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2017 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:
A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z
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
 Packaging NDC On This Nbr of 2017 Formularies
PDPs MAPDs
ACULAR 0.5% EYE DROPS
(Ketorolac Tromethamine Ophth)		 5 ML BOT 00023218105 4
PDPs		 9
MAPDs
ACULAR LS 0.4% OPHTH SOL
(Ketorolac Tromethamine Ophth)		 5 ML BOTDR 00023927705 4
PDPs		 9
MAPDs
ACUVAIL 0.45% OPHTH SOLUTION #30X0.4 EA
(Ketorolac Tromethamine Ophth)		 #30X0.4   00023350730 7
PDPs		 63
MAPDs
EXTINA 2% FOAM
(Ketoconazole)		 100 GM   40076005100 1
PDPs		 8
MAPDs
K-TAB ER 20 MEQ TABLET
(Potassium Chloride)		     00074302313 6
PDPs		 75
MAPDs
K-TAB 10MEQ 750 MG TABLET SA
(Potassium Chloride)		 1000 BOT 00074780419 8
PDPs		 49
MAPDs
K-tab er 8 meq tablet
(Potassium Chloride)		     00074305846 12
PDPs		 96
MAPDs
KADCYLA 100 MG VIAL
(Trastuzumab Emtansine)		     50242008801 50
PDPs		 289
MAPDs
KADIAN ER 10 MG CAPSULE
(Morphine Sulfate)		   52544001160 2
PDPs		 11
MAPDs
KADIAN ER 100 MG CAPSULE
(Morphine Sulfate)		   52544016460 2
PDPs		 12
MAPDs
KADIAN ER 20 MG CAPSULE
(Morphine Sulfate)		   52544021160 2
PDPs		 11
MAPDs
KADIAN ER 200 MG CAPSULE
(Morphine Sulfate)		   52544022060 4
PDPs		 37
MAPDs
KADIAN ER 30 MG CAPSULE
(Morphine Sulfate)		   52544003260 2
PDPs		 11
MAPDs
KADIAN ER 40 MG CAPSULE
(Morphine Sulfate)		   52544003960 3
PDPs		 31
MAPDs
KADIAN ER 50 MG CAPSULE
(Morphine Sulfate)		   52544005260 2
PDPs		 11
MAPDs
KADIAN ER 60 MG CAPSULE
(Morphine Sulfate)		   52544006360 2
PDPs		 11
MAPDs
KADIAN ER 80 MG CAPSULE
(Morphine Sulfate)		   52544089660 2
PDPs		 11
MAPDs
KAITLIB FE CHEWABLE TABLET
(norethindrone and ethinyl estradiol and ferrous fumarate)		     68180090311 29
PDPs		 156
MAPDs
Kaletra 100; 25mg/1; mg/1 60 FILM COATED TABLETS in BOTTLE
(Lopinavir-Ritonavir)		 60 TABLET, FILM COATED in   00074052260 59
PDPs		 341
MAPDs
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)		 120 BOT 00074679922 59
PDPs		 341
MAPDs
KALETRA 80MG/20MG ORAL SOLUTION
(Lopinavir-Ritonavir)		 160 ML BOT 00074395646 52
PDPs		 266
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)		 56.000 EA   51167020001 59
PDPs		 341
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)		 56 EA   51167030001 53
PDPs		 330
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)		 56 EA   51167040001 53
PDPs		 330
MAPDs
KANUMA 20 MG/10 ML VIAL
(Sebelipase Alfa)		     25682000701 16
PDPs		 124
MAPDs
KAPVAY ER 0.1 MG TABLET
(CLONIDINE HYDROCHLORIDE)		     59212065860 2
PDPs		 7
MAPDs
KARBINAL ER 4 MG/ 5 ML SUSP
(carbinoxamine maleate)		     13551010105 1
PDPs		 6
MAPDs
KARIVA 21-5 TABLET
(Desogestrel & Ethinyl Estradiol)		 21ACTIVE,5ETHINYL,2PLACEB BLPK 00555905058 58
PDPs		 325
MAPDs
KAYEXALATE POWDER
(Sodium Polystyrene Sulfonate Oral)		     24987007501 2
PDPs		 12
MAPDs
KELNOR 1-35 1-0.035MG TABLET
(Ethynodiol Diacetate & Ethinyl Estradiol)		 28 (21+7) BLPK 00555906458 58
PDPs		 311
MAPDs
Kenalog 0.147mg/g 63 g in 1 CAN
(Triamcinolone Acetonide)		 63 g in 1 CAN   10631009362 4
PDPs		 15
MAPDs
KENALOG-10 10 MG/ML VIAL
(Triamcinolone Acetonide)		 5 ML   00003049420 10
PDPs		 63
MAPDs
KENALOG-40 40 MG/ML VIAL
(Triamcinolone Acetonide)		 1 ML   00003029305 10
