A non-government resource for the Medicare community
Powered by Q1Group LLC
A non-government Medicare community resource
  • Menu
  • Home
  • Contact
  • MAPD
  • PDP
  • 2024
  • 2025
  • FAQs
  • Articles
  • Search
  • Contact
  • 2024
  • 2025
  • FAQs
  • Articles
  • Latest Medicare News
  • Search

2014 Medicare Part D Formulary Search By Drug Letter

This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
Select a Letter below:
Links to Summaries by State for LTC Drugs on LIS/SNP Plans:
AK  AL  AR  AZ  CA  CO  CT  DC  DE  FL  GA  HI  IA  ID  IL  IN  KS  KY  LA  MA  MD  ME  MI  MN  MO  MS  MT  NC  ND  NE  NH  NJ  NM  NV  NY  OH  OK  OR  PA  PR  RI  SC  SD  TN  TX  UT  VA  VT  WA  WI  WV  WY

Drug Names Containing the Letter U 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
ACTIGALL 300MG CAPSULE
(Ursodiol)
100 BOT5254409300111
PDPs
36
MAPDs
ANORO ELLIPTA 62.5-25 MCG INH
(umeclidinium and vilanterol inhalation powder)
   0017308691034
PDPs
138
MAPDs
CARMOL HC 1%-10% CREAM
(Urea-HC Acetate)
85 GM TUBE103370550191
PDPs
1
MAPDs
Ella 30mg/1 1 BLISTER PACK per CARTON / 1 TABLET per BLISTER PACK
(ULIPRISTAL ACETATE)
BLISTER PACK  5254402385445
PDPs
128
MAPDs
RESCULA 0.15% EYE DROPS
(unoprostone isopropyl)
   1735000150515
PDPs
42
MAPDs
STELARA 45 MG/0.5 ML SYRINGE
(Ustekinumab)
0.5ML  5789400600328
PDPs
148
MAPDs
STELARA 90 MG/ML SYRINGE
(Ustekinumab)
1ML  5789400610328
PDPs
148
MAPDs
U-CORT 1%-10% CREAM
(Urea-HC Acetate)
   5167230090246
PDPs
198
MAPDs
UCERIS 9 MG ER TABLET
(budesonide)
   6801203093038
PDPs
166
MAPDs
Ulesfia 50mg/g
(BENZYL ALCOHOL TOPICAL LOTION [)
   5963007808837
PDPs
93
MAPDs
ULORIC TABLETS 40MG 30 BOT
(Febuxostat)
30 BOT6476409183062
PDPs
247
MAPDs
ULORIC TABLETS 80MG 30 BOT
(Febuxostat)
30 BOT6476406773062
PDPs
247
MAPDs
ULTRACET 37.5/325MG TABLETS
(Tramadol-Acetaminophen)
10 TAB X 1 BLPK X 10 BOXUD 5045806501015
PDPs
47
MAPDs
ULTRAM 50MG TABLETS
(Tramadol HCl)
100 BOT 5045806596011
PDPs
34
MAPDs
Ultram ER 100mg/1 30 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC
(Tramadol HCl)
30 TABLET, EXTENDED RELEA  504580653307
PDPs
30
MAPDs
Ultram ER 200mg/1 30 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC
(Tramadol HCl)
30 TABLET, EXTENDED RELEA  504580655307
PDPs
30
MAPDs
Ultram ER 300mg/1 30 TABLET, EXTENDED RELEASE in 1 BOTTLE, PLASTIC
(Tramadol HCl)
30 TABLET, EXTENDED RELEA  504580657307
PDPs
33
MAPDs
Ultravate 0.5mg/g 50 g in 1 TUBE
(Halobetasol Propionate)
50 g in 1 TUBE  1063101025011
PDPs
36
MAPDs
Ultravate 0.5mg/g 50 g in 1 TUBE
(Halobetasol Propionate)
50 g in 1 TUBE  1063101035011
PDPs
36
MAPDs
ULTRESA DR 13,800 UNIT CAPSULE
(pancrelipase)
   589140003107
PDPs
60
MAPDs
ULTRESA DR ULTRESA DR 20,700MG UNIT CAPSULE UNIT CAPSULE
(pancrelipase)
   589140019107
PDPs
59
MAPDs
ULTRESA DR 23,000 UNIT CAPSULE
(pancrelipase)
   589140005107
PDPs
59
MAPDs
UNASYN 15GM VIAL
(Ampicillin & Sulbactam Sodium For)
15 GM BOT000490024288
PDPs
40
MAPDs
UNASYN 3GM VIAL
(Ampicillin & Sulbactam Sodium For)
3 GM X 10 VIAL000490014837
PDPs
35
MAPDs
UNIRETIC 15/12.5 TABLET
