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

2018 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
Packaging NDC On This Nbr of 2018 Formularies
PDPs MAPDs
ACULAR 0.5% EYE DROPS
(Ketorolac Tromethamine Ophth)
5 ML BOT 00023218105 6
PDPs
10
MAPDs
ACULAR LS 0.4% OPHTH SOL
(Ketorolac Tromethamine Ophth)
5 ML BOTDR 00023927705 6
PDPs
10
MAPDs
ACUVAIL 0.45% OPHTH SOLUTION #30X0.4 EA
(Ketorolac Tromethamine Ophth)
#30X0.4   00023350730 7
PDPs
46
MAPDs
CLONAZEPAM 0.125 MG DIS TAB RAPDIS [Klonopin]
(Clonazepam)
30 units   49884030602 63
PDPs
339
MAPDs
CLONAZEPAM 0.25 MG ODT TAB RAPDIS [Klonopin]
(Clonazepam)
30 units   49884030702 63
PDPs
339
MAPDs
CLONAZEPAM 0.5 MG DIS TABLET RAPDIS [Klonopin]
(Clonazepam)
30 units   49884030802 63
PDPs
339
MAPDs
CLONAZEPAM 0.5 MG TABLET [Klonopin]
(Clonazepam)
60 tablets   16714046901 63
PDPs
339
MAPDs
CLONAZEPAM 1 MG TABLET [Klonopin]
(Clonazepam)
60 tablets   16714047001 63
PDPs
339
MAPDs
CLONAZEPAM 1 MG DIS TABLET RAPDIS [Klonopin]
(Clonazepam)
60 units   00555009796 63
PDPs
338
MAPDs
CLONAZEPAM 2 MG ODT TAB RAPDIS [Klonopin]
(Clonazepam)
30 units   49884031002 63
PDPs
338
MAPDs
CLONAZEPAM 2 MG TABLET [Klonopin]
(Clonazepam)
60 tablets   00378191405 63
PDPs
339
MAPDs
Diph-Tetanus Tox-Acell Pert adsorbed and IPV vaccine 0.5 ML Prefilled Syringe [Kinrix]
(Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine )
    58160081252 63
PDPs
339
MAPDs
EXTINA 2% FOAM
(Ketoconazole)
50.000 GM   40076005150 4
PDPs
7
MAPDs
IMOGAM RABIES-HT 150 UNIT/ML VIAL [KEDRAB]
(Rabies Immune Globulin (Human))
    49281019020 14
PDPs
175
MAPDs
K-TAB ER 20 MEQ TABLET
(Potassium Chloride)
    00074302313 8
PDPs
97
MAPDs
K-TAB 10MEQ 750 MG TABLET SA
(Potassium Chloride)
1000 BOT 00074780419 10
PDPs
46
MAPDs
K-tab er 8 meq tablet
(Potassium Chloride)
    00074305846 15
PDPs
116
MAPDs
KADCYLA 100 MG VIAL
(Trastuzumab Emtansine)
    50242008801 55
PDPs
296
MAPDs
KADCYLA 160 MG VIAL
(Ado-Trastuzumab Emtansine)
    50242008701 55
PDPs
296
MAPDs
KADIAN ER 10 MG CAPSULE
(Morphine Sulfate)
  52544001160 4
PDPs
10
MAPDs
KADIAN ER 100 MG CAPSULE
(Morphine Sulfate)
  52544016460 4
PDPs
10
MAPDs
KADIAN ER 20 MG CAPSULE
(Morphine Sulfate)
  52544021160 4
PDPs
10
MAPDs
KADIAN ER 200 MG CAPSULE
(Morphine Sulfate)
  52544022060 5
PDPs
34
MAPDs
KADIAN ER 30 MG CAPSULE
(Morphine Sulfate)
  52544003260 4
PDPs
10
MAPDs
KADIAN ER 40 MG CAPSULE
(Morphine Sulfate)
  52544003960 5
PDPs
28
MAPDs
KADIAN ER 50 MG CAPSULE PEL
(Morphine)
60 units   00023601560 4
PDPs
10
MAPDs
KADIAN ER 60 MG CAPSULE
(Morphine Sulfate)
  52544006360 4
PDPs
10
MAPDs
KADIAN ER 80 MG CAPSULE
(Morphine Sulfate)
  52544089660 4
PDPs
10
MAPDs
Kaitlib Fe 28 Day Pack
(norethindrone and ethinyl estradiol and ferrous fumarate)
    68180090313 28
PDPs
135
MAPDs
KALETRA 100-25 MG TABLET
(Lopinavir-Ritonavir)
60 TABLET, FILM COATED   00074052260 63
PDPs
339
MAPDs
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)
120 BOT 00074679922 63
PDPs
339
MAPDs
KALETRA 80MG/20MG ORAL SOLUTION
(Lopinavir-Ritonavir)
160 ML BOT 00074395646 10
PDPs
73
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
56.000 EA   51167020001 63
PDPs
339
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)
56 EA   51167030001 57
PDPs
329
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)
56 EA   51167040001 57
