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2016 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 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 2016 Formularies
PDPsMAPDs
ACULAR 0.5% EYE DROPS
(Ketorolac Tromethamine Ophth)
5 ML BOT000232181054
PDPs
15
MAPDs
ACULAR LS 0.4% OPHTH SOL
(Ketorolac Tromethamine Ophth)
5 ML BOTDR000239277054
PDPs
15
MAPDs
ACUVAIL 0.45% OPHTH SOLUTION #30X0.4 EA
(Ketorolac Tromethamine Ophth)
#30X0.4  0002335073011
PDPs
81
MAPDs
EXTINA 2% FOAM
(Ketoconazole)
100 GM  400760051002
PDPs
17
MAPDs
K-TAB ER 20 MEQ TABLET
(Potassium Chloride)
   0007430231311
PDPs
68
MAPDs
K-TAB 10MEQ 750 MG TABLET SA
(Potassium Chloride)
1000 BOT0007478041912
PDPs
53
MAPDs
K-tab er 8 meq tablet
(Potassium Chloride)
   0007430584618
PDPs
92
MAPDs
KADCYLA 100 MG VIAL
(Trastuzumab Emtansine)
   5024200880155
PDPs
294
MAPDs
KADIAN ER 10 MG CAPSULE
(Morphine Sulfate)
 525440011602
PDPs
15
MAPDs
KADIAN ER 100 MG CAPSULE
(Morphine Sulfate)
 525440164602
PDPs
15
MAPDs
KADIAN ER 20 MG CAPSULE
(Morphine Sulfate)
 525440211602
PDPs
14
MAPDs
KADIAN ER 200 MG CAPSULE
(Morphine Sulfate)
 525440220608
PDPs
44
MAPDs
KADIAN ER 30 MG CAPSULE
(Morphine Sulfate)
 525440032602
PDPs
14
MAPDs
KADIAN ER 40 MG CAPSULE
(Morphine Sulfate)
 525440039606
PDPs
38
MAPDs
KADIAN ER 50 MG CAPSULE
(Morphine Sulfate)
 525440052602
PDPs
14
MAPDs
KADIAN ER 60 MG CAPSULE
(Morphine Sulfate)
 525440063602
PDPs
14
MAPDs
KADIAN ER 80 MG CAPSULE
(Morphine Sulfate)
 525440896602
PDPs
14
MAPDs
KAITLIB FE CHEWABLE TABLET
(norethindrone and ethinyl estradiol and ferrous fumarate)
   6818009031133
PDPs
153
MAPDs
Kaletra 100; 25mg/1; mg/1 60 FILM COATED TABLETS in BOTTLE
(Lopinavir-Ritonavir)
60 TABLET, FILM COATED in  0007405226062
PDPs
338
MAPDs
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)
120 BOT0007467992262
PDPs
338
MAPDs
KALETRA 80MG/20MG ORAL SOLUTION
(Lopinavir-Ritonavir)
160 ML BOT0007439564662
PDPs
338
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
60 EA  5116702000262
PDPs
338
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)
56 EA  5116703000155
PDPs
310
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)
56 EA  5116704000155
PDPs
310
MAPDs
KANUMA 20 MG/10 ML VIAL
(Sebelipase Alfa)
   2568200070119
PDPs
134
MAPDs
KAPVAY ER 0.1 MG TABLET
(CLONIDINE HYDROCHLORIDE)
   592120658602
PDPs
18
MAPDs
KARBINAL ER 4 MG/ 5 ML SUSP
(carbinoxamine maleate)
   135510101051
PDPs
11
MAPDs
KARIVA 21-5 TABLET
(Desogestrel & Ethinyl Estradiol)
21ACTIVE,5ETHINYL,2PLACEB BLPK0055590505856
PDPs
313
MAPDs
KAYEXALATE POWDER
(Sodium Polystyrene Sulfonate Oral)
   249870075011
PDPs
19
MAPDs
KELNOR 1-35 1-0.035MG TABLET
(Ethynodiol Diacetate & Ethinyl Estradiol)
28 (21+7) BLPK0055590645861
PDPs