(Moexipril-Hydrochlorothiazide)
100 BOT0009137200111
PDPs
35
MAPDs
UNIRETIC 7.5/12.5 TABLET
(Moexipril-Hydrochlorothiazide)
100 BOT0009137120111
PDPs
40
MAPDs
UNIRETIC 15/25 TABLET
(Moexipril-Hydrochlorothiazide)
100 BOT0009137250111
PDPs
35
MAPDs
UNITHROID 100MCG TABLET
(Levothyroxine Sodium)
100 BOT0052713740174
PDPs
246
MAPDs
UNITHROID 112MCG TABLET
(Levothyroxine Sodium)
100 BOT0052713750174
PDPs
246
MAPDs
UNITHROID 125MCG TABLET
(Levothyroxine Sodium)
100 BOT0052713760174
PDPs
246
MAPDs
UNITHROID 150MCG TABLET
(Levothyroxine Sodium)
100 BOT0052713770174
PDPs
246
MAPDs
UNITHROID 175MCG TABLET
(Levothyroxine Sodium)
100 BOT0052713780174
PDPs
246
MAPDs
UNITHROID 200MCG TABLET
(Levothyroxine Sodium)
100 BOT0052713790174
PDPs
249
MAPDs
UNITHROID 25MCG TABLET
(Levothyroxine Sodium)
100 BOT0052713700174
PDPs
249
MAPDs
UNITHROID 300MCG TABLET
(Levothyroxine Sodium)
100 BOT0052713800174
PDPs
246
MAPDs
UNITHROID 50MCG TABLET
(Levothyroxine Sodium)
100 BOT0052713710174
PDPs
246
MAPDs
UNITHROID 75MCG TABLET
(Levothyroxine Sodium)
100 BOT0052713720174
PDPs
246
MAPDs
UNITHROID 88MCG TABLET
(Levothyroxine Sodium)
100 BOT0052713730174
PDPs
246
MAPDs
UNIVASC 15MG TABLET
(Moexipril HCl)
100 BOT0009137150111
PDPs
48
MAPDs
UNIVASC 7.5MG TABLET
(Moexipril HCl)
100 BOT0009137070111
PDPs
48
MAPDs
Urecholine 10mg/1 100 TABLET BOTTLE
(Bethanechol Chloride)
100 TABLET BOTTLE  512850690028
PDPs
34
MAPDs
Urecholine 25mg/1 100 TABLET BOTTLE
(Bethanechol Chloride)
100 TABLET BOTTLE  512850691028
PDPs
34
MAPDs
Urecholine 5mg/1 100 TABLET BOTTLE
(Bethanechol Chloride)
100 TABLET BOTTLE  512850697028
PDPs
34
MAPDs
Urecholine 50mg/1 100 TABLET BOTTLE
(Bethanechol Chloride)
100 TABLET BOTTLE  512850692028
PDPs
34
MAPDs
urocit-k 15.000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)
100 TABLET, EXTENDED RELE  0017806150119
PDPs
60
MAPDs
Urocit-K 10.000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)
100 TABLET, EXTENDED RELE  0017806100110
PDPs
44
MAPDs
Urocit-K 5.0000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)
100 TABLET, EXTENDED RELE  0017806000110
PDPs
44
MAPDs
UROXATRAL 10 MG TABLET
(Alfuzosin HCl)
   249870200107
PDPs
34
MAPDs
UROXATRAL 10MG TABLET
(Alfuzosin HCl)
100 BOT000244200101
PDPs
1
MAPDs
Urso 250 250mg/1
(Ursodiol)
   589140785108
PDPs
36
MAPDs
URSO FORTE TABLETS 500MG 100 BOT
(Ursodiol)
100 BOT589140790108
PDPs
36
MAPDs
Ursodiol 250mg/1
(Ursodiol)
   6846204730159
PDPs
281
MAPDs
URSODIOL 300MG CAPSULES
(Ursodiol)
100 BLPK BOXUD 5107903832076
PDPs
304
MAPDs
Ursodiol 500mg/1
(Ursodiol)
   6846204740159
PDPs
281
MAPDs
UVADEX SOLUTION STERILE 20MCG/ML
(Methoxsalen (Photopheresis))
12 X 10 ML VIAL6406702160161
PDPs
212
MAPDs



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





Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.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.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • 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.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • 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.