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2019 Medicare Part D Formulary Search By Drug Letter

 Select a Letter below:
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Links to Summaries by State for LTC Drugs on LIS/SNP Plans:
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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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