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2021 Medicare Part D Formulary Search By Drug Letter
This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
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 K 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 2021 Formularies
PDPs MAPDs
ACULAR 0.5% EYE DROPS
(Ketorolac Tromethamine Ophth)		 5 ML BOT 00023218105 3
PDPs		 10
MAPDs
ACULAR LS 0.4% OPHTH SOLUTION
(Ketorolac Tromethamine Ophth)		 5 ML BOTDR 00023927705 3
PDPs		 10
MAPDs
ACUVAIL 0.45% OPHTH SOLUTION DROPERETTE
(Ketorolac Tromethamine Ophth)		 30 UNITS   00023350730 1
PDPs		 33
MAPDs
CEFAZOLIN 1 GM VIAL [Kefzol]
()		 7 MLS   60505614205 68
PDPs		 393
MAPDs
CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION [Keflex]
(Cephalexin Monohydrate)		 100 MLS   68180044001 68
PDPs		 394
MAPDs
CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [Keflex]
(Cephalexin Monohydrate)		 200 MLS   68180044101 68
PDPs		 397
MAPDs
CLONAZEPAM 0.125 MG DIS TABLET RAPDIS [Klonopin]
(Clonazepam)		 30 units   49884030602 68
PDPs		 397
MAPDs
CLONAZEPAM 0.25 MG ODT TABLET RAPDIS [Klonopin]
(Clonazepam)		 30 units   49884030702 68
PDPs		 397
MAPDs
CLONAZEPAM 0.5 MG DIS TABLET RAPDIS [Klonopin]
(Clonazepam)		 30 units   49884030802 68
PDPs		 397
MAPDs
CLONAZEPAM 0.5 MG TABLET [Klonopin]
(Clonazepam)		 30 tablets   16729013616 68
PDPs		 397
MAPDs
CLONAZEPAM 1 MG DIS TABLET RAPDIS [Klonopin]
(Clonazepam)		 30 UNITS   00555009796 68
PDPs		 397
MAPDs
CLONAZEPAM 1 MG TABLET [Klonopin]
(Clonazepam)		 60 tablets   16729013716 68
PDPs		 397
MAPDs
CLONAZEPAM 2 MG ODT TABLET RAPDIS [Klonopin]
(Clonazepam)		 5 UNITS   00555009896 68
PDPs		 397
MAPDs
CLONAZEPAM 2 MG TABLET [Klonopin]
(Clonazepam)		 60 tablets   16729013816 68
PDPs		 397
MAPDs
CLONIDINE HCL ER 0.1 MG TABLET ER 12H [Kapvay]
()		 30 TABLETS   27241010806 34
PDPs		 243
MAPDs
Diph-Tetanus Tox-Acell Pert adsorbed and IPV vaccine 0.5 ML Prefilled Syringe [Kinrix]
(Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine )		     58160081252 68
PDPs		 397
MAPDs
EXTINA 2% FOAM
(Ketoconazole)		 50 grams   00378813650 0
PDPs		 1
MAPDs
GRANISETRON HCL 1 MG TABLET [Kytril]
()		 30 TABLETS   51991073520 53
PDPs		 377
MAPDs
K-TAB ER 10 MEQ TABLET [Klotrix]
(Potassium Chloride)		 30 tablets   00074327813 5
PDPs		 39
MAPDs
K-TAB ER 20 MEQ TABLET
(Potassium Chloride)		     00074302313 5
PDPs		 48
MAPDs
K-TAB ER 8 MEQ TABLET
(Potassium Chloride)		     00074305846 6
PDPs		 128
MAPDs
KAITLIB FE 0.8-0.025MG CHEWABLE TABLET [Layolis Fe]
(norethindrone and ethinyl estradiol and ferrous fumarate)		 28 CHEWABLE TABLETS   68180090373 23
PDPs		 184
MAPDs
KALETRA 100-25 MG TABLET
(Lopinavir-Ritonavir)		 60 TABLET, FILM COATED   00074052260 68
PDPs		 397
MAPDs
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)		 120 BOT 00074679922 68
PDPs		 397
MAPDs
KALETRA 80MG/20MG ORAL SOLUTION
(Lopinavir-Ritonavir)		 160 ML BOT 00074395646 3
PDPs		 9
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)		 56.000 EA   51167020001 68
PDPs		 397