300
MAPDs
Kenalog 0.147mg/g 63 g in 1 CAN
(Triamcinolone Acetonide)
63 g in 1 CAN  1063100936212
PDPs
54
MAPDs
KENALOG-10 10 MG/ML VIAL
(Triamcinolone Acetonide)
5 ML  000030494207
PDPs
54
MAPDs
KENALOG-40 40 MG/ML VIAL
(Triamcinolone Acetonide)
1 ML  000030293057
PDPs
56
MAPDs
KEPIVANCE 6.25 MG VIAL
(Palifermin For IV)
   6665801120335
PDPs
197
MAPDs
KEPPRA 100MG/ML ORAL SOLUTION
(Levetiracetam)
16 FLO BOT504740001486
PDPs
26
MAPDs
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Levetiracetam)
60 TABLET, FILM COATED in  504740597666
PDPs
26
MAPDs
KEPPRA 250MG TABLET
(Levetiracetam)
120 TABS BOT504740594406
PDPs
26
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)
120 TABS BOT504740595406
PDPs
26
MAPDs
KEPPRA TABLETS EXTENDED RELEASE 500MG 60 BOT
(Levetiracetam)
60 BOT504740598663
PDPs
26
MAPDs
KEPPRA 750MG TABLET
(Levetiracetam)
120 TABS BOT504740596406
PDPs
26
MAPDs
KEPPRA 750MG XR TABLET
(Levetiracetam)
60 BOT504740599663
PDPs
26
MAPDs
KERYDIN 5% TOPICAL SOLUTION
(Tavaborole)
   103370905441
PDPs
13
MAPDs
Ketek 300mg/1 20 FILM COATED TABLETS in BOTTLE
(Telithromycin)
20 TABLET, FILM COATED in  0008822232023
PDPs
128
MAPDs
KETEK 400MG TABLET
(Telithromycin)
60 CT BOT0008822254123
PDPs
133
MAPDs
KETOCONAZOLE 2% FOAM
(Ketoconazole)
100 GM  4580205323318
PDPs
124
MAPDs
KETOCONAZOLE SHAMPOO
(Ketoconazole)
118.28ML BOTPL 0078170900462
PDPs
337
MAPDs
KETOCONAZOLE 2% CREAM
(Ketoconazole)
30 GRAMS TUBE0009308403062
PDPs
338
MAPDs
Ketoconazole 200mg 100 TABLET BOTTLE
(Ketoconazole)
100 TABLET BOTTLE  0037802610162
PDPs
336
MAPDs
KETOPROFEN 200MG CAPSULE 24HR SR PELLETS
(Ketoprofen)
100 BOT0037882000124
PDPs
206
MAPDs
KETOPROFEN 50MG CAPSULE
(Ketoprofen)
100 BOT0037840700155
PDPs
318
MAPDs
KETOPROFEN 75MG CAPSULE
(Ketoprofen)
100 CAPSULES BOT0009331950155
PDPs
318
MAPDs
KETOROLAC 0.4% OPHTH SOLUTION
(Ketorolac)
5 ML  6131400180562
PDPs
338
MAPDs
KETOROLAC 10MG TABLET
(Ketorolac)
100 TABLETS BOT0009303140113
PDPs
125
MAPDs
Ketorolac 15 mg/ml vial
(Ketorolac)
   006416041018
PDPs
116
MAPDs
KETOROLAC TROMETHAMINE 30 mg/mL INJECTION CARTRIDGE
(Ketorolac Tromethamine)
   004092287618
PDPs
98
MAPDs
Ketorolac Tromethamine Inj 30 MG/ML
(Ketorolac Tromethamine)
   633230162128
PDPs
112
MAPDs
Ketorolac Tromethamine 5mg/mL 10 mL in 1 BOTTLE
(Ketorolac Tromethamine)
10 mL in 1 BOTTLE  4161602219062
PDPs
338
MAPDs
KEVEYIS 50 MG TABLET
(Dichlorphenamide)
   5167241770110
PDPs
119
MAPDs
KEYTRUDA 100 MG/4 ML VIAL
(Pembrolizumab)
   0000630260162
PDPs
336
MAPDs
KEYTRUDA 50 MG VIAL
(Pembrolizumab)
   0000630290162
PDPs
336
MAPDs
KHEDEZLA ER 100 MG TABLET
(desvenlafaxine)
30 EA  6522408903117
PDPs
113
MAPDs
KHEDEZLA ER 50 MG TABLET
(Desvenlafaxine)
30 EA  6522408803117
PDPs
113
MAPDs
KIMIDESS 28 DAY TABLET
