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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 X 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
ALPRAZOLAM 0.25 MG TABLET [Xanax]
(Alprazolam)		 30 TABLETS   00228202750 65
PDPs		 378
MAPDs
ALPRAZOLAM ER 1 MG TABLET 24H [Xanax XR]
(Alprazolam)		 30 tablets   65862045560 4
PDPs		 148
MAPDs
ALPRAZOLAM ER 2 MG TABLET 24H [Xanax XR]
(Alprazolam)		 30 tablets   65862045660 4
PDPs		 148
MAPDs
ALPRAZOLAM ER 3 MG TABLET 24H [Xanax XR]
(Alprazolam)		 30 tablets   65862045760 4
PDPs		 148
MAPDs
BROMFENAC SODIUM 0.09% EYE DROPS [Xibrom]
(BROMFENAC SODIUM)		 1.7 mls   50383024971 24
PDPs		 296
MAPDs
HYDROCODONE-ACETAMIN 10-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)		 90 TABLETS   27808011601 18
PDPs		 212
MAPDs
HYDROCODONE-ACETAMIN 5-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)		 12 tablets   43386035101 18
PDPs		 212
MAPDs
HYDROCODONE-ACETAMIN 7.5-300 TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)		 12 tablets   43386035201 18
PDPs		 216
MAPDs
HYDROCODONE-IBUPROFEN 10-200 TABLET [Xylon 10]
(Hydrocodone Bitartrate, Ibuprofen)		 120 TABLETS   00603358621 17
PDPs		 236
MAPDs
LEVALBUTEROL 0.31 MG/3 ML SOL VIAL-NEB [Xopenex Pediatric]
(Levalbuterol Tartrate)		 90 MLS   76204070025 14
PDPs		 282
MAPDs
LEVALBUTEROL 0.63 MG/3 ML SOL VIAL-NEB [Xopenex]
(Levalbuterol Tartrate)		 72 MLS   76204080025 14
PDPs		 282
MAPDs
LEVALBUTEROL 1.25 MG/3 ML SOL VIAL-NEB [Xopenex]
(Levalbuterol Tartrate)		 75 MLS   76204090025 17
PDPs		 301
MAPDs
LEVALBUTEROL TAR HFA 45MCG INH [Xopenex]
(Levalbuterol HCl)		 15.000 GM   00591292754 22
PDPs		 220
MAPDs
LEVOCETIRIZINE 5 MG TABLET [Xyzal Allergy 24 Hour]
(LEVOCETIRIZINE)		 30 tablets   31722055190 68
PDPs		 395
MAPDs
MYCOPHENOLATE 500 MG TABLET [CellCept]
(Mycophenolate Mofetil)		 120 tablets   16729001901 68
PDPs		 397
MAPDs
TETRABENAZINE 12.5 MG TABLET [XENAZINE]
(Tetrabenazine)		 112 EA   47335027723 68
PDPs		 396
MAPDs
TETRABENAZINE 25 MG TABLET [XENAZINE]
(Tetrabenazine)		 112 EA   47335017923 68
PDPs		 396
MAPDs
XALATAN EYE DROPS 125MCG 2.5ML BOTPL
(Latanoprost Ophth)		 2.5 ML BOTPL 00013830304 0
PDPs		 1
MAPDs
Xalkori 200mg/1 60 CAPSULE BOTTLE
(CRIZOTINIB)		 60 CAPSULE in 1 BOTTLE   00069814120 68
PDPs		 397
MAPDs
Xalkori 250mg/1 60 CAPSULE BOTTLE
(CRIZOTINIB)		 60 CAPSULE in 1 BOTTLE   00069814020 68
PDPs		 397
MAPDs
XANAX 0.25 MG TABLET
(Alprazolam)		 100.000 EA   00009002901 0
PDPs		 1
MAPDs
Xanax 0.5mg/1 100 TABLET BOTTLE
(Alprazolam)		 100 TABLET in 1 BOTTLE   00009005501 0
PDPs		 1
MAPDs
Xanax 1mg/1 100 TABLET BOTTLE
(Alprazolam)		 100 TABLET in 1 BOTTLE   00009009001 0
PDPs		 1
MAPDs
