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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:
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 K 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
ACULAR 0.5% EYE DROPS
(Ketorolac Tromethamine Ophth)
5 ML BOT 00023218105 2
PDPs
3
MAPDs
ACULAR LS 0.4% OPHTH SOLUTION
(Ketorolac Tromethamine Ophth)
5 ML BOTDR 00023927705 2
PDPs
3
MAPDs
ACUVAIL 0.45% OPHTH SOLUTION DROPERETTE
(Ketorolac Tromethamine Ophth)
30 UNITS   00023350731 1
PDPs
29
MAPDs
CEFAZOLIN 1 GM VIAL [Kefzol]
()
7 MLS   60505614205 63
PDPs
404
MAPDs
CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION [Keflex]
(Cephalexin Monohydrate)
100 MLS   68180044001 63
PDPs
401
MAPDs
CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [Keflex]
(Cephalexin Monohydrate)
200 MLS   68180044101 63
PDPs
404
MAPDs
CLONAZEPAM 0.125 MG DIS TABLET RAPDIS [Klonopin]
(Clonazepam)
30 units   49884030602 63
PDPs
404
MAPDs
CLONAZEPAM 0.25 MG ODT TABLET RAPDIS [Klonopin]
(Clonazepam)
30 units   49884030702 63
PDPs
404
MAPDs
CLONAZEPAM 0.5 MG DIS TABLET RAPDIS [Klonopin]
(Clonazepam)
30 units   49884030802 63
PDPs
404
MAPDs
CLONAZEPAM 0.5 MG TABLET [Klonopin]
(Clonazepam)
30 tablets   16729013616 63
PDPs
404
MAPDs
CLONAZEPAM 1 MG DIS TABLET RAPDIS [Klonopin]
(Clonazepam)
60 UNITS   49884030902 63
PDPs
404
MAPDs
CLONAZEPAM 1 MG TABLET [Klonopin]
(Clonazepam)
60 tablets   16729013716 63
PDPs
404
MAPDs
CLONAZEPAM 2 MG ODT TABLET RAPDIS [Klonopin]
(Clonazepam)
30 UNITS   49884031002 63
PDPs
404
MAPDs
CLONAZEPAM 2 MG TABLET [Klonopin]
(Clonazepam)
60 tablets   16729013816 63
PDPs
404
MAPDs
CLONIDINE HCL ER 0.1 MG TABLET ER 12H [Kapvay]
()
30 TABLETS   27241010806 34
PDPs
216
MAPDs
DEXLANSOPRAZOLE DR 30 MG CAPSULE BP [Kapidex]
()
30 UNITS   24979070306 17
PDPs
146
MAPDs
DEXLANSOPRAZOLE DR 60 MG CAPSULE BP [Kapidex]
()
30 UNITS   24979070406 17
PDPs
146
MAPDs
Diph-Tetanus Tox-Acell Pert adsorbed and IPV vaccine 0.5 ML Prefilled Syringe [Kinrix]
(Diphtheria and tetanus toxoids and acellular pertussis adsorbed and inactivated poliovirus vaccine )
    58160081252 63
PDPs
404
MAPDs
GRANISETRON HCL 1 MG TABLET [Kytril]
()
30 TABLETS   51991073520 42
PDPs
374
MAPDs
K-TAB ER 10 MEQ TABLET [Klotrix]
(Potassium Chloride)
30 TABLETS   00074327819 4
PDPs
42
MAPDs
K-TAB ER 20 MEQ TABLET
(Potassium Chloride)
    00074302313 4
PDPs
49
MAPDs
KAITLIB FE 0.8-0.025MG CHEWABLE TABLET [Layolis Fe]
(norethindrone and ethinyl estradiol and ferrous fumarate)