PDPs		 65
MAPDs
KEPIVANCE 6.25 MG VIAL
(Palifermin For IV)		     66658011203 30
PDPs		 199
MAPDs
KEPPRA 100MG/ML ORAL SOLUTION
(Levetiracetam)		 16 FLO BOT 50474000148 5
PDPs		 16
MAPDs
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Levetiracetam)		 60 TABLET, FILM COATED in   50474059766 5
PDPs		 16
MAPDs
KEPPRA 250MG TABLET
(Levetiracetam)		 120 TABS BOT 50474059440 5
PDPs		 16
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)		 120 TABS BOT 50474059540 5
PDPs		 16
MAPDs
KEPPRA TABLETS EXTENDED RELEASE 500MG 60 BOT
(Levetiracetam)		 60 BOT 50474059866 2
PDPs		 16
MAPDs
KEPPRA 750MG TABLET
(Levetiracetam)		 120 TABS BOT 50474059640 5
PDPs		 16
MAPDs
KEPPRA 750MG XR TABLET
(Levetiracetam)		 60 BOT 50474059966 2
PDPs		 16
MAPDs
KERYDIN 5% TOPICAL SOLUTION
(Tavaborole)		     10337090544 1
PDPs		 17
MAPDs
KETOCONAZOLE 2% FOAM
(Ketoconazole)		 100 GM   45802053233 13
PDPs		 116
MAPDs
KETOCONAZOLE SHAMPOO
(Ketoconazole)		 118.28ML BOTPL 00781709004 59
PDPs		 340
MAPDs
Ketoconazole 200mg 100 TABLET BOTTLE
(Ketoconazole)		 100 TABLET BOTTLE   00378026101 59
PDPs		 339
MAPDs
KETOCONAZOLE 2% CREAM
(Ketoconazole)		 60 GM   51672129803 59
PDPs		 341
MAPDs
KETOPROFEN 200MG CAPSULE 24HR SR PELLETS
(Ketoprofen)		 100 BOT 00378820001 18
PDPs		 174
MAPDs
KETOPROFEN 50MG CAPSULE
(Ketoprofen)		 100 BOT 00378407001 53
PDPs		 312
MAPDs
KETOPROFEN 75MG CAPSULE
(Ketoprofen)		 100 CAPSULES BOT 00093319501 53
PDPs		 312
MAPDs
KETOROLAC 0.4% OPHTH SOLUTION
(Ketorolac)		 5 ML   61314001805 59
PDPs		 341
MAPDs
KETOROLAC 0.5% OPHTH SOLUTION
(Ketorolac)		 10.000 ML   17478020911 59
PDPs		 341
MAPDs
KETOROLAC 10MG TABLET
(Ketorolac)		 100 TABLETS BOT 00093031401 14
PDPs		 126
MAPDs
Ketorolac 15 mg/ml vial
(Ketorolac)		     00641604101 10
PDPs		 115
MAPDs
KETOROLAC TROMETHAMINE 30 mg/mL INJECTION CARTRIDGE
(Ketorolac Tromethamine)		     00409228761 10
PDPs		 111
MAPDs
Ketorolac Tromethamine Inj 30 MG/ML
(Ketorolac Tromethamine)		     63323016212 10
PDPs		 112
MAPDs
KEVEYIS 50 MG TABLET
(Dichlorphenamide)		     71090000101 8
PDPs		 116
MAPDs
KEVZARA 150 MG/1.14 ML SYRINGE
(Sarilumab)		     00024590801 5
PDPs		 54
MAPDs
KEVZARA 200 MG/1.14 ML SYRINGE
(Sarilumab)		     00024591001 5
PDPs		 54
MAPDs
KEYTRUDA 100 MG/4 ML VIAL
(Pembrolizumab)		     00006302601 56
PDPs		 338
MAPDs
KEYTRUDA 50 MG VIAL
(Pembrolizumab)		     00006302901 56
PDPs		 339
MAPDs
KHEDEZLA ER 100 MG TABLET
(desvenlafaxine)		 30 EA   65224089031 13
PDPs		 97
MAPDs
KHEDEZLA ER 50 MG TABLET
(Desvenlafaxine)		 30 EA   65224088031 13
PDPs		 97
MAPDs
KIMIDESS 28 DAY TABLET
(DESOG-E.ESTRADIOL/E.ESTRADIOL)		 28 EA   00603751217 50
PDPs		 298
MAPDs
KINERET 100 MG/0.67 ML SYRINGE
(Anakinra Subcutaneous)		 .670 ML   66658023407 25
PDPs		 228
MAPDs
KINRIX VIAL
(Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine )		     58160081201 53
PDPs		 305
MAPDs
KINRIX TIP-LOK SYRINGE
(Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine )		     58160081243 53
PDPs		 313
MAPDs
KIONEX POW USP
(Sodium Polystyrene Sulfonate Oral)		 454 GM BOTPL 00574200416 53
PDPs		 324
MAPDs
KISQALI 200 MG DAILY DOSE
(Ribociclib)		     00078086001 59
PDPs		 341
MAPDs
KISQALI FEMARA 200 MG CO-PACK
(Ribociclib)		 49 EA   00078090961 59
PDPs		 334
MAPDs
KISQALI 400 MG DAILY DOSE
(Ribociclib)		     00078086742 59
