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2020 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 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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  • 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.
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  • 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.
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  • 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.
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