28 CHEWABLE TABLETS   68180090373 19
PDPs
160
MAPDs
KALETRA 100-25 MG TABLET
(Lopinavir-Ritonavir)
60 TABLET, FILM COATED   00074052260 21
PDPs
85
MAPDs
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)
120 BOT 00074679922 21
PDPs
85
MAPDs
KALETRA 80MG/20MG ORAL SOLUTION
(Lopinavir-Ritonavir)
160 ML BOT 00074395646 2
PDPs
1
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
56.000 EA   51167020001 63
PDPs
404
MAPDs
KALYDECO 25 MG GRANULES PACKET
(Ivacaftor)
units   51167060001 59
PDPs
392
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)
56 EA   51167030001 59
PDPs
395
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)
56 EA   51167040001 59
PDPs
395
MAPDs
KAPVAY ER 0.1 MG TABLET
(CLONIDINE HYDROCHLORIDE)
    59212065860 0
PDPs
6
MAPDs
KARIVA 21-5 TABLET
(Desogestrel & Ethinyl Estradiol)
21ACTIVE,5ETHINYL,2PLACEB BLPK 00555905058 59
PDPs
389
MAPDs
KATERZIA 1 MG/ML ORAL SUSPENSION
(Amlodipine)
100 mls   52652500101 2
PDPs
47
MAPDs
KCL 20 MEQ IN D5W-0.45% NACL IV SOLUTION
()
500 mls   00338067104 58
PDPs
342
MAPDs
KCL 20 MEQ IN D5W-LACT RINGER IV SOLUTION
()
mls   00338081104 31
PDPs
235
MAPDs
KCL 20 MEQ-NS 1,000 ML IV SOLUTION
()
mls   00338069104 35
PDPs
292
MAPDs
KCL 40 MEQ-NS 1,000 ML IV SOLUTION
()
mls   00338069504 35
PDPs
281
MAPDs
KELNOR 1-35 1-0.035MG TABLET
(Ethynodiol Diacetate & Ethinyl Estradiol)
28 (21+7) BLPK 00555906458 61
PDPs
387
MAPDs
KELNOR 1-50 TABLET [Zovia 1/50E]
(Ethynodiol Diacetate, Ethinyl Estradiol;Inert)
28 tablets   00093807316 63
PDPs
382
MAPDs
KENALOG 0.147 MG/GRAM SPRAY AEROSOL
(Triamcinolone Acetonide)
63 GRAMS   10631009307 0
PDPs
6
MAPDs
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Levetiracetam)
60 TABLET, FILM COATED   50474059766 2
PDPs
1
MAPDs
KEPPRA 100MG/ML ORAL SOLUTION
(Levetiracetam)
16 FLO BOT 50474000148 2
PDPs
1
MAPDs
KEPPRA 250MG TABLET
(Levetiracetam)
120 TABS BOT 50474059440 2
PDPs
1
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)
120 TABS BOT 50474059540 2
PDPs
1
MAPDs
KEPPRA 750MG TABLET
(Levetiracetam)
120 TABS BOT 50474059640 2
PDPs
1
MAPDs
KEPPRA 750MG XR TABLET
(Levetiracetam)
60 BOT 50474059966 0
PDPs
1
MAPDs
KEPPRA XR 500 MG TABLET ER 24H
(Levetiracetam)
60 BOT 50474059866 0
PDPs
1
MAPDs
KERENDIA 10 MG TABLET
(Finerenone)
30 TABLETS   50419054001 30
PDPs
178
MAPDs
KERENDIA 20 MG TABLET
(Finerenone)
30 TABLETS   50419054101 30
PDPs
178
MAPDs
KERYDIN 5% TOPICAL SOLUTION W/APPL
(Tavaborole)
10 MLS   10337090544 0
PDPs
2
MAPDs
KESIMPTA 20 MG/0.4 ML PEN INJECTOR
(Ofatumumab)
