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2021 Medicare Part D Plan Information
Q1Rx 2021 Medicare Part D or Medicare Advantage Plan Finder by Drug
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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 2021 Formularies
PDPs
MAPDs
ACTIGALL 300 MG CAPSULE
(Ursodiol)
60 capsules
00023614501
3
PDPs
8
MAPDs
AMPICILLIN-SULBACTAM 15 GM VIAL [Unasyn]
(Ampicillin & Sulbactam Sodium For)
ML
55150011899
50
PDPs
346
MAPDs
AMPICILLIN-SULBACTAM 3 GM VIAL [Unasyn]
(Ampicillin & Sulbactam Sodium For)
ML
55150011720
70
PDPs
389
MAPDs
ANORO ELLIPTA 62.5-25 MCG INH
(umeclidinium and vilanterol inhalation powder)
00173086910
66
PDPs
356
MAPDs
BUDESONIDE ER 9 MG TABLETDR - ER [UCERIS]
()
30 UNITS
68682030930
66
PDPs
344
MAPDs
FEBUXOSTAT 40 MG TABLET [Uloric]
(Febuxostat)
30 TABLETS
00378392593
32
PDPs
254
MAPDs
FEBUXOSTAT 80 MG TABLET [Uloric]
(Febuxostat)
30 TABLETS
00378392693
34
PDPs
254
MAPDs
FLAVOXATE HCL 100 MG TABLET [Urispas]
()
90 TABLETS
00574011501
16
PDPs
223
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)
00173087310
48
PDPs
268
MAPDs
METHENAMINE HIPP 1 GM TABLET [Urex]
(Methenamine)
60 tablets
65862078201
63
PDPs
369
MAPDs
MOEXIPRIL HCL 15 MG TABLET [Univasc]
(Moexipril HCl)
30 tablets
00093515001
55
PDPs
349
MAPDs
RINVOQ ER 15 MG TABLET ER 24H
(Upadacitinib)
TABLETs
00074230630
56
PDPs
346
MAPDs
STELARA 45 MG/0.5 ML SYRINGE
(Ustekinumab)
0.5ML
57894006003
67
PDPs
375
MAPDs
STELARA 45 MG/0.5 ML VIAL
(Ustekinumab)
57894006002
67
PDPs
366
MAPDs
STELARA 90 MG/ML SYRINGE
(Ustekinumab)
1ML
57894006103
70
PDPs
389
MAPDs
TRAMADOL ER 300 MG TABLET TBMP 24HR [Ultram ER]
(Tramadol)
30 units
10370022311
13
PDPs
134
MAPDs
TRAMADOL HCL 50 MG TABLET [Ultram]
()
60 TABLETS
65162062711
70
PDPs
389
MAPDs
TRAMADOL HCL ER 300 MG Tablet ER 24H [Ultram ER]
(TRAMADOL)
30 tablets
68180069906
21
PDPs
170
MAPDs
UBRELVY 100 MG TABLET
(Ubrogepant)
10 TABLETS
00023650110
9
PDPs
66
MAPDs
UBRELVY 50 MG TABLET
(Ubrogepant)
10 TABLETS
00023649810
9
PDPs
66
MAPDs
UCERIS 2 MG RECTAL FOAM FOAM/APPL
(Budesonide)
66.8 grams
65649065103
6
PDPs
147
MAPDs
UCERIS 9 MG ER TABLET
(budesonide)
68012030930
0
PDPs
3
MAPDs
UDENYCA 6 MG/0.6 ML SYRINGE
(Pegfilgrastim (E. coli))
ml
70114010101
22
PDPs
157
MAPDs
ULORIC TABLETS 40MG 30 BOT
(Febuxostat)
30 BOT
64764091830
0
PDPs
9
MAPDs
ULORIC TABLETS 80MG 30 BOT
(Febuxostat)
30 BOT
64764067730
0
PDPs
9
MAPDs
ULTRACET TABLET
(Tramadol-Acetaminophen)
100.000 EA
50458065060
3
PDPs
8
MAPDs
ULTRAM 50MG TABLETS
(Tramadol HCl)
100 BOT
50458065960
3
PDPs
8
MAPDs
ULTRAVATE 0.05 % 60 ML
(Halobetasol Propionate)
10631012204
0
PDPs
4
MAPDs
UNASYN 15GM VIAL
(Ampicillin & Sulbactam Sodium For)
15 GM BOT
00049002428
0
PDPs
1
MAPDs
UNASYN 3 GM VIAL
(Ampicillin, Sulbactam)
ml
00049001483
