
160 ML BOT0007439564677
PDPs
309
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
60 EA  5116702000260
PDPs
209
MAPDs
Kapvay 0.2mg/1
(CLONIDINE HYDROCHLORIDE)
   5963006586020
PDPs
89
MAPDs
KARBINAL ER SUS 4MG/5ML
(carbinoxamine maleate)
   135510101056
PDPs
16
MAPDs
KARIVA 21-5 TABLET
(Desogestrel & Ethinyl Estradiol)
21ACTIVE,5ETHINYL,2PLACEB BLPK0055590505875
PDPs
287
MAPDs
KAYEXALATE POWDER
(Sodium Polystyrene Sulfonate Oral)
   249870075018
PDPs
44
MAPDs
KEFLEX 250 MG CAPSULE
(Cephalexin)
   5963001121014
PDPs
47
MAPDs
KEFLEX 500 MG CAPSULE
(Cephalexin)
   5963001131013
PDPs
46
MAPDs
Keflex 500mg/1
(Cephalexin)
   684530113101
PDPs
1
MAPDs
KELNOR 1-35 1-0.035MG TABLET
(Ethynodiol Diacetate & Ethinyl Estradiol)
28 (21+7) BLPK0055590645874
PDPs
269
MAPDs
Kenalog 0.147mg/g 63 g in 1 CAN
(Triamcinolone Acetonide)
63 g in 1 CAN  1063100936224
PDPs
101
MAPDs
KENALOG-10 10 MG/ML VIAL
(Triamcinolone Acetonide)
5 ML  0000304942018
PDPs
58
MAPDs
KENALOG-40 40 MG/ML VIAL
(Triamcinolone Acetonide)
1 ML  0000302930518
PDPs
60
MAPDs
KEPIVANCE 6.25 MG VIAL
(Palifermin For IV)
   6665801120352
PDPs
212
MAPDs
KEPPRA 100MG/ML ORAL SOLUTION
(Levetiracetam)
16 FLO BOT5047400014813
PDPs
50
MAPDs
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Levetiracetam)
60 TABLET, FILM COATED in  5047405976613
PDPs
49
MAPDs
KEPPRA 250MG TABLET
(Levetiracetam)
120 TABS BOT5047405944013
PDPs
49
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)
120 TABS BOT5047405954013
PDPs
49
MAPDs
KEPPRA TABLETS EXTENDED RELEASE 500MG 60 BOT
(Levetiracetam)
60 BOT5047405986610
PDPs
45
MAPDs
KEPPRA 750MG TABLET
(Levetiracetam)
120 TABS BOT5047405964013
PDPs
49
MAPDs
KEPPRA 750MG XR TABLET
(Levetiracetam)
60 BOT5047405996610
PDPs
45
MAPDs
Ketek 300mg/1 20 FILM COATED TABLETS in BOTTLE
(Telithromycin)
20 TABLET, FILM COATED in  0008822232046
PDPs
164
MAPDs
KETEK 400MG TABLET
(Telithromycin)
60 CT BOT0008822254146
PDPs
172
MAPDs
KETOCONAZOLE SHAMPOO
(Ketoconazole)
118.28ML BOTPL 0078170900477
PDPs
308
MAPDs
KETOCONAZOLE 2% CREAM
(Ketoconazole)
30 GRAMS TUBE0009308403077
PDPs
309
MAPDs
KETOCONAZOLE 2% FOAM
(Ketoconazole)
   4580205323337
PDPs
169
MAPDs
Ketoconazole 200mg 100 TABLET BOTTLE
(Ketoconazole)
100 TABLET BOTTLE  0037802610177
PDPs
309
MAPDs
ketodan 2% foam kit
(ketoconazole)
   4353805311018
PDPs
53
MAPDs
KETOPROFEN 200MG CAPSULE 24HR SR PELLETS
(Ketoprofen)
100 BOT0037882000153
PDPs
263
MAPDs
KETOPROFEN 50MG CAPSULE
(Ketoprofen)
100 BOT0037840700168
PDPs
294
MAPDs
KETOPROFEN 75MG CAPSULE
(Ketoprofen)
100 CAPSULES BOT0009331950168
PDPs
294
MAPDs
KETOROLAC 0.4% OPHTH SOLUTION
(Ketorolac)
5 ML  6131400180575
PDPs
306
MAPDs
KETOROLAC 10MG TABLET
(Ketorolac)
100 TABLETS BOT0009303140142
PDPs
156
MAPDs
Ketorolac 15 mg/ml vial
(Ketorolac)
   0064160410127
PDPs
145
MAPDs
ketorolac 30 mg/ml vial
(Ketorolac)
   0064160422528
PDPs
140
MAPDs
KETOROLAC TROMETHAMINE INJECTION 15MG BOX OF 10 VIALGL
(Ketorolac Tromethamine)
BOX OF 10 VIALGL646790757022
PDPs
2
MAPDs
Ketorolac Tromethamine 4mg/mL 1 BOTTLE, DROPPER per CARTON / 5 mL in 1 BOTTLE, DROPPER
(Ketorolac Tromethamine)
1 BOTTLE, DROPPER in 1 CA  174780208102