PDPs
329
MAPDs
KANUMA 20 MG/10 ML VIAL
(Sebelipase Alfa)
    25682000701 15
PDPs
135
MAPDs
KAPVAY ER 0.1 MG TABLET
(CLONIDINE HYDROCHLORIDE)
    59212065860 4
PDPs
10
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 60
PDPs
322
MAPDs
KELNOR 1-50 TABLET [Zovia 1/50E]
(Ethynodiol Diacetate, Ethinyl Estradiol;Inert)
28 tablets   00093807316 57
PDPs
282
MAPDs
KELNOR 1-35 1-0.035MG TABLET
(Ethynodiol Diacetate & Ethinyl Estradiol)
28 (21+7) BLPK 00555906458 61
PDPs
316
MAPDs
KENALOG 0.147 MG/GRAM SPRAY AEROSOL
(Triamcinolone Acetonide)
63 g in 1 CAN   10631009362 6
PDPs
11
MAPDs
KENALOG-10 10 MG/ML VIAL
(Triamcinolone Acetonide)
5 ML   00003049420 11
PDPs
109
MAPDs
KENALOG-40 40 MG/ML VIAL
(Triamcinolone Acetonide)
1 ML   00003029305 11
PDPs
106
MAPDs
KEPIVANCE 6.25 MG VIAL
(Palifermin For IV)
    66658011203 30
PDPs
194
MAPDs
KEPPRA 100MG/ML ORAL SOLUTION
(Levetiracetam)
16 FLO BOT 50474000148 6
PDPs
17
MAPDs
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Levetiracetam)
60 TABLET, FILM COATED   50474059766 6
PDPs
17
MAPDs
KEPPRA 250MG TABLET
(Levetiracetam)
120 TABS BOT 50474059440 6
PDPs
17
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)
120 TABS BOT 50474059540 6
PDPs
17
MAPDs
KEPPRA XR 500 MG TABLET ER 24H
(Levetiracetam)
60 BOT 50474059866 4
PDPs
15
MAPDs
KEPPRA 750MG TABLET
(Levetiracetam)
120 TABS BOT 50474059640 6
PDPs
17
MAPDs
KEPPRA 750MG XR TABLET
(Levetiracetam)
60 BOT 50474059966 4
PDPs
15
MAPDs
KERYDIN 5% TOPICAL SOLUTION
(Tavaborole)
10.000 ML   10337090510 1
PDPs
22
MAPDs
KETOCONAZOLE 2% FOAM
(Ketoconazole)
100 GM   45802053233 14
PDPs
119
MAPDs
KETOCONAZOLE 2% SHAMPOO
(Ketoconazole)
120.000 ML   45802046564 63
PDPs
338
MAPDs
KETOCONAZOLE 200 MG TABLET
(Ketoconazole)
100 EA   51672402601 63
PDPs
338
MAPDs
KETOCONAZOLE 2% CREAM
(Ketoconazole)
60 GM   51672129803 63
PDPs
339
MAPDs
KETOPROFEN 200MG CAPSULE 24HR SR PELLETS
(Ketoprofen)
100 BOT 00378820001 16
PDPs
147
MAPDs
KETOPROFEN 75MG CAPSULE
(Ketoprofen)
100 CAPSULES BOT 00093319501 55
PDPs
311
MAPDs
KETOROLAC 0.4% OPHTH SOLUTION
(Ketorolac)
5 ML   61314001805 63
PDPs
339
MAPDs
KETOROLAC 0.5% OPHTH SOLUTION
(Ketorolac)
5.000 ML   17478020910 63
PDPs
339
MAPDs
KETOROLAC 10MG TABLET
(Ketorolac)
100 TABLETS BOT 00093031401 19
PDPs
135
MAPDs
Ketorolac Tromethamine 15 MG/ML 1 ML Injection
(Ketorolac Tromethamine)
    00409379301 13
PDPs
118
MAPDs
KETOROLAC TROMETHAMINE 30 mg/mL INJECTION CARTRIDGE
(Ketorolac Tromethamine)
    00409228761 13
PDPs
115
MAPDs
Ketorolac Tromethamine 30 MG/ML 1 ML Injection
(Ketorolac Tromethamine)
    00409379501 13
PDPs
119
MAPDs
KEVEYIS 50 MG TABLET
(Dichlorphenamide)
    71090000101 6
PDPs
116
MAPDs
KEVZARA 150 MG/1.14 ML SYRINGE
(Sarilumab)
    00024590801 4
PDPs
85
MAPDs
KEVZARA 200 MG/1.14 ML SYRINGE
(Sarilumab)
    00024591001 4
PDPs
85
MAPDs
KEYTRUDA 100 MG/4 ML VIAL
(Pembrolizumab)
    00006302602 60
PDPs
338
MAPDs
KHEDEZLA ER 100 MG TABLET
(desvenlafaxine)
30 EA   65224089031 10
PDPs
74
MAPDs
KHEDEZLA ER 50 MG TABLET
(Desvenlafaxine)
30 EA   65224088031 10
PDPs
74
MAPDs
KIMIDESS 28 DAY TABLET
(DESOG-E.ESTRADIOL/E.ESTRADIOL)
28 EA   00603751217 52
PDPs
300
MAPDs
KINERET 100 MG/0.67 ML SYRINGE
(Anakinra Subcutaneous)
.670 ML   66658023407 19
PDPs
191
MAPDs
KINRIX VIAL
(Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine )
    58160081201 63
