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2019 Medicare Part D Formulary Search By Drug Letter

 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 X 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 2019 Formularies
PDPs MAPDs
BROMFENAC SODIUM 0.09% EYE DROPS [Xibrom]
(BROMFENAC SODIUM)		 1.7 mls   50383024971 25
PDPs		 245
MAPDs
LEVALBUTEROL 0.31 MG/3 ML SOL VIAL-NEB [Xopenex Pediatric]
(Levalbuterol Tartrate)		 72 mls   00115993076 17
PDPs		 233
MAPDs
LEVALBUTEROL 0.63 MG/3 ML SOL VIAL-NEB [Xopenex]
(Levalbuterol Tartrate)		 72 mls   43598041025 17
PDPs		 233
MAPDs
LEVALBUTEROL 1.25 MG/3 ML SOL VIAL-NEB [Xopenex]
(Levalbuterol Tartrate)		 72 mls   43598040925 20
PDPs		 250
MAPDs
LEVALBUTEROL TAR HFA 45MCG INH [Xopenex]
(Levalbuterol HCl)		 15.000 GM   00591292754 28
PDPs		 239
MAPDs
TETRABENAZINE 12.5 MG TABLET [XENAZINE]
(Tetrabenazine)		 112 EA   47335027723 62
PDPs		 350
MAPDs
TETRABENAZINE 25 MG TABLET [XENAZINE]
(Tetrabenazine)		 112 EA   47335017923 62
PDPs		 350
MAPDs
VICODIN HP 10-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)		 60 tablets   00074305413 15
PDPs		 133
MAPDs
XALATAN EYE DROPS 125MCG 2.5ML BOTPL
(Latanoprost Ophth)		 2.5 ML BOTPL 00013830304 0
PDPs		 7
MAPDs
Xalkori 200mg/1 60 CAPSULE BOTTLE
(CRIZOTINIB)		 60 CAPSULE in 1 BOTTLE   00069814120 62
PDPs		 352
MAPDs
Xalkori 250mg/1 60 CAPSULE BOTTLE
(CRIZOTINIB)		 60 CAPSULE in 1 BOTTLE   00069814020 62
PDPs		 352
MAPDs
XANAX 0.25 MG TABLET
(Alprazolam)		 100.000 EA   00009002901 0
PDPs		 4
MAPDs
Xanax 0.5mg/1 100 TABLET BOTTLE
(Alprazolam)		 100 TABLET in 1 BOTTLE   00009005501 0
PDPs		 4
MAPDs
Xanax 1mg/1 100 TABLET BOTTLE
(Alprazolam)		 100 TABLET in 1 BOTTLE   00009009001 0
PDPs		 4
MAPDs
Xanax 2mg/1 100 TABLET BOTTLE
(Alprazolam)		 100 TABLET in 1 BOTTLE   00009009401 0
PDPs		 4
MAPDs
Xanax XR 0.5mg/1 60 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Alprazolam)		 60 TABLET in BOTTLE   00009005707 0
PDPs		 4
MAPDs
Xanax XR 1mg/1 60 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Alprazolam)		 60 TABLET in BOTTLE   00009005907 0
PDPs		 4
MAPDs
Xanax XR 2mg/1 60 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Alprazolam)		 60 TABLET in BOTTLE   00009006607 0
PDPs		 4
MAPDs
Xanax XR 3mg/1 60 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Alprazolam)		 60 TABLET in BOTTLE   00009006807 0
PDPs		 4
MAPDs
XARELTO 10 MG TABLET
(Rivaroxaban)		 30.000 EA   50458058030 61
PDPs		 347
MAPDs
XARELTO 15 MG TABLET
(Rivaroxaban)		 30.000 EA   50458057830 61
PDPs		 347
MAPDs
XARELTO 2.5 MG TABLET
(Rivaroxaban)		 60 tablets   50458057760 61
PDPs		 340
MAPDs
XARELTO 20 MG TABLET
(Rivaroxaban)		 30.000 EA   50458057930 61
PDPs		 347
MAPDs
XARELTO STARTER PACK
(Rivaroxaban)		 51 EA   50458058451 61
PDPs		 338
MAPDs
XATMEP 2.5 MG/ML ORAL SOLUTION
(Methotrexate)		 120 ML   52652200101 62
PDPs		 345
MAPDs
XELJANZ 10 MG TABLET
(Tofacitinib Citrate)		 60 tablets   00069100201 31
PDPs		 250
MAPDs
XELJANZ 5 MG TABLET
(Tofacitinib Citrate)		 60 EA   00069100101 31
PDPs		 250
MAPDs
XELJANZ XR 11 MG TABLET
(Tofacitinib Citrate)		     00069050130 27
PDPs		 234
MAPDs
XELPROS 0.005% EYE DROPS EMULS
()		 mls   47335031790 1
PDPs		 29
MAPDs
XENAZINE TABLET 25 MG
(Tetrabenazine)		 112 BOT 67386042201 3
PDPs		 17
MAPDs
XENAZINE TABLETS 12.5MG 112 BOT
(Tetrabenazine)		 112 BOT 67386042101 3
PDPs		 17
MAPDs
XEPI 1% CREAM (g)
(Ozenoxacin)		 grams   70363001130 1
PDPs		 17
MAPDs
XERESE 5%-1% CREAM
(acyclovir and hydrocortisone topical)		 5 GM   00187510401 1
PDPs		 31
MAPDs
XERMELO 250 MG TABLET
(Telotristat Ethyl)		     70183012584 9
PDPs		 121
MAPDs
XGEVA 120mg/1.7mL 1 VIAL, SINGLE-USE per CARTON / 1.7 mL in 1 VIAL, SINGLE-USE
(DENOSUMAB)		 1 VIAL, SINGLE-USE   55513073001 62
PDPs		 325
MAPDs
XHANCE 93 MCG NASAL SPRAY AER BR.ACT