Xanax 2mg/1 100 TABLET BOTTLE
(Alprazolam)		 100 TABLET in 1 BOTTLE   00009009401 0
PDPs		 1
MAPDs
Xanax XR 0.5mg/1 60 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Alprazolam)		 60 TABLET in BOTTLE   00009005707 0
PDPs		 1
MAPDs
Xanax XR 1mg/1 60 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Alprazolam)		 60 TABLET in BOTTLE   00009005907 0
PDPs		 1
MAPDs
Xanax XR 2mg/1 60 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Alprazolam)		 60 TABLET in BOTTLE   00009006607 0
PDPs		 1
MAPDs
Xanax XR 3mg/1 60 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Alprazolam)		 60 TABLET in BOTTLE   00009006807 0
PDPs		 1
MAPDs
XARELTO 10 MG TABLET
(Rivaroxaban)		 30.000 EA   50458058030 66
PDPs		 392
MAPDs
XARELTO 15 MG TABLET
(Rivaroxaban)		 30.000 EA   50458057830 66
PDPs		 392
MAPDs
XARELTO 2.5 MG TABLET
(Rivaroxaban)		 60 tablets   50458057760 66
PDPs		 389
MAPDs
XARELTO 20 MG TABLET
(Rivaroxaban)		 30.000 EA   50458057930 66
PDPs		 392
MAPDs
XARELTO STARTER PACK
(Rivaroxaban)		 51 EA   50458058451 66
PDPs		 389
MAPDs
XATMEP 2.5 MG/ML ORAL SOLUTION
(Methotrexate)		 120 ML   52652200101 68
PDPs		 392
MAPDs
XCOPRI 100 MG TABLET
(Cenobamate)		 TABLETS   71699010030 68
PDPs		 397
MAPDs
XCOPRI 12.5-25 MG TITRATION PK TABLET DS PK
(Cenobamate)		 UNITS   71699020128 68
PDPs		 397
MAPDs
XCOPRI 150 MG TABLET
(Cenobamate)		 TABLETS   71699015030 68
PDPs		 397
MAPDs
XCOPRI 150-200 MG TITRATION PK TABLET DS PK
(Cenobamate)		 UNITS   71699020328 68
PDPs		 397
MAPDs
XCOPRI 200 MG TABLET
(Cenobamate)		 90 TABLETS   71699020030 68
PDPs		 397
MAPDs
XCOPRI 250 MG DAILY DOSE PACK TABLET
(Cenobamate)		 TABLETS   71699010256 68
PDPs		 397
MAPDs
XCOPRI 250 MG DAILY DOSE PACK TABLET
(Cenobamate)		 TABLETS   71699010456 68
PDPs		 396
MAPDs
XCOPRI 350 MG DAILY DOSE PACK TABLET
(Cenobamate)		 TABLETS   71699010356 68
PDPs		 397
MAPDs
XCOPRI 50 MG TABLET
(Cenobamate)		 TABLETS   71699005030 68
PDPs		 397
MAPDs
XCOPRI 50-100 MG TITRATION PAK TABLET DS PK
(Cenobamate)		 UNITS   71699020228 68
PDPs		 397
MAPDs
XELJANZ 1 MG/ML SOLUTION
(Tofacitinib Citrate)		 MLS   00069102902 55
PDPs		 359
MAPDs
XELJANZ 10 MG TABLET
(Tofacitinib Citrate)		 60 tablets   00069100201 57
PDPs		 370
MAPDs
XELJANZ 5 MG TABLET
(Tofacitinib Citrate)		 60 EA   00069100101 57
PDPs		 370
MAPDs
XELJANZ XR 11 MG TABLET
(Tofacitinib Citrate)		     00069050130 57
PDPs		 370
MAPDs
XELJANZ XR 22 MG TABLET ER 24H
(Tofacitinib Citrate)		 TABLETS   00069050230 57
PDPs		 370
MAPDs
XELPROS 0.005% EYE DROPS EMULS
()		 mls   47335031790 1
PDPs		 30
MAPDs
XENAZINE TABLET 25 MG
(Tetrabenazine)		 112 BOT 67386042201 3
PDPs		 9
MAPDs
XENAZINE TABLETS 12.5MG 112 BOT