MLS   00078100768 9
PDPs
260
MAPDs
KETOCONAZOLE 2% CREAM
(Ketoconazole)
60 GM   51672129803 63
PDPs
404
MAPDs
KETOCONAZOLE 2% FOAM [Ketodan]
()
50 GRAMS   45802053233 3
PDPs
38
MAPDs
KETOCONAZOLE 2% SHAMPOO
(Ketoconazole)
120.000 ML   45802046564 63
PDPs
404
MAPDs
KETOCONAZOLE 200 MG TABLET [Nizoral]
()
30 TABLETS   64380082706 63
PDPs
404
MAPDs
KETODAN 2% FOAM
(Ketoconazole)
100 grams   43538053010 3
PDPs
32
MAPDs
KETOPROFEN 200MG CAPSULE 24HR SR PELLETS
(Ketoprofen)
100 BOT 00378820001 3
PDPs
86
MAPDs
KETOPROFEN 25 MG CAPSULE [Orudis]
(Ketoprofen)
90 capsules   69336012710 6
PDPs
80
MAPDs
KETOROLAC 0.4% OPHTH SOLUTION DROPS [Acular LS]
(Ketorolac)
5 mls   60758077305 62
PDPs
358
MAPDs
KETOROLAC 0.5% OPHTH SOLUTION DROPS [Acular PF]
()
5 MLS   61314012605 63
PDPs
404
MAPDs
KETOROLAC 10MG TABLET
(Ketorolac)
100 TABLETS BOT 00093031401 17
PDPs
187
MAPDs
KETOROLAC 15.75 MG NASAL SPRAY [SPRIX]
(Ketorolac)
5 UNITS   66993019395 0
PDPs
2
MAPDs
KEVEYIS 50 MG TABLET
(Dichlorphenamide)
    71090000101 0
PDPs
99
MAPDs
KEVZARA 150 MG/1.14 ML PEN INJECTOR
(Sarilumab)
MLS   00024592001 1
PDPs
109
MAPDs
KEVZARA 150 MG/1.14 ML SYRINGE
(Sarilumab)
    00024590801 1
PDPs
109
MAPDs
KEVZARA 200 MG/1.14 ML PEN INJECTOR
(Sarilumab)
MLS   00024592201 1
PDPs
109
MAPDs
KEVZARA 200 MG/1.14 ML SYRINGE
(Sarilumab)
    00024591001 1
PDPs
109
MAPDs
KINERET 100 MG/0.67 ML SYRINGE
(Anakinra Subcutaneous)
.670 ML   66658023407 14
PDPs
112
MAPDs
KISQALI 200 MG DAILY DOSE
(Ribociclib)
    00078086001 63
PDPs
404
MAPDs
KISQALI 400 MG DAILY DOSE
(Ribociclib)
    00078086742 63
PDPs
404
MAPDs
KISQALI 600 MG DAILY DOSE
(Ribociclib)
    00078087463 63
PDPs
404
MAPDs
KISQALI FEMARA 200 MG CO-PACK
(Letrozole;Ribociclib)
49 EA   00078090961 63
PDPs
403
MAPDs
KISQALI FEMARA 400 MG CO-PACK
(Letrozole;Ribociclib)
70 EA   00078091661 63
PDPs
403
MAPDs
KISQALI FEMARA 600 MG CO-PACK
(Letrozole;Ribociclib)
91 EA   00078092361 63
PDPs
403
MAPDs
KLARON 10% LOTION
(Sulfacetamide Sodium)
    00187519804 2
PDPs
1
MAPDs
KLISYRI 1% OINTMENT PACKET
(Tirbanibulin)
5 UNITS   16110039105 5
PDPs
76
MAPDs
KLONOPIN 0.5 MG TABLET
(Clonazepam)
30 TABLETS   61269060510 0
PDPs
1
MAPDs
Klonopin 1mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE   00004005801 0
PDPs
1
MAPDs
KLONOPIN 2 MG TABLET
(Clonazepam)
60 TABLETS   61269062010 0
PDPs
1
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 M10 TABLET ER PRT [Klotrix]
()
30 UNITS   00245531790 63
PDPs
390
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