(Fluticasone Propionate)		 16 mls   71143037501 1
PDPs		 15
MAPDs
XIFAXAN 200MG TABLET
(Rifaximin)		 30 BOT 65649030103 18
PDPs		 216
MAPDs
XIFAXAN 550 MG TABLET
(Rifaximin)		 60.000 EA   65649030302 55
PDPs		 327
MAPDs
XIGDUO XR 10 MG-1,000 MG TAB
(Dapagliflozin and Metformin Hydrochloride)		 30 EA   00310628030 30
PDPs		 159
MAPDs
XIGDUO XR 10 MG-500 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)		 30 EA   00310627030 30
PDPs		 159
MAPDs
XIGDUO XR 2.5 MG-1,000 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)		 60   00310622560 30
PDPs		 159
MAPDs
XIGDUO XR 5 MG-1,000 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)		 60 EA   00310626060 30
PDPs		 159
MAPDs
XIGDUO XR 5 MG-500 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)		 30 EA   00310625030 30
PDPs		 159
MAPDs
XIIDRA 5% EYE DROPS
(Lifitegrast)		 60.000 EA   54092060601 13
PDPs		 113
MAPDs
XIMINO ER 135 MG CAPSULE
(Minocycline Hydrochloride)		     10631033230 0
PDPs		 3
MAPDs
XIMINO ER 45 MG CAPSULE
(Minocycline Hydrochloride)		     10631033030 0
PDPs		 3
MAPDs
XIMINO ER 90 MG CAPSULE
(Minocycline Hydrochloride)		     10631033130 0
PDPs		 3
MAPDs
XOFLUZA 20 MG TABLET (40 MG DOSE)
(Baloxavir)		 2 tablets   50242082802 35
PDPs		 205
MAPDs
XOFLUZA 40 MG TABLET (80 MG DOSE)
(Baloxavir)		 2 tablets   50242086002 35
PDPs		 205
MAPDs
XOLAIR 150 MG/ML SYRINGE
(Omalizumab (Hamster))		 2 mls   50242021501 58
PDPs		 328
MAPDs
XOLAIR 150MG VIAL
(Omalizumab For)		 1 X VIAL 50242004062 62
PDPs		 346
MAPDs
XOLAIR 75 MG/0.5 ML SYRINGE
(Omalizumab (Hamster))		 ml   50242021401 58
PDPs		 328
MAPDs
XOPENEX 0.31 MG/3 ML SOLUTION
(Levalbuterol HCl)		 3 ML   17478017224 0
PDPs		 6
MAPDs
XOPENEX 0.63 MG/3 ML SOLUTION
(Levalbuterol HCl)		     17478017324 0
PDPs		 6
MAPDs
XOPENEX 1.25 MG/3 ML SOLUTION
(Levalbuterol HCl)		     17478017424 0
PDPs		 6
MAPDs
XOPENEX CONC 1.25 MG/0.5 ML
(Levalbuterol HCl)		     17478017130 0
PDPs		 6
MAPDs
XOPENEX HFA 45MCG HFA AEROSOL WITH ADAPTER
(Levalbuterol Tartrate)		 200 INHALATIONS BOX 63402051001 14
PDPs		 40
MAPDs
XOSPATA 40 MG TABLET
(Gilteritinib)		 tablets   00469142590 62
PDPs		 352
MAPDs
XTAMPZA ER 13.5 MG CAPSULE
(Oxycodone)		     24510011510 9
PDPs		 120
MAPDs
XTAMPZA ER 18 MG CAPSULE
(Oxycodone)		     24510012010 9
PDPs		 120
MAPDs
XTAMPZA ER 27 MG CAPSULE
(Oxycodone)		     24510013010 9
PDPs		 120
MAPDs
XTAMPZA ER 36 MG CAPSULE
(Oxycodone)		     24510014010 9
PDPs		 120
MAPDs
XTAMPZA ER 9 MG CAPSULE
(Oxycodone)		     24510011010 9
PDPs		 120
MAPDs
XTANDI 40 MG CAPSULE
(enzalutamide)		     00469012599 62
PDPs		 352
MAPDs
Xulane Patch
(norelgestromin / ethinyl estradiol)		     00378334053 28
PDPs		 249
MAPDs
XULTOPHY 100 UNIT-3.6MG/ML PEN
(Insulin Degludec and Liraglutide)		 3 ML   00169291115 28
PDPs		 208
MAPDs
XURIDEN GRANULE PACKET
(Uridine Triacetate)		     69468015202 10
PDPs		 114
MAPDs
XYOSTED 100 MG/0.5 ML AUTO INJCT
(Testosterone Enanthate)		 2 mls   54436020002 1
PDPs		 52
MAPDs
XYOSTED 50 MG/0.5 ML AUTO INJCT
(Testosterone Enanthate)		 mls   54436025002 1
PDPs		 52
MAPDs
XYOSTED 75 MG/0.5 ML AUTO INJCT
(Testosterone Enanthate)		 2 mls   54436027502 1
PDPs		 52
MAPDs
XYREM 500MG/ML ORAL SOLUTION
(Sodium Oxybate Oral)		 180 ML BOT 68727010001 62
PDPs		 352
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2019)


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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
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  • 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.
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  • 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.
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  • 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.
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