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2022 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 a Number ex: 8-MOP.
Drugs are 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 2022 Formularies
PDPs MAPDs
ACETAMINOPHEN-COD #3 TABLET [Tylenol with Codeine No.3]
(Acetaminophen w/ Codeine)		 20 tablets   00406048410 63
PDPs		 404
MAPDs
HYDROCODONE-IBUPROFEN 10-200 TABLET [Xylon 10]
(Hydrocodone Bitartrate, Ibuprofen)		 30 TABLETS   53746011701 16
PDPs		 207
MAPDs
IBU 800 MG TABLET [Samson-8]
(Ibuprofen)		 30 tablets   55111068405 63
PDPs		 394
MAPDs
IBUPROFEN 800 MG TABLET [Samson-8]
(Ibuprofen)		 30 TABLETS   64380080707 63
PDPs		 404
MAPDs
KLOR-CON 20 MEQ PACKET
(Potassium Chloride Microencapsulated Crys CR)		     00245036030 28
PDPs		 261
MAPDs
KLOR-CON 8 MEQ TABLET [Slow-K]
(Potassium Chloride)		 90 TABLETS   00245531515 62
PDPs		 341
MAPDs
KLOR-CON M10 MEQ TABLET [Klotrix]
()		 30 TABLETS   00245531615 62
PDPs		 344
MAPDs
KLOR-CON M15 TABLET ER PRT
(Potassium Chloride)		 30 UNITS   00245531811 60
PDPs		 393
MAPDs
KLOR-CON M20 TABLET ER PRT
(Potassium Chloride)		 30 UNITS   00245531990 63
PDPs		 397
MAPDs
Methoxsalen 10 mg Capsule [8-MOP]
(Methoxsalen)		     64380075216 23
PDPs		 274
MAPDs
ODACTRA 12 SQ-HDM SUBLIGUAL TABLET
(Dermatophagoides farinae, Dermatophagoides pteronyssinus)		 30 TABLETS   52709170103 1
PDPs		 18
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.4 mL in 1 SYRINGE, GLASS
(Abatacept For IV)		     00003281411 30
PDPs		 196
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.7 mL in 1 SYRINGE, GLASS
(Abatacept For IV)		     00003281811 30
PDPs		 196
MAPDs
POTASSIUM CL ER 15 MEQ TABLET ER PRT [Klor-Con M15]
(Potassium Chloride Microencapsulated Crys CR)		 60 UNITS   72865019505 61
PDPs		 386
MAPDs
PREDNISOLONE 20 MG/5 ML SOLUTION [Veripred-20]
(Prednisolone)		 100 MLS   00121077708 7
PDPs		 153
MAPDs
SULFACETAMIDE 10% EYE DROPS [Sulf-10]
(Sulfacetamide)		 15 MLS   24208067004 63
PDPs		 404
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2022)




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