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2020 Medicare Part D Formulary Search By Drug Letter

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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 J 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 2020 Formularies
PDPs MAPDs
ALOGLIPTIN-METFORMIN 12.5-1000 [Kazano]
(Alogliptin / Metformin)		     45802021172 2
PDPs		 33
MAPDs
ALOGLIPTIN-METFORMIN 12.5-500 [Kazano]
(Alogliptin / Metformin)		     45802016972 2
PDPs		 33
MAPDs
DEFERASIROX 180 MG TABLET [Jadenu]
()		 TABLETS   00093351656 51
PDPs		 333
MAPDs
DEFERASIROX 360 MG TABLET [Jadenu]
()		 30 tablets   62332041230 51
PDPs		 331
MAPDs
DEFERASIROX 90 MG TABLET [Jadenu]
()		 tablets   62332041030 51
PDPs		 331
MAPDs
DUTASTERIDE-TAMSULOSIN 0.5-0.4 CPMP 24HR [Jalyn]
(Dutasteride-Tamsulosin HCl)		 90 units   10370028011 33
PDPs		 311
MAPDs
IXIARO 6 UNIT(6 MCG)/0.5ML SYRINGE
(Japanese Encephalitis Vaccine Inactivated Adsorbed)		 ml   42515000201 69
PDPs		 393
MAPDs
JADENU 180 MG TABLET
(Deferasirox)		 30 EA   00078065515 46
PDPs		 263
MAPDs
JADENU 360 MG TABLET
(Deferasirox)		 30 EA   00078065615 30
PDPs		 161
MAPDs
JADENU 90 MG TABLET
(Deferasirox)		 30 EA   00078065415 30
PDPs		 161
MAPDs
JADENU SPRINKLE 180 MG
(Deferasirox)		     00078071315 45
PDPs		 291
MAPDs
JADENU SPRINKLE 360 MG
(Deferasirox)		     00078072015 45
PDPs		 292
MAPDs
JADENU SPRINKLE 90 MG
(Deferasirox)		     00078072715 45
PDPs		 291
MAPDs
JAKAFI 10 MG TABLET
(ruxolitinib)		     50881001060 69
PDPs		 393
MAPDs
JAKAFI 15 MG TABLET
(ruxolitinib)		     50881001560 69
PDPs		 393
MAPDs
JAKAFI 20 MG TABLET
(ruxolitinib)		     50881002060 69
PDPs		 393
MAPDs
JAKAFI 25 MG TABLET
(ruxolitinib)		     50881002560 69
PDPs		 393
MAPDs
JAKAFI 5 MG TABLET
(ruxolitinib)		     50881000560 69
PDPs		 393
MAPDs
JALYN 0.5-0.4 MG CAPSULE
(Dutasteride-Tamsulosin HCl)		 30.000 EA   00173080913 0
PDPs		 3
MAPDs
JANTOVEN 1 MG TABLET
(Warfarin Sodium)		 100.000 EA   00832121100 68
PDPs		 388
MAPDs
JANTOVEN 10 MG TABLET
(Warfarin Sodium)		 100.000 EA   00832121900 68
PDPs		 388
MAPDs
JANTOVEN 2 MG TABLET
(Warfarin Sodium)		 100.000 EA   00832121200 68
PDPs		 388
MAPDs
JANTOVEN 2.5MG TABLET
(Warfarin Sodium)		 100 BOT 00832121300 68
PDPs		 388
MAPDs
JANTOVEN 3 MG TABLET
(Warfarin Sodium)		 100.000 EA   00832121400 68
PDPs		 388
MAPDs
JANTOVEN 4 MG TABLET
(Warfarin Sodium)		 100.000 EA   00832121500 68
PDPs		 388
MAPDs
JANTOVEN 5 MG TABLET [Jantoven]
(Warfarin Sodium)		 30 tablets   00832121610 68
PDPs		 388
MAPDs
JANTOVEN 6MG TABLET
(Warfarin Sodium)		 100 BOT 00832121700 68
PDPs		 388
MAPDs
JANTOVEN 7.5MG TABLET
(Warfarin Sodium)		 100 BOT 00832121800 68
PDPs		 388
MAPDs
JANUMET 50-1,000 MG TABLET
(Sitagliptin-Metformin HCl)		 60.000 EA   00006057761 66
PDPs		 376
MAPDs
JANUMET 50-500 MG TABLET
(Sitagliptin-Metformin HCl)		 60.000 EA   00006057561 66
PDPs		 376
MAPDs
JANUMET XR 100-1,000 MG TABLET
(Sitagliptin-Metformin HCl)		 30.000 EA   00006008131 66
PDPs		 376
MAPDs
JANUMET XR 50-1,000 MG TABLET
(Sitagliptin-Metformin HCl)		 60.000 EA   00006008061 66
PDPs		 376
MAPDs
JANUMET XR 50-500 MG TABLET
(Sitagliptin-Metformin HCl)		 60.000 EA   00006007861 66
PDPs		 376
MAPDs
JANUVIA 25MG TABLET
(Sitagliptin Phosphate)		 30 BOT 00006022131 66
PDPs		 377
MAPDs
JANUVIA 50 MG TABLET
(Sitagliptin Phosphate)		 30.000 EA   00006011231 66
PDPs		 377
MAPDs
JANUVIA TABLET 100MG (30 CT)
(Sitagliptin Phosphate)		 30 BOT 00006027731 66
PDPs		 377
MAPDs
JARDIANCE 10 MG TABLET
(Empagliflozin)		 30.000 EA   00597015230 65
PDPs		 367
MAPDs
JARDIANCE 25 MG TABLET