(DESOG-E.ESTRADIOL/E.ESTRADIOL)
28 EA  0060375121750
PDPs
275
MAPDs
Kineret 100mg/0.67mL
(Anakinra Subcutaneous)
   6665802342839
PDPs
247
MAPDs
KIONEX POW USP
(Sodium Polystyrene Sulfonate Oral)
454 GM BOTPL0057420041654
PDPs
310
MAPDs
KLARON 10% LOTION
(Sulfacetamide Sodium)
   001875198045
PDPs
28
MAPDs
Klonopin 0.5mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE, P  000040068012
PDPs
20
MAPDs
Klonopin 1mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE, P  000040058012
PDPs
20
MAPDs
Klonopin 2mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE, P  000040098012
PDPs
20
MAPDs
Klor-Con 10 MEQ Tablet
(Potassium Chloride)
   6675801600161
PDPs
331
MAPDs
KLOR-CON SPRINKLE ER 10 MEQ CP
(Potassium Chloride)
500 EA  6675802050551
PDPs
276
MAPDs
Klor-Con 8 MEQ Tablet
(Potassium Chloride)
   6675801100158
PDPs
292
MAPDs
KLOR-CON SPRINKLE ER 8 MEQ CAP
(Potassium Chloride)
100 EA  6675802020151
PDPs
276
MAPDs
Klor-Con M15 Tablet
(Potassium Chloride Microencapsulated Crys CR)
   6675801800146
PDPs
283
MAPDs
Klor-Con M20 Tablet
(Potassium Chloride Microencapsulated Crys CR)
   6675801901062
PDPs
337
MAPDs
KOMBIGLYZE XR 2.5-1,000 MG TAB
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
60 EA  0031061256028
PDPs
167
MAPDs
KOMBIGLYZE XR 5-1,000 MG TAB
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
30 EA  0031061453028
PDPs
167
MAPDs
KOMBIGLYZE XR 5-500 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
30 EA  0031061353028
PDPs
167
MAPDs
KORLYM 300 MG TABLET
(mifepristone)
   7634600730162
PDPs
338
MAPDs
KRISTALOSE 10 GM PACKET
(Lactulose)
   6622007193015
PDPs
90
MAPDs
KRISTALOSE 20 GM PACKET
(Lactulose)
   6622007293015
PDPs
90
MAPDs
KUVAN 100MG TABLET SOLUBLE
(Sapropterin DiHCL Soluble)
   6813503000262
PDPs
338
MAPDs
KUVAN 100 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)
1 EA  6813503011151
PDPs
271
MAPDs
KUVAN 500 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)
1 EA  6813504821051
PDPs
270
MAPDs
Kynamro 200 mg/mL INJECTION, SOLUTION
(mipomersen sodium)
   5846801910247
PDPs
311
MAPDs
Nizoral 20mg/mL 120 mL in 1 BOTTLE
(Ketoconazole)
120 mL in 1 BOTTLE  504580680085
PDPs
15
MAPDs
POTASSIUM CHLORIDE 20MEQ IN D5W/NACL 0.225%
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)
12 X 1000 ML CTR0040979010946
PDPs
270
MAPDs
POTASSIUM CHLORIDE 0.15%/D5W/SODIUM CHLORIDE 0.9% 1000ML
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)
1000 ML BAG0026476520046
PDPs
269
MAPDs
POTASSIUM CHLORIDE 0.3%/D5W/SODIUM CHLORIDE 0.45% 1000ML BAG
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)
1000ML BAG0026476380060
PDPs
307
MAPDs



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





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