(Tetrabenazine)		 112 BOT 67386042101 3
PDPs		 9
MAPDs
XENLETA 600 MG TABLET
(Lefamulin)		 tablets   72000011030 5
PDPs		 105
MAPDs
XEPI 1% CREAM (g)
(Ozenoxacin)		 grams   70363001130 0
PDPs		 14
MAPDs
XERESE 5%-1% CREAM
(acyclovir and hydrocortisone topical)		 5 GM   00187510401 0
PDPs		 22
MAPDs
XERMELO 250 MG TABLET
(Telotristat Ethyl)		 TABLETS   70183012585 6
PDPs		 125
MAPDs
XGEVA 120mg/1.7mL 1 VIAL, SINGLE-USE per CARTON / 1.7 mL in 1 VIAL, SINGLE-USE
(DENOSUMAB)		 1 VIAL, SINGLE-USE   55513073001 68
PDPs		 397
MAPDs
XHANCE 93 MCG NASAL SPRAY AER BR.ACT
(Fluticasone Propionate)		 16 mls   71143037501 9
PDPs		 74
MAPDs
XIFAXAN 200MG TABLET
(Rifaximin)		 30 BOT 65649030103 21
PDPs		 253
MAPDs
XIFAXAN 550 MG TABLET
(Rifaximin)		 60.000 EA   65649030302 68
PDPs		 397
MAPDs
XIGDUO XR 10 MG-1,000 MG TAB
(Dapagliflozin and Metformin Hydrochloride)		 30 EA   00310628030 32
PDPs		 271
MAPDs
XIGDUO XR 10 MG-500 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)		 30 EA   00310627030 32
PDPs		 271
MAPDs
XIGDUO XR 2.5 MG-1,000 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)		 60   00310622560 32
PDPs		 271
MAPDs
XIGDUO XR 5 MG-1,000 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)		 60 EA   00310626060 32
PDPs		 271
MAPDs
XIGDUO XR 5 MG-500 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)		 30 EA   00310625030 32
PDPs		 271
MAPDs
XIIDRA 5% EYE DROPS DROPERETTE
(Lifitegrast)		 60 UNITS   00078091112 17
PDPs		 180
MAPDs
XOFLUZA 20 MG TABLET (40 MG DOSE)
(Baloxavir)		 2 tablets   50242082802 47
PDPs		 312
MAPDs
XOFLUZA 40 MG TABLET (80 MG DOSE)
(Baloxavir)		 2 tablets   50242086002 47
PDPs		 304
MAPDs
XOLAIR 150 MG/ML SYRINGE
(Omalizumab (Hamster))		 2 mls   50242021501 62
PDPs		 380
MAPDs
XOLAIR 150MG VIAL
(Omalizumab For)		 1 X VIAL 50242004062 68
PDPs		 397
MAPDs
XOLAIR 75 MG/0.5 ML SYRINGE
(Omalizumab (Hamster))		 ml   50242021401 62
PDPs		 380
MAPDs
XOLEGEL 2% GEL
(Ketoconazole)		 45 GRAMS   16110008045 0
PDPs		 1
MAPDs
XOPENEX 0.31 MG/3 ML SOLUTION
(Levalbuterol HCl)		 3 ML   17478017224 0
PDPs		 9
MAPDs
XOPENEX 0.63 MG/3 ML SOLUTION
(Levalbuterol HCl)		     17478017324 0
PDPs		 9
MAPDs
XOPENEX 1.25 MG/3 ML SOLUTION
(Levalbuterol HCl)		     17478017424 0
PDPs		 9
MAPDs
XOPENEX CONC 1.25 MG/0.5 ML
(Levalbuterol HCl)		     17478017130 0
PDPs		 9
MAPDs
XOPENEX HFA 45MCG HFA AEROSOL WITH ADAPTER
(Levalbuterol Tartrate)		 200 INHALATIONS BOX 63402051001 8
PDPs		 55
MAPDs
XOSPATA 40 MG TABLET
(Gilteritinib)		 tablets   00469142590 68
PDPs		 397
MAPDs
XPOVIO 100 MG ONCE WEEKLY DOSE TABLET
(Selinexor)		 5 TABLETS   72237010105 68
PDPs		 397
MAPDs
XPOVIO 100 MG ONCE WEEKLY DOSE TABLET