(Empagliflozin)		 30.000 EA   00597015330 65
PDPs		 367
MAPDs
JASMIEL 3 MG-0.02 MG TABLET [Yaz]
(Drospirenone, Ethinyl Estradiol;Inert)		 28 TABLETs   50102024023 63
PDPs		 345
MAPDs
JENTADUETO 2.5 MG-1000 MG TABLET
(linagliptin/metformin)		 60.000 EA   00597014860 49
PDPs		 306
MAPDs
JENTADUETO 2.5 MG-500 MG TABLET
(linagliptin/metformin)		 60.000 EA   00597014660 49
PDPs		 306
MAPDs
JENTADUETO 2.5 MG-850 MG TABLET
(linagliptin/metformin)		 60.000 EA   00597014760 49
PDPs		 306
MAPDs
JENTADUETO XR 2.5 MG-1,000 MG
(linagliptin/metformin)		 60.000 EA   00597027073 49
PDPs		 304
MAPDs
JENTADUETO XR 5 MG-1,000 MG TABLET
(linagliptin/metformin)		 30.000 EA   00597027533 49
PDPs		 304
MAPDs
JINTELI 1 MG-5 MCG TABLET
(NORETHINDRONE ACETATE AND ETHINYL ESTRADIOL)		 28.000 EA   00093312242 32
PDPs		 271
MAPDs
JORNAY PM 100 MG CAPSULE ER SP
(Methylphenidate Hydrochloride)		 30 UNITS   71376020503 0
PDPs		 4
MAPDs
JORNAY PM 20 MG CAPSULE ER SP
(Methylphenidate Hydrochloride)		 UNITS   71376020103 0
PDPs		 4
MAPDs
JORNAY PM 40 MG CAPSULE ER SP
(Methylphenidate Hydrochloride)		 UNITS   71376020203 0
PDPs		 4
MAPDs
JORNAY PM 60 MG CAPSULE ER SP
(Methylphenidate Hydrochloride)		 30 UNITS   71376020303 0
PDPs		 4
MAPDs
JORNAY PM 80 MG CAPSULE ER SP
(Methylphenidate Hydrochloride)		 UNITS   71376020403 0
PDPs		 4
MAPDs
JUBLIA 10% TOPICAL SOLUTION
(Efinaconazole)		     00187540004 10
PDPs		 73
MAPDs
JULEBER 28 DAY TABLET
(DESOGESTREL-ETHINYL ESTRADIOL)		 28.000 EA   16714046404 66
PDPs		 366
MAPDs
JULUCA 50-25 MG TABLET
(Dolutegravir Sodium and Rilpivirine Hydrochloride)		 30 EA   49702024213 69
PDPs		 393
MAPDs
JUNEL 1-0.02MG TABLET
(Norethindrone Ace & Ethinyl Estradiol)		 3 X 21 BLPK 00555902542 65
PDPs		 358
MAPDs
JUNEL 1.5-0.03MG TABLET
(Norethindrone Ace & Ethinyl Estradiol)		 3 X 21 BLPK 00555902742 65
PDPs		 359
MAPDs
JUNEL FE 1-0.02MG TABLET
(Norethindrone Ace & Ethinyl Estradiol-FE)		 28 TABLETS BLPK 00555902658 65
PDPs		 365
MAPDs
JUNEL FE 1.5-0.03MG TABLET
(Norethindrone Ace & Ethinyl Estradiol-FE)		 28 BLPK 00555902858 64
PDPs		 360
MAPDs
JUNEL FE 24 TABLET
(Norethindrone Ace & Ethinyl Estradiol-FE)		 28.000 EA   00093532862 35
PDPs		 280
MAPDs
JUXTAPID 10 MG CAPSULE
(lomitapide)		     76431011001 31
PDPs		 312
MAPDs
JUXTAPID 20 MG CAPSULE
(lomitapide)		     76431012001 31
PDPs		 312
MAPDs
JUXTAPID 30 MG CAPSULE
(lomitapide)		     76431013001 31
PDPs		 309
MAPDs
JUXTAPID 40 MG CAPSULE
(lomitapide)		     76431014001 31
PDPs		 309
MAPDs
JUXTAPID 5 MG CAPSULE
(lomitapide)		     76431010501 31
PDPs		 312
MAPDs
JUXTAPID 60 MG CAPSULE
(lomitapide)		     76431016001 31
PDPs		 309
MAPDs
JYNARQUE 15 MG TABLET
(Tolvaptan)		 30 TABLETs   59148008213 14
PDPs		 158
MAPDs
JYNARQUE 15 MG-15 MG TABLET SEQ
(Tolvaptan)		 UNITS   59148007928 9
PDPs		 170
MAPDs
JYNARQUE 30 MG TABLET
(Tolvaptan)		 TABLETs   59148008313 14
PDPs		 158
MAPDs
JYNARQUE 30 MG-15 MG TABLET SEQ
(Tolvaptan)		 UNITS   59148008028 9
PDPs		 170
MAPDs
JYNARQUE 45 MG-15 MG TABLET SEQ
(Tolvaptan)		 units   59148008728 12
PDPs		 173
MAPDs
JYNARQUE 60 MG-30 MG TABLET SEQ
(Tolvaptan)		 units   59148008828 12
PDPs		 173
MAPDs
JYNARQUE 90 MG-30 MG TABLET SEQ
(Tolvaptan)		 units   59148008928 12
PDPs		 173
MAPDs
KAZANO 12.5-1,000 MG TABLET
(alogliptin / metformin)		     64764033760 0
PDPs		 18
MAPDs
KAZANO 12.5-500 MG TABLET
(alogliptin / metformin)		     64764033560 0
PDPs		 18
MAPDs
WARFARIN SODIUM 7.5 MG TABLET [Jantoven]
(Warfarin Sodium)		 30 tablets   51672403401 69
PDPs		 393
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2020)


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