MAPDs
KALYDECO 25 MG GRANULES PACKET
(Ivacaftor)		 units   51167060001 62
PDPs		 387
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)		 56 EA   51167030001 62
PDPs		 389
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)		 56 EA   51167040001 62
PDPs		 389
MAPDs
KAPVAY ER 0.1 MG TABLET
(CLONIDINE HYDROCHLORIDE)		     59212065860 0
PDPs		 5
MAPDs
KARIVA 21-5 TABLET
(Desogestrel & Ethinyl Estradiol)		 21ACTIVE,5ETHINYL,2PLACEB BLPK 00555905058 63
PDPs		 382
MAPDs
KATERZIA 1 MG/ML ORAL SUSPENSION
(Amlodipine)		 100 mls   52652500101 7
PDPs		 48
MAPDs
KCL 20 MEQ IN D5W-0.45% NACL IV SOLUTION
()		 500 mls   00338067104 65
PDPs		 345
MAPDs
KCL 20 MEQ IN D5W-LACT RINGER IV SOLUTION
()		 mls   00338081104 35
PDPs		 239
MAPDs
KCL 20 MEQ-NS 1,000 ML IV SOLUTION
()		 mls   00338069104 42
PDPs		 282
MAPDs
KCL 40 MEQ-NS 1,000 ML IV SOLUTION
()		 mls   00338069504 42
PDPs		 275
MAPDs
KELNOR 1-35 1-0.035MG TABLET
(Ethynodiol Diacetate & Ethinyl Estradiol)		 28 (21+7) BLPK 00555906458 66
PDPs		 379
MAPDs
KELNOR 1-50 TABLET [Zovia 1/50E]
(Ethynodiol Diacetate, Ethinyl Estradiol;Inert)		 28 tablets   00093807316 67
PDPs		 372
MAPDs
KENALOG 0.147 MG/GRAM SPRAY AEROSOL
(Triamcinolone Acetonide)		 63 g in 1 CAN   10631009362 0
PDPs		 5
MAPDs
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Levetiracetam)		 60 TABLET, FILM COATED   50474059766 3
PDPs		 8
MAPDs
KEPPRA 100MG/ML ORAL SOLUTION
(Levetiracetam)		 16 FLO BOT 50474000148 3
PDPs		 8
MAPDs
KEPPRA 250MG TABLET
(Levetiracetam)		 120 TABS BOT 50474059440 3
PDPs		 8
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)		 120 TABS BOT 50474059540 3
PDPs		 8
MAPDs
KEPPRA 750MG TABLET
(Levetiracetam)		 120 TABS BOT 50474059640 3
PDPs		 8
MAPDs
KEPPRA 750MG XR TABLET
(Levetiracetam)		 60 BOT 50474059966 0
PDPs		 1
MAPDs
KEPPRA XR 500 MG TABLET ER 24H
(Levetiracetam)		 60 BOT 50474059866 0
PDPs		 1
MAPDs
KERYDIN 5% TOPICAL SOLUTION
(Tavaborole)		 10.000 ML   10337090510 0
PDPs		 15
MAPDs
KESIMPTA 20 MG/0.4 ML PEN INJECTOR
(Ofatumumab)		 MLS   00078100768 8
PDPs		 179
MAPDs
KETOCONAZOLE 2% CREAM
(Ketoconazole)		 60 GM   51672129803 68
PDPs		 397
MAPDs
KETOCONAZOLE 2% FOAM [Ketodan]
()		 100 GRAMS   00378700701 5
PDPs		 120
MAPDs
KETOCONAZOLE 2% SHAMPOO
(Ketoconazole)		 120.000 ML   45802046564 68
PDPs		 397
MAPDs
KETOCONAZOLE 200 MG TABLET
(Ketoconazole)		 100 EA   51672402601 68
PDPs		 397
MAPDs
KETODAN 2% FOAM
(Ketoconazole)		 100 grams   43538053010 4
PDPs		 105
MAPDs
KETOPROFEN 200MG CAPSULE 24HR SR PELLETS
(Ketoprofen)		 100 BOT 00378820001 5
PDPs		 132
MAPDs
KETOPROFEN 25 MG CAPSULE [Orudis]
(Ketoprofen)		 90 capsules   69336012710 18
PDPs		 155
MAPDs
KETOPROFEN 50 MG CAPSULE [Orudis]
(Ketoprofen)		 15 CAPSULES   23155002101 16
PDPs		 159
MAPDs
KETOPROFEN 75 MG CAPSULE [Orudis]
(Ketoprofen)		 CAPSULES   23155002201 16
PDPs		 160
MAPDs
KETOROLAC 0.4% OPHTH SOLUTION DROPS [Acular LS]
(Ketorolac)		 5 mls   60758077305 67
PDPs		 361
MAPDs
KETOROLAC 0.5% OPHTH SOLUTION DROPS [Acular PF]
()		 5 MLS   60505100301 68