(Selinexor)		 TABLETS   72237010305 68
PDPs		 396
MAPDs
XPOVIO 40 MG ONCE WEEKLY DOSE TABLET
(Selinexor)		 2 TABLETS   72237010107 68
PDPs		 397
MAPDs
XPOVIO 40 MG ONCE WEEKLY DOSE TABLET
(Selinexor)		 TABLETS   72237010207 68
PDPs		 396
MAPDs
XPOVIO 40 MG TWICE WEEKLY DOSE TABLET
(Selinexor)		 4 TABLETS   72237010106 68
PDPs		 397
MAPDs
XPOVIO 40 MG TWICE WEEKLY DOSE TABLET
(Selinexor)		 TABLETS   72237010206 68
PDPs		 396
MAPDs
XPOVIO 60 MG ONCE WEEKLY DOSE TABLET
(Selinexor)		 3 TABLETS   72237010101 68
PDPs		 397
MAPDs
XPOVIO 60 MG ONCE WEEKLY DOSE TABLET
(Selinexor)		 TABLETS   72237010401 68
PDPs		 396
MAPDs
XPOVIO 60 MG TWICE WEEKLY DOSE TABLET
(Selinexor)		 6 TABLETS   72237010103 68
PDPs		 397
MAPDs
XPOVIO 80 MG ONCE WEEKLY DOSE TABLET
(Selinexor)		 4 TABLETS   72237010102 68
PDPs		 397
MAPDs
XPOVIO 80 MG ONCE WEEKLY DOSE TABLET
(Selinexor)		 TABLETS   72237010202 68
PDPs		 396
MAPDs
XPOVIO 80 MG TWICE WEEKLY DOSE TABLET
(Selinexor)		 8 TABLETS   72237010104 68
PDPs		 397
MAPDs
XTAMPZA ER 13.5 MG CAPSULE
(Oxycodone)		     24510011510 21
PDPs		 173
MAPDs
XTAMPZA ER 18 MG CAPSULE
(Oxycodone)		     24510012010 21
PDPs		 173
MAPDs
XTAMPZA ER 27 MG CAPSULE
(Oxycodone)		     24510013010 21
PDPs		 173
MAPDs
XTAMPZA ER 36 MG CAPSULE
(Oxycodone)		     24510014010 21
PDPs		 173
MAPDs
XTAMPZA ER 9 MG CAPSULE
(Oxycodone)		     24510011010 21
PDPs		 173
MAPDs
XTANDI 40 MG CAPSULE
(enzalutamide)		     00469012599 68
PDPs		 397
MAPDs
XTANDI 40 MG TABLET
(enzalutamide)		 TABLETS   00469062599 68
PDPs		 346
MAPDs
XTANDI 80 MG TABLET
(enzalutamide)		 TABLETS   00469072560 68
PDPs		 346
MAPDs
Xulane Patch
(norelgestromin / ethinyl estradiol)		     00378334053 23
PDPs		 278
MAPDs
XULTOPHY 100 UNIT-3.6MG/ML PEN
(Insulin Degludec and Liraglutide)		 3 ML   00169291115 25
PDPs		 245
MAPDs
XURIDEN GRANULE PACKET
(Uridine Triacetate)		 1 unit   69468015230 13
PDPs		 125
MAPDs
XYOSTED 100 MG/0.5 ML AUTO-INJECT
(Testosterone Enanthate)		 2 mls   54436020004 1
PDPs		 43
MAPDs
XYOSTED 50 MG/0.5 ML AUTO INJCT
(Testosterone Enanthate)		 mls   54436025002 1
PDPs		 43
MAPDs
XYOSTED 75 MG/0.5 ML AUTO-INJECT
(Testosterone Enanthate)		 2 mls   54436027504 1
PDPs		 43
MAPDs
XYREM 500MG/ML ORAL SOLUTION
(Sodium Oxybate Oral)		 180 ML BOT 68727010001 68
PDPs		 397
MAPDs
XYWAV 0.5 GM/ML ORAL SOLUTION
(Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate (Gamma Hydroxybutyrate Or Ghb))		 MLS   68727015001 25
PDPs		 158
MAPDs
ZAFEMY 150-35 MCG/DAY PATCH [Xulane]
(Norelgestromin, Ethinyl Estradiol)		 3 PATCHES   65162035803 19
PDPs		 235
MAPDs



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




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