KLOXXADO 8 MG NASAL SPRAY
(Naloxone Hydrochloride)
2 UNITS   59467067901 34
PDPs
227
MAPDs
KOMBIGLYZE XR 2.5-1,000 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
60 EA   00310612560 18
PDPs
73
MAPDs
KOMBIGLYZE XR 5-1,000 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
30 EA   00310614530 18
PDPs
73
MAPDs
KOMBIGLYZE XR 5-500 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
30 EA   00310613530 18
PDPs
73
MAPDs
KORLYM 300 MG TABLET
(mifepristone)
28 TABLETS   76346007302 63
PDPs
404
MAPDs
KOSELUGO 10 MG CAPSULE
(Selumetinib)
capsules   00310061060 36
PDPs
269
MAPDs
KOSELUGO 25 MG CAPSULE
(Selumetinib)
capsules   00310062560 36
PDPs
269
MAPDs
KRINTAFEL 150 MG TABLET
(Tafenoquine)
tablets   00173088939 3
PDPs
131
MAPDs
KRISTALOSE 10 GM PACKET
(Lactulose)
    66220071930 3
PDPs
42
MAPDs
KRISTALOSE 20 GM PACKET
(Lactulose)
    66220072930 3
PDPs
58
MAPDs
KURVELO-28 TABLET [Portia]
(Inert; Levonorgestrel, Ethinyl Estradiol)
28 tablets   68180084473 59
PDPs
373
MAPDs
KUVAN 100 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)
30.000 EA   68135030122 2
PDPs
14
MAPDs
KUVAN 100MG TABLET SOLUBLE
(Sapropterin DiHCL Soluble)
    68135030002 2
PDPs
18
MAPDs
KUVAN 500 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)
30.000 EA   68135048211 2
PDPs
14
MAPDs
KYNMOBI 10 MG SL FILM
(Apomorphine)
UNITS   63402001030 30
PDPs
312
MAPDs
KYNMOBI 15 MG SL FILM
(Apomorphine)
UNITS   63402001530 30
PDPs
312
MAPDs
KYNMOBI 20 MG SL FILM
(Apomorphine)
UNITS   63402002030 30
PDPs
312
MAPDs
KYNMOBI 25 MG SL FILM
(Apomorphine)
UNITS   63402002530 30
PDPs
312
MAPDs
KYNMOBI 30 MG SL FILM
(Apomorphine)
UNITS   63402003030 30
PDPs
312
MAPDs
LACTULOSE 10 GM PACKET [Kristalose]
(Lactulose)
30 units   69067001015 1
PDPs
39
MAPDs
LEVETIRACETAM 100 MG/ML SOLUTION [Keppra]
()
60 MLS   31722057447 63
PDPs
404
MAPDs
LEVETIRACETAM 250 MG TABLET [Keppra]
()
90 TABLETS   31722053612 63
PDPs
404
MAPDs
LEVETIRACETAM 750 MG TABLET [Keppra]
()
60 TABLETS   31722053812 63
PDPs
404
MAPDs
LOPINAVIR-RITONAVIR 80-20MG/ML Solution [Kaletra]
()
    00527194748 63
PDPs
404
MAPDs
LOPINAVIR-RITONAVR 100-25MG TABLET [Kaletra]
()
12 TABLETS   31722060360 63
PDPs
401
MAPDs
LOPINAVIR-RITONAVR 200-50MG TABLET [Kaletra]
()
12 TABLETS   31722055612 63
PDPs
401
MAPDs
MORPHINE SULFATE ER 20 MG CAPSULE PEL [Kadian]
(Morphine)
60 UNITS   00832022600 1
PDPs
74
MAPDs
POTASSIUM CL 10% (20 MEQ/15ML) LIQUID [Kay Ciel]
(Potassium Chloride)
473 MLS   00603154258 63
PDPs
404
MAPDs
POTASSIUM CL 20 MEQ PACