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2021 Medicare Part D Formulary Search By Drug Letter

Select a Letter below:
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 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
349
MAPDs
AMPICILLIN-SULBACTAM 3 GM VIAL [Unasyn]
(Ampicillin & Sulbactam Sodium For)
ML   55150011720 70
PDPs
392
MAPDs
ANORO ELLIPTA 62.5-25 MCG INH
(umeclidinium and vilanterol inhalation powder)
    00173086910 66
PDPs
359
MAPDs
BUDESONIDE ER 9 MG TABLETDR - ER [UCERIS]
()
30 UNITS   68682030930 66
PDPs
346
MAPDs
FEBUXOSTAT 40 MG TABLET [Uloric]
(Febuxostat)
30 TABLETS   00378392593 32
PDPs
257
MAPDs
FEBUXOSTAT 80 MG TABLET [Uloric]
(Febuxostat)
30 TABLETS   00378392693 34
PDPs
257
MAPDs
FLAVOXATE HCL 100 MG TABLET [Urispas]
()
90 TABLETS   00574011501 16
PDPs
226
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)
    00173087310 48
PDPs
271
MAPDs
METHENAMINE HIPP 1 GM TABLET [Urex]
(Methenamine)
60 tablets   65862078201 63
PDPs
372
MAPDs
MOEXIPRIL HCL 15 MG TABLET [Univasc]
(Moexipril HCl)
30 tablets   00093515001 55
PDPs
352
MAPDs
RINVOQ ER 15 MG TABLET ER 24H
(Upadacitinib)
TABLETs   00074230630 56
PDPs
348
MAPDs
STELARA 45 MG/0.5 ML SYRINGE
(Ustekinumab)
0.5ML   57894006003 67
PDPs
378
MAPDs
STELARA 45 MG/0.5 ML VIAL
(Ustekinumab)
    57894006002 67
PDPs
368
MAPDs
STELARA 90 MG/ML SYRINGE
(Ustekinumab)
1ML   57894006103 70
PDPs
392
MAPDs
TRAMADOL ER 300 MG TABLET TBMP 24HR [Ultram ER]
(Tramadol)
30 units   10370022311 13
PDPs
136
MAPDs
TRAMADOL HCL 50 MG TABLET [Ultram]
()
60 TABLETS   65162062711 70
PDPs
392
MAPDs
TRAMADOL HCL ER 300 MG Tablet ER 24H [Ultram ER]
(TRAMADOL)
30 tablets   68180069906 21
PDPs
173
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
149
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
339
MAPDs
UNITHROID 112 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080601 63
PDPs
339
MAPDs
UNITHROID 125 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080701 63
PDPs
339
MAPDs
UNITHROID 150 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080901 63
PDPs
339
MAPDs
UNITHROID 175 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846081001 63
PDPs
339
MAPDs
UNITHROID 200 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846081101 63
PDPs
339
MAPDs
UNITHROID 25 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080101 63
PDPs
339
MAPDs
UNITHROID 300 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846081201 63
PDPs
339
MAPDs
UNITHROID 50 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080201 63
PDPs
339
MAPDs
UNITHROID 75 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080301 63
PDPs
339
MAPDs
UNITHROID 88 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080401 63
PDPs
339
MAPDs
UPTRAVI 1,000 MCG TABLET
(Selexipag)
    66215061006 36
PDPs
272
MAPDs
UPTRAVI 1,200 MCG TABLET
(Selexipag)
    66215061206 36
PDPs
272
MAPDs
UPTRAVI 1,400 MCG TABLET
(Selexipag)
    66215061406 36
PDPs
272
MAPDs
UPTRAVI 1,600 MCG TABLET
(Selexipag)
    66215061606 36
PDPs
272
MAPDs
UPTRAVI 200 MCG TABLET
(Selexipag)
    66215060214 36
PDPs
272
MAPDs
UPTRAVI 200-800 TITRATION PACK
(Selexipag)
    66215062820 36
PDPs
266
MAPDs
UPTRAVI 400 MCG TABLET
(Selexipag)
    66215060406 36
PDPs
272
MAPDs
UPTRAVI 600 MCG TABLET
(Selexipag)
    66215060606 36
PDPs
272
MAPDs
UPTRAVI 800 MCG TABLET
(Selexipag)
    66215060806 36
PDPs
272
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
392
MAPDs
URSODIOL 300 MG CAPSULE [Actigall]
(Ursodiol)
30 CAPSULES   42806050301 65
PDPs
369
MAPDs
URSODIOL 500 MG TABLET [Urso Forte]
(Ursodiol)
30 TABLETS   49884041301 70
PDPs
389
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 October 2020)


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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
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  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
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  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • 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.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • 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.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • 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.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.