PDPs		 397
MAPDs
KETOROLAC 10MG TABLET
(Ketorolac)		 100 TABLETS BOT 00093031401 21
PDPs		 187
MAPDs
KETOROLAC 15.75 MG NASAL SPRAY [SPRIX]
(Ketorolac)		 5 UNITS   66993019395 0
PDPs		 5
MAPDs
KEVEYIS 50 MG TABLET
(Dichlorphenamide)		     71090000101 3
PDPs		 100
MAPDs
KEVZARA 150 MG/1.14 ML PEN INJECTOR
(Sarilumab)		 MLS   00024592001 5
PDPs		 138
MAPDs
KEVZARA 150 MG/1.14 ML SYRINGE
(Sarilumab)		     00024590801 7
PDPs		 138
MAPDs
KEVZARA 200 MG/1.14 ML PEN INJECTOR
(Sarilumab)		 MLS   00024592201 5
PDPs		 138
MAPDs
KEVZARA 200 MG/1.14 ML SYRINGE
(Sarilumab)		     00024591001 7
PDPs		 138
MAPDs
KINERET 100 MG/0.67 ML SYRINGE
(Anakinra Subcutaneous)		 .670 ML   66658023407 20
PDPs		 147
MAPDs
KINRIX VIAL
(Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine )		 ml   58160081211 68
PDPs		 392
MAPDs
KISQALI 200 MG DAILY DOSE
(Ribociclib)		     00078086001 68
PDPs		 397
MAPDs
KISQALI 400 MG DAILY DOSE
(Ribociclib)		     00078086742 68
PDPs		 397
MAPDs
KISQALI 600 MG DAILY DOSE
(Ribociclib)		     00078087463 68
PDPs		 397
MAPDs
KISQALI FEMARA 200 MG CO-PACK
(Letrozole;Ribociclib)		 49 EA   00078090961 68
PDPs		 396
MAPDs
KISQALI FEMARA 400 MG CO-PACK
(Letrozole;Ribociclib)		 70 EA   00078091661 68
PDPs		 396
MAPDs
KISQALI FEMARA 600 MG CO-PACK
(Letrozole;Ribociclib)		 91 EA   00078092361 68
PDPs		 396
MAPDs
KLARON 10% LOTION
(Sulfacetamide Sodium)		     00187519804 3
PDPs		 8
MAPDs
KLISYRI 1% OINTMENT PACKET
(Tirbanibulin)		 5 UNITS   16110039105 1
PDPs		 36
MAPDs
Klonopin 0.5mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)		 100 TABLET in 1 BOTTLE   00004006801 0
PDPs		 1
MAPDs
Klonopin 1mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)		 100 TABLET in 1 BOTTLE   00004005801 0
PDPs		 1
MAPDs
Klonopin 2mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)		 100 TABLET in 1 BOTTLE   00004009801 0
PDPs		 1
MAPDs
KLOR-CON 10 MEQ TABLET
(Potassium Chloride)		 500.000 EA   66758016005 67
PDPs		 345
MAPDs
KLOR-CON 20 MEQ PACKET
(Potassium Chloride Microencapsulated Crys CR)		     00245036030 30
PDPs		 251
MAPDs
KLOR-CON 8 MEQ TABLET [Slow-K]
(Potassium Chloride)		 90 TABLETS   00245531515 67
PDPs		 344
MAPDs
KLOR-CON M10 TABLET ER PRT [Klotrix]
()		 30 UNITS   00245531790 67
PDPs		 387
MAPDs
KLOR-CON M15 TABLET ER PRT
(Potassium Chloride)		 30 UNITS   00245531811 45
PDPs		 339
MAPDs
KLOR-CON M20 TABLET ER PRT
(Potassium Chloride)		 30 UNITS   00245531990 68
PDPs		 387
MAPDs
KOMBIGLYZE XR 2.5-1,000 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)		 60 EA   00310612560 23
PDPs		 93
MAPDs
KOMBIGLYZE XR 5-1,000 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)		 30 EA   00310614530 23
PDPs		 93
MAPDs
KOMBIGLYZE XR 5-500 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)		 30 EA   00310613530 23
PDPs		 93
MAPDs
KORLYM 300 MG TABLET
(mifepristone)		     76346007301 68
PDPs		 397
MAPDs
KOSELUGO 10 MG CAPSULE
(Selumetinib)		 capsules   00310061060 46
PDPs		 292
MAPDs
KOSELUGO 25 MG CAPSULE
(Selumetinib)		 capsules   00310062560 46
PDPs		 292
MAPDs
