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Plan Archives
2021 Medicare Part D Archive
Q1Rx 2021 Medicare Part D or Medicare Advantage Plan Finder by Drug
2021 Medicare Part D Formulary Search By Drug Letter
2021 Medicare Part D Formulary Search By Drug Letter
This is archive material for research purposes. Please see
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or
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for current plans.
Select a Letter below:
A
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D
E
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G
H
I
J
K
L
M
N
O
P
Q
R
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U
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X
Y
Z
Top Medicare Drugs (Short List)
Top Medicare Drugs (Long List)
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
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ME
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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 W 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
BUPROPION HCL SR 100 MG TABLET SR 12H [Wellbutrin SR]
(Bupropion HCl (Smoking Deterrent))
30 units
43547028810
68
PDPs
397
MAPDs
BUPROPION HCL SR 150 MG TABLET SR 12H [Wellbutrin SR]
(Bupropion HCl (Smoking Deterrent))
60 units
43547028910
68
PDPs
397
MAPDs
COLESEVELAM 625 MG TABLET [WelChol]
()
180 TABLETS
69452015825
27
PDPs
310
MAPDs
COLESEVELAM HCL 3.75 G PACKET POWDER PACK [WelChol]
()
30 units
68462062030
24
PDPs
256
MAPDs
HYDROCORTISONE VAL 0.2% CREAM (g) [Westcort]
(Hydrocortisone Valerate)
15 grams
51672129003
44
PDPs
205
MAPDs
ISOSORBIDE DINITRATE 10 MG TABLET [Wesorbide]
(Isosorbide Dinitrate)
90 TABLETS
00781155601
68
PDPs
397
MAPDs
ISOSORBIDE DINITRATE 20 MG TABLET [Wesorbide]
(Isosorbide Dinitrate)
90 TABLETS
00781169501
68
PDPs
397
MAPDs
JANTOVEN 1 MG TABLET
(Warfarin Sodium)
100.000 EA
00832121100
68
PDPs
392
MAPDs
JANTOVEN 10 MG TABLET
(Warfarin Sodium)
100.000 EA
00832121900
68
PDPs
392
MAPDs
JANTOVEN 2 MG TABLET
(Warfarin Sodium)
100.000 EA
00832121200
68
PDPs
392
MAPDs
JANTOVEN 2.5MG TABLET
(Warfarin Sodium)
100 BOT
00832121300
68
PDPs
392
MAPDs
JANTOVEN 3 MG TABLET
(Warfarin Sodium)
100.000 EA
00832121400
68
PDPs
392
MAPDs
JANTOVEN 4 MG TABLET
(Warfarin Sodium)
100.000 EA
00832121500
68
PDPs
392
MAPDs
JANTOVEN 5 MG TABLET [Jantoven]
(Warfarin Sodium)
30 tablets
00832121610
68
PDPs
392
MAPDs
JANTOVEN 6MG TABLET
(Warfarin Sodium)
100 BOT
00832121700
68
PDPs
392
MAPDs
JANTOVEN 7.5MG TABLET
(Warfarin Sodium)
100 BOT
00832121800
68
PDPs
392
MAPDs
PREDNISONE 20 MG TABLET [Predone]
(Prednisone)
10 TABLETS
00591544305
68
PDPs
397
MAPDs
WAKIX 17.8 MG TABLET
(Pitolisant)
39 tablets
72028017803
19
PDPs
131
MAPDs
WAKIX 4.45 MG TABLET
(Pitolisant)
tablets
72028004503
19
PDPs
131
MAPDs
WARFARIN SODIUM 1 MG TABLET
(Warfarin Sodium)
100.000 EA
00093171201
68
PDPs
397
MAPDs
WARFARIN SODIUM 10 MG TABLET
(Warfarin Sodium)
100 EA
00093172001
68
PDPs
397
MAPDs
WARFARIN SODIUM 2 MG TABLET
(Warfarin Sodium)
100.000 EA
00093171301
68
PDPs
397
MAPDs
WARFARIN SODIUM 2.5 MG TABLET
(Warfarin Sodium)
100.000 EA
00093171401
68
PDPs
397
MAPDs
WARFARIN SODIUM 3 MG TABLET
(Warfarin Sodium)
100.000 EA
00093171501
68
PDPs
397
MAPDs
WARFARIN SODIUM 4 MG TABLET
(Warfarin Sodium)
100.000 EA
00093171601
68
PDPs
397
MAPDs
WARFARIN SODIUM 5 MG TABLET
(Warfarin Sodium)
100.000 EA
00093172101
68
PDPs
397
MAPDs
WARFARIN SODIUM 6 MG TABLET
(Warfarin Sodium)
100.000 EA
00093171801
68
PDPs
397
MAPDs
WARFARIN SODIUM 7.5 MG TABLET [Jantoven]
()
30 TABLETS
00093172301
68
PDPs
397
MAPDs
WELCHOL 625MG TABLET
(Colesevelam HCl)
180 BOTPL
65597070118
15
PDPs
23
MAPDs
WELCHOL FOR ORAL SUSPENSION CITRUS FLAVOR 3.75 GM
(Colesevelam HCl)
30 PACKET BOX
65597090230
10
PDPs
40
MAPDs
WELLBUTRIN SR 100MG TABLET SA
(Bupropion HCl)
60 BOT
00173094755
3
PDPs
8
MAPDs
WELLBUTRIN SR 150MG TABLET SA
(Bupropion HCl)
60 X 150 MG TABLETS BOT
00173013555
3
PDPs
8
MAPDs
WELLBUTRIN SR 200MG TABLET SA
(Bupropion HCl)
60 BOT
00173072200
3
PDPs
8
MAPDs
WELLBUTRIN XL 150 MG TABLET
(Bupropion HCl)
30 EA
00187073030
3
PDPs
9
MAPDs
WELLBUTRIN XL 300 MG TABLET
(Bupropion HCl)
30 EA
00187073130
3
PDPs
9
MAPDs
WIXELA 100-50 INHUB BLST W/DEV [Advair]
(Fluticasone Propionate, Salmeterol)
60 units
00378932032
17
PDPs
181
MAPDs
WIXELA 250-50 INHUB BLST W/DEV [Advair]
(Fluticasone Propionate, Salmeterol)
60 units
00378932132
17
PDPs
181
MAPDs
WIXELA 500-50 INHUB BLST W/DEV [Advair]
(Fluticasone Propionate, Salmeterol)
60 units
00378932232
17
PDPs
181
MAPDs
WYMZYA FE 0.4-0.035 MG CHEWABLE TABLET [ZEOSA]
(Norethindrone and Ethinyl Estradiol, and Ferrous Fumarate)
28 CHEWABLE TABLETS
68180087373
35
PDPs
224
MAPDs
(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2021)
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