PDPs
339
MAPDs
KIONEX 15 GM/60 ML SUSPENSION
(Sodium Polystyrene Sulfonate Oral)
473 ML   00574200216 63
PDPs
328
MAPDs
KISQALI 200 MG DAILY DOSE
(Ribociclib)
    00078086001 63
PDPs
339
MAPDs
KISQALI 400 MG DAILY DOSE
(Ribociclib)
    00078086742 63
PDPs
339
MAPDs
KISQALI 600 MG DAILY DOSE
(Ribociclib)
    00078087463 63
PDPs
339
MAPDs
KISQALI FEMARA 200 MG CO-PACK
(Letrozole;Ribociclib)
49 EA   00078090961 63
PDPs
332
MAPDs
KISQALI FEMARA 400 MG CO-PACK
(Letrozole;Ribociclib)
70 EA   00078091661 63
PDPs
332
MAPDs
KISQALI FEMARA 600 MG CO-PACK
(Letrozole;Ribociclib)
91 EA   00078092361 63
PDPs
332
MAPDs
KLARON 10% LOTION
(Sulfacetamide Sodium)
    00187519804 6
PDPs
9
MAPDs
Klonopin 0.5mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE   00004006801 4
PDPs
13
MAPDs
Klonopin 1mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE   00004005801 4
PDPs
13
MAPDs
Klonopin 2mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE   00004009801 4
PDPs
13
MAPDs
KLOR-CON SPRINKLE ER 10 MEQ CP
(Potassium Chloride)
100.000 EA   66758020501 51
PDPs
313
MAPDs
KLOR-CON 10 MEQ TABLET
(Potassium Chloride)
500.000 EA   66758016005 62
PDPs
296
MAPDs
KLOR-CON SPRINKLE ER 8 MEQ CAP
(Potassium Chloride)
100 EA   66758020201 51
PDPs
314
MAPDs
KLOR-CON 8 MEQ TABLET
(Potassium Chloride)
500.000 EA   66758011005 62
PDPs
287
MAPDs
KLOR-CON M10 tablet
(Potassium Chloride Microencapsulated Crys CR)
    66758017001 63
PDPs
323
MAPDs
Klor-Con M15 Tablet
(Potassium Chloride Microencapsulated Crys CR)
    66758018001 50
PDPs
298
MAPDs
KLOR-CON 20 MEQ PACKET
(Potassium Chloride Microencapsulated Crys CR)
    00245036030 35
PDPs
169
MAPDs
KLOR-CON M20 TABLET TAB ER PRT [Klor-Con M20]
(Potassium Chloride Microencapsulated Crys CR)
    66758019092 63
PDPs
334
MAPDs
KOMBIGLYZE XR 2.5-1,000 MG TAB
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
60 EA   00310612560 24
PDPs
128
MAPDs
KOMBIGLYZE XR 5-1,000 MG TAB
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
30 EA   00310614530 24
PDPs
128
MAPDs
KOMBIGLYZE XR 5-500 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
30 EA   00310613530 24
PDPs
128
MAPDs
KORLYM 300 MG TABLET
(mifepristone)
    76346007301 63
PDPs
339
MAPDs
KRISTALOSE 10 GM PACKET
(Lactulose)
    66220071930 11
PDPs
71
MAPDs
KRISTALOSE 20 GM PACKET
(Lactulose)
    66220072930 11
PDPs
71
MAPDs
KURVELO TABLET
(Ethinyl Estradiol and Levonorgestrel)
28 EA   68180084413 50
PDPs
291
MAPDs
KUVAN 100MG TABLET SOLUBLE
(Sapropterin DiHCL Soluble)
    68135030002 63
PDPs
339
MAPDs
KUVAN 100 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)
30.000 EA   68135030122 55
PDPs
274
MAPDs
KUVAN 500 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)
30.000 EA   68135048211 55
PDPs
279
MAPDs
KYNAMRO 200 MG/ML SYRINGE
(Mipomersen)
    70688050201 39
PDPs
299
MAPDs
KYPROLIS 30 MG VIAL
(Carfilzomib)
    76075010201 46
PDPs
270
MAPDs
KYPROLIS 60 MG VIAL
(Carfilzomib)
    76075010101 46
PDPs
270
MAPDs
LOPINAVIR-RITONAVIR 80-20MG/ML Solution [Kaletra]
()
    00527194748 63
PDPs
336
MAPDs
Nizoral 20mg/mL 120 mL in 1 BOTTLE
(Ketoconazole)
120 mL in 1 BOTTLE   50458068008 6
PDPs
10
MAPDs
TRIAMCINOLONE 0.1% LOTION [Kenalog]
()
60 mls   00713067653 60
PDPs
327
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2018)





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.