PDPs
3
MAPDs
Ketorolac Tromethamine 5mg/mL 10 mL in 1 BOTTLE
(Ketorolac Tromethamine)
10 mL in 1 BOTTLE  4161602219077
PDPs
309
MAPDs
KHEDEZLA ER 100 MG TABLET
(desvenlafaxine)
   4988403750931
PDPs
155
MAPDs
KHEDEZLA ER 50 MG TABLET
(desvenlafaxine)
   4988403741131
PDPs
155
MAPDs
Kineret 100mg/0.67mL
(Anakinra Subcutaneous)
   6665802342826
PDPs
172
MAPDs
KIONEX POW USP
(Sodium Polystyrene Sulfonate Oral)
454 GM BOTPL0057420041667
PDPs
273
MAPDs
KLARON 10% LOTION
(Sulfacetamide Sodium)
   0018751980414
PDPs
46
MAPDs
KLARON 10% LOTION
(Sulfacetamide Sodium)
118 ML CTR000667500041
PDPs
1
MAPDs
Klonopin 0.5mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE, P  000040068016
PDPs
32
MAPDs
Klonopin 1mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE, P  000040058016
PDPs
32
MAPDs
Klonopin 2mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE, P  000040098016
PDPs
32
MAPDs
KLOR-CON 10MEQ 750MG TABLET SA
(Potassium Chloride)
500 BOTPL0024500411575
PDPs
301
MAPDs
KLOR-CON 8MEQ 600MG TABLET SA
(Potassium Chloride)
500 BOTPL0024500401575
PDPs
295
MAPDs
KLOR-CON M15 15MEQ 1125MG TABLET SR PARTICLES/CRYSTALS
(Potassium Chloride Microencapsulated Crys CR)
100 BOT0024501501162
PDPs
271
MAPDs
KLOR-CON M20 TABLET 20MEQ ER
(Potassium Chloride Microencapsulated Crys CR)
500 BOT0024500581574
PDPs
294
MAPDs
KOMBIGLYZE XR 1000; 2.5mg/1; mg/1 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
60 TABLET, FILM COATED, E  0000342221646
PDPs
165
MAPDs
KOMBIGLYZE XR 1000; 5mg/1; mg/1 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
30 TABLET, FILM COATED, E  0000342231146
PDPs
165
MAPDs
KOMBIGLYZE XR 500; 5mg/1; mg/1 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
30 TABLET, FILM COATED, E  0000342211146
PDPs
165
MAPDs
KORLYM 300 MG TABLET
(mifepristone)
   7634600730132
PDPs
154
MAPDs
KRISTALOSE 10 GM PACKET
(Lactulose)
   6622007193022
PDPs
94
MAPDs
KRISTALOSE 20 GM PACKET
(Lactulose)
   6622007293020
PDPs
90
MAPDs
KUVAN 100MG TABLET SOLUBLE
(Sapropterin DiHCL Soluble)
   6813503000277
PDPs
309
MAPDs
Kynamro 200 mg/mL INJECTION, SOLUTION
(mipomersen sodium)
   5846801910225
PDPs
119
MAPDs
Nizoral 20mg/mL 120 mL in 1 BOTTLE
(Ketoconazole)
120 mL in 1 BOTTLE  5045806800814
PDPs
47
MAPDs
POTASSIUM CHLORIDE 20MEQ IN D5W/NACL 0.225%
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)
12 X 1000 ML CTR0040979010949
PDPs
208
MAPDs
POTASSIUM CHLORIDE 0.15%/D5W/SODIUM CHLORIDE 0.45%
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)
1000 ML BAG0033806710475
PDPs
278
MAPDs
POTASSIUM CHLORIDE 0.15%/D5W/SODIUM CHLORIDE 0.9% 1000ML
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)
1000 ML BAG0026476520058
PDPs
256
MAPDs
POTASSIUM CHLORIDE 0.3%/D5W/SODIUM CHLORIDE 0.45% 1000ML BAG
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)
1000ML BAG0026476380074
PDPs
275
MAPDs
SPRIX 15.75mg/1 5 BOTTLE, SPRAY per CARTON / 8 SPRAY, METERED in 1 BOTTLE, SPRAY
(Ketorolac Tromethamine)
5 BOTTLE, SPRAY in 1 CART  005178880059
PDPs
33
MAPDs



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


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