PDPs		 341
MAPDs
KISQALI FEMARA 400 MG CO-PACK
(Ribociclib)		 70 EA   00078091661 59
PDPs		 334
MAPDs
KISQALI 600 MG DAILY DOSE
(Ribociclib)		     00078087463 59
PDPs		 341
MAPDs
KISQALI FEMARA 600 MG CO-PACK
(Ribociclib)		 91 EA   00078092361 59
PDPs		 334
MAPDs
KLARON 10% LOTION
(Sulfacetamide Sodium)		     00187519804 4
PDPs		 8
MAPDs
Klonopin 0.5mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)		 100 TABLET in 1 BOTTLE, P   00004006801 1
PDPs		 9
MAPDs
Klonopin 1mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)		 100 TABLET in 1 BOTTLE, P   00004005801 1
PDPs		 9
MAPDs
Klonopin 2mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)		 100 TABLET in 1 BOTTLE, P   00004009801 1
PDPs		 9
MAPDs
Klor-Con 10 MEQ Tablet
(Potassium Chloride)		     66758016001 59
PDPs		 340
MAPDs
KLOR-CON SPRINKLE ER 10 MEQ CP
(Potassium Chloride)		 500 EA   66758020505 45
PDPs		 286
MAPDs
Klor-Con 8 MEQ Tablet
(Potassium Chloride)		     66758011001 58
PDPs		 287
MAPDs
KLOR-CON SPRINKLE ER 8 MEQ CAP
(Potassium Chloride)		 100 EA   66758020201 45
PDPs		 284
MAPDs
KLOR-CON M10 tablet
(Potassium Chloride Microencapsulated Crys CR)		     66758017001 59
PDPs		 327
MAPDs
Klor-Con M15 Tablet
(Potassium Chloride Microencapsulated Crys CR)		     66758018001 45
PDPs		 294
MAPDs
KLOR-CON M20 tablet
(Potassium Chloride Microencapsulated Crys CR)		     66758019005 59
PDPs		 337
MAPDs
KOMBIGLYZE XR 2.5-1,000 MG TAB
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)		 60 EA   00310612560 25
PDPs		 164
MAPDs
KOMBIGLYZE XR 5-1,000 MG TAB
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)		 30 EA   00310614530 25
PDPs		 164
MAPDs
KOMBIGLYZE XR 5-500 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)		 30 EA   00310613530 25
PDPs		 164
MAPDs
KORLYM 300 MG TABLET
(mifepristone)		     76346007301 59
PDPs		 341
MAPDs
KRISTALOSE 10 GM PACKET
(Lactulose)		     66220071930 11
PDPs		 75
MAPDs
KRISTALOSE 20 GM PACKET
(Lactulose)		     66220072930 11
PDPs		 75
MAPDs
KUVAN 100MG TABLET SOLUBLE
(Sapropterin DiHCL Soluble)		     68135030002 59
PDPs		 341
MAPDs
KUVAN 100 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)		 1 EA   68135030111 51
PDPs		 275
MAPDs
KUVAN 500 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)		 1 EA   68135048210 51
PDPs		 275
MAPDs
KYNAMRO 200 MG/ML SYRINGE
(Mipomersen)		     70688050201 43
PDPs		 322
MAPDs
KYPROLIS 30 MG VIAL
(Carfilzomib)		     76075010201 45
PDPs		 276
MAPDs
KYPROLIS 60 MG VIAL
(Carfilzomib)		     76075010101 45
PDPs		 276
MAPDs
Lopinavir-Ritonavir 80-20mg/ml [Kaletra]
()		     00527194748 59
PDPs		 337
MAPDs
Nizoral 20mg/mL 120 mL in 1 BOTTLE
(Ketoconazole)		 120 mL in 1 BOTTLE   50458068008 5
PDPs		 9
MAPDs
POTASSIUM CHLORIDE 20MEQ IN D5W/NACL 0.225%
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)		 12 X 1000 ML CTR 00409790109 47
PDPs		 267
MAPDs
POTASSIUM CHLORIDE 0.15%/D5W/SODIUM CHLORIDE 0.9% 1000ML
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)		 1000 ML BAG 00264765200 47
PDPs		 280
MAPDs
POTASSIUM CHLORIDE 0.3%/D5W/SODIUM CHLORIDE 0.45% 1000ML BAG
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)		 1000ML BAG 00264763800 57
PDPs		 311
MAPDs



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




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