0
PDPs
3
MAPDs
UNITHROID 100 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080501
63
PDPs
337
MAPDs
UNITHROID 112 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080601
63
PDPs
337
MAPDs
UNITHROID 125 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080701
63
PDPs
337
MAPDs
UNITHROID 150 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080901
63
PDPs
337
MAPDs
UNITHROID 175 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846081001
63
PDPs
337
MAPDs
UNITHROID 200 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846081101
63
PDPs
337
MAPDs
UNITHROID 25 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080101
63
PDPs
337
MAPDs
UNITHROID 300 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846081201
63
PDPs
337
MAPDs
UNITHROID 50 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080201
63
PDPs
337
MAPDs
UNITHROID 75 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080301
63
PDPs
337
MAPDs
UNITHROID 88 MCG TABLET
(Levothyroxine Sodium)
100 EA
60846080401
63
PDPs
337
MAPDs
UPTRAVI 1,000 MCG TABLET
(Selexipag)
66215061006
36
PDPs
269
MAPDs
UPTRAVI 1,200 MCG TABLET
(Selexipag)
66215061206
36
PDPs
269
MAPDs
UPTRAVI 1,400 MCG TABLET
(Selexipag)
66215061406
36
PDPs
269
MAPDs
UPTRAVI 1,600 MCG TABLET
(Selexipag)
66215061606
36
PDPs
269
MAPDs
UPTRAVI 200 MCG TABLET
(Selexipag)
66215060214
36
PDPs
269
MAPDs
UPTRAVI 200-800 TITRATION PACK
(Selexipag)
66215062820
36
PDPs
266
MAPDs
UPTRAVI 400 MCG TABLET
(Selexipag)
66215060406
36
PDPs
269
MAPDs
UPTRAVI 600 MCG TABLET
(Selexipag)
66215060606
36
PDPs
269
MAPDs
UPTRAVI 800 MCG TABLET
(Selexipag)
66215060806
36
PDPs
269
MAPDs
Urocit-K 10.000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)
100 TABLET, EXTENDED RELE
00178061001
0
PDPs
5
MAPDs
Urocit-k 15.000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)
100 TABLET, EXTENDED RELE
00178061501
0
PDPs
5
MAPDs
Urocit-K 5.0000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)
100 TABLET, EXTENDED RELE
00178060001
0
PDPs
5
MAPDs
UROXATRAL 10 MG TABLET
(Alfuzosin HCl)
59212020010
0
PDPs
1
MAPDs
Urso 250 250mg/1
(Ursodiol)
58914078510
0
PDPs
1
MAPDs
URSO FORTE TABLETS 500MG 100 BOT
(Ursodiol)
100 BOT
58914079010
0
PDPs
1
MAPDs
URSODIOL 250 MG TABLET
(Ursodiol)
100.000 EA
49884041201
70
PDPs
389
MAPDs
URSODIOL 300 MG CAPSULE [Actigall]
(Ursodiol)
30 CAPSULES
42806050301
65
PDPs
366
MAPDs
URSODIOL 500 MG TABLET [Urso Forte]
(Ursodiol)
30 TABLETS
49884041301
70
PDPs
386
MAPDs
UTIBRON NEOHALER 27.5-15.6 MCG CAPSULE W/DEV
(Indacaterol and glycopyrrolate)
60 units
63402068160
0
PDPs
9
MAPDs
XURIDEN GRANULE PACKET
(Uridine Triacetate)
1 unit
69468015230
15
PDPs
125
MAPDs
(Chart Source: Centers for Medicare and Medicaid files: CMS Data January 2021)
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