KRINTAFEL 150 MG TABLET
(Tafenoquine)		 tablets   00173088939 6
PDPs		 142
MAPDs
KRISTALOSE 10 GM PACKET
(Lactulose)		     66220071930 2
PDPs		 54
MAPDs
KRISTALOSE 20 GM PACKET
(Lactulose)		     66220072930 2
PDPs		 73
MAPDs
KURVELO-28 TABLET [Portia]
(Inert; Levonorgestrel, Ethinyl Estradiol)		 28 tablets   68180084473 62
PDPs		 367
MAPDs
KUVAN 100 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)		 30.000 EA   68135030122 42
PDPs		 205
MAPDs
KUVAN 100MG TABLET SOLUBLE
(Sapropterin DiHCL Soluble)		     68135030002 50
PDPs		 225
MAPDs
KUVAN 500 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)		 30.000 EA   68135048211 42
PDPs		 206
MAPDs
KYNMOBI 10 MG SL FILM
(Apomorphine)		 UNITS   63402001030 31
PDPs		 215
MAPDs
KYNMOBI 15 MG SL FILM
(Apomorphine)		 UNITS   63402001530 31
PDPs		 215
MAPDs
KYNMOBI 20 MG SL FILM
(Apomorphine)		 UNITS   63402002030 31
PDPs		 215
MAPDs
KYNMOBI 25 MG SL FILM
(Apomorphine)		 UNITS   63402002530 31
PDPs		 215
MAPDs
KYNMOBI 30 MG SL FILM
(Apomorphine)		 UNITS   63402003030 31
PDPs		 215
MAPDs
LACTULOSE 10 GM PACKET [Kristalose]
(Lactulose)		 30 units   69067001015 3
PDPs		 38
MAPDs
LEVETIRACETAM 100 MG/ML SOLUTION [Keppra]
()		 90 mls   51991065116 68
PDPs		 397
MAPDs
LEVETIRACETAM 250 MG TABLET [Keppra]
()		 90 TABLETS   68180011216 68
PDPs		 397
MAPDs
LEVETIRACETAM 750 MG TABLET [Keppra]
()		 60 TABLETS   65862024708 68
PDPs		 397
MAPDs
LOPINAVIR-RITONAVIR 80-20MG/ML Solution [Kaletra]
()		     00527194748 68
PDPs		 397
MAPDs
MORPHINE SULFATE ER 40 MG CAPSULE PEL [Kadian]
(Morphine)		 60 units   00115147901 1
PDPs		 98
MAPDs
POTASSIUM CL 10% (20 MEQ/15ML) LIQUID [Kay Ciel]
(Potassium Chloride)		 473 MLS   69238145902 68
PDPs		 397
MAPDs
POTASSIUM CL 20 MEQ PACKET [Klor-Con]
()		 30 UNITS   69543045130 28
PDPs		 257
MAPDs
POTASSIUM CL 20% (40 MEQ/15ML) LIQUID [Kaon-CL]
(Potassium Chloride)		 100 MLS   00603154358 47
PDPs		 355
MAPDs
POTASSIUM CL ER 10 MEQ CAPSULE ER [Micro-K Extencaps]
()		 30 CAPSULES   68462035705 66
PDPs		 393
MAPDs
POTASSIUM CL ER 10 MEQ TABLET [Klotrix]
()		 30 TABLETS   00781152610 68
PDPs		 393
MAPDs
POTASSIUM CL ER 8 MEQ CAPSULE ER [Micro-K Extencaps]
()		 30 capsules   62037055901 66
PDPs		 392
MAPDs
SAPROPTERIN 100 MG POWDER PACK [KUVAN]
(Sapropterin Dihydrochloride Soluble)		 60 UNITS   49884094872 60
PDPs		 345
MAPDs
SAPROPTERIN 100 MG TABLET SOL [KUVAN]
(Sapropterin Dihydrochloride Soluble)		 UNITS   49884072008 68
PDPs		 391
MAPDs
SAPROPTERIN 500 MG POWDER PACK [KUVAN]
(Sapropterin Dihydrochloride Soluble)		 28 UNITS   49884087372 60
PDPs		 345
MAPDs
SPRIX 15.75 MG NASAL SPRAY
(Ketorolac Tromethamine)		 UNITS   69344014443 0
PDPs		 15
MAPDs
TAVABOROLE 5% TOPICAL SOLUTION SOL W/APPL [KERYDIN]
()		 10 MLS   62332046710 0
PDPs		 22
MAPDs
TRIAMCINOLONE 0.1% LOTION [Kenalog]
()		 60 MLS   60432056161 59
PDPs		 384
MAPDs
XOLEGEL 2% GEL
(Ketoconazole)		 45 GRAMS   16110008045 0
PDPs		 1
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2021)




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