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Plan Archives
2020 Medicare Part D Archive
Q1Rx 2020 Medicare Part D or Medicare Advantage Plan Finder by Drug
2020 Medicare Part D Formulary Search By Drug Letter
2020 Medicare Part D Formulary Search By Drug Letter
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Drug Names Containing the Letter U 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
ACTIGALL 300 MG CAPSULE
(Ursodiol)
60 capsules
00023614501
3
PDPs
7
MAPDs
AMPICILLIN-SULBACTAM 15 GM VIAL [Unasyn]
(Ampicillin & Sulbactam Sodium For)
ml
67457064910
51
PDPs
329
MAPDs
AMPICILLIN-SULBACTAM 3 GM VIAL [Unasyn]
(Ampicillin & Sulbactam Sodium For)
ml
25021014330
69
PDPs
393
MAPDs
ANORO ELLIPTA 62.5-25 MCG INH
(umeclidinium and vilanterol inhalation powder)
00173086910
67
PDPs
370
MAPDs
FEBUXOSTAT 40 MG TABLET [Uloric]
(Febuxostat)
30 TABLETS
62332019030
25
PDPs
261
MAPDs
FEBUXOSTAT 80 MG TABLET [Uloric]
(Febuxostat)
30 TABLETS
62332019130
27
PDPs
261
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)
00173087310
51
PDPs
301
MAPDs
METHENAMINE HIPP 1 GM TABLET [Urex]
(Methenamine)
60 tablets
65862078201
63
PDPs
376
MAPDs
MOEXIPRIL HCL 15 MG TABLET [Univasc]
(Moexipril HCl)
30 tablets
00093515001
55
PDPs
354
MAPDs
RINVOQ ER 15 MG TABLET ER 24H
(Upadacitinib)
TABLETs
00074230630
50
PDPs
316
MAPDs
STELARA 45 MG/0.5 ML SYRINGE
(Ustekinumab)
0.5ML
57894006003
66
PDPs
379
MAPDs
STELARA 45 MG/0.5 ML VIAL
(Ustekinumab)
57894006002
60
PDPs
360
MAPDs
STELARA 90 MG/ML SYRINGE
(Ustekinumab)
1ML
57894006103
63
PDPs
390
MAPDs
TRAMADOL ER 300 MG TABLET TBMP 24HR [Ultram ER]
(Tramadol)
30 units
10370022311
11
PDPs
137
MAPDs
TRAMADOL HCL ER 300 MG Tablet ER 24H [Ultram ER]
(TRAMADOL)
30 tablets
68180069906
21
PDPs
176
MAPDs
UBRELVY 100 MG TABLET
(Ubrogepant)
10 TABLETS
00023650110
13
PDPs
103
MAPDs
UBRELVY 50 MG TABLET
(Ubrogepant)
10 TABLETS
00023649810
13
PDPs
103
MAPDs
UCERIS 2 MG RECTAL FOAM FOAM/APPL
(Budesonide)
66.8 grams
65649065103
3
PDPs
165
MAPDs
UCERIS 9 MG ER TABLET
(budesonide)
68012030930
0
PDPs
8
MAPDs
UDENYCA 6 MG/0.6 ML SYRINGE
(Pegfilgrastim (E. coli))
ml
70114010101
20
PDPs
191
MAPDs
ULORIC TABLETS 40MG 30 BOT
(Febuxostat)
30 BOT
64764091830
12
PDPs
85
MAPDs
ULORIC TABLETS 80MG 30 BOT
(Febuxostat)
30 BOT
64764067730
14
PDPs
85
MAPDs
ULTRACET TABLET
(Tramadol-Acetaminophen)
100.000 EA
50458065060
3
PDPs
7
MAPDs
ULTRAM 50MG TABLETS
(Tramadol HCl)
100 BOT
50458065960
3
PDPs
7
MAPDs
ULTRAVATE 0.05 % 60 ML
(Halobetasol Propionate)
10631012204
0
PDPs
8
MAPDs
UNASYN 15GM VIAL
(Ampicillin & Sulbactam Sodium For)
15 GM BOT
00049002428
0
PDPs
3
MAPDs
UNASYN 3 GM VIAL
(Ampicillin, Sulbactam)
ml
00049001483
0
PDPs
3
MAPDs
UNITHROID 100 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080501
64
PDPs
345
MAPDs
UNITHROID 112 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080601
64
PDPs
345
MAPDs
UNITHROID 125 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080701
64
PDPs
345
MAPDs
UNITHROID 150 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080901
64
PDPs
345
MAPDs
UNITHROID 175 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846081001
64
PDPs
345
MAPDs
UNITHROID 200 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846081101
64
PDPs
345
MAPDs
UNITHROID 25 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080101
64
PDPs
345
MAPDs
UNITHROID 300 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846081201
64
PDPs
345
MAPDs
UNITHROID 50 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080201
64
PDPs
345
MAPDs
UNITHROID 75 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080301
64
PDPs
345
MAPDs
UNITHROID 88 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080401
64
PDPs
345
MAPDs
UPTRAVI 1,000 MCG TABLET
(Selexipag)
66215061006
34
PDPs
289
MAPDs
UPTRAVI 1,200 MCG TABLET
(Selexipag)
66215061206
34
PDPs
289
MAPDs
UPTRAVI 1,400 MCG TABLET
(Selexipag)
66215061406
34
PDPs
289
MAPDs
UPTRAVI 1,600 MCG TABLET
(Selexipag)
66215061606
34
PDPs
289
MAPDs
UPTRAVI 200 MCG TABLET
(Selexipag)
66215060214
34
PDPs
289
MAPDs
UPTRAVI 200-800 TITRATION PACK
(Selexipag)
66215062820
34
PDPs
286
MAPDs
UPTRAVI 400 MCG TABLET
(Selexipag)
66215060406
34
PDPs
289
MAPDs
UPTRAVI 600 MCG TABLET
(Selexipag)
66215060606
34
PDPs
289
MAPDs
UPTRAVI 800 MCG TABLET
(Selexipag)
66215060806
34
PDPs
289
MAPDs
Urocit-K 10.000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)
100 TABLET, EXTENDED RELE
00178061001
0
PDPs
6
MAPDs
Urocit-k 15.000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)
100 TABLET, EXTENDED RELE
00178061501
0
PDPs
6
MAPDs
Urocit-K 5.0000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)
100 TABLET, EXTENDED RELE
00178060001
0
PDPs
7
MAPDs
UROXATRAL 10 MG TABLET
(Alfuzosin HCl)
59212020010
0
PDPs
3
MAPDs
Urso 250 250mg/1
(Ursodiol)
58914078510
0
PDPs
3
MAPDs
URSO FORTE TABLETS 500MG 100 BOT
(Ursodiol)
100 BOT
58914079010
0
PDPs
3
MAPDs
URSODIOL 250 MG TABLET
(Ursodiol)
100.000 EA
49884041201
69
PDPs
393
MAPDs
URSODIOL 300 MG CAPSULE [Actigall]
(Ursodiol)
60 capsules
00591315901
63
PDPs
366
MAPDs
URSODIOL 500 MG TABLET [Urso Forte]
(Ursodiol)
60 tablets
00591300501
69
PDPs
391
MAPDs
UTIBRON NEOHALER 27.5-15.6 MCG CAPSULE W/DEV
(Indacaterol and glycopyrrolate)
60 units
63402068160
0
PDPs
15
MAPDs
XURIDEN GRANULE PACKET
(Uridine Triacetate)
1 unit
69468015230
12
PDPs
131
MAPDs
(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2020)
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MA plan changes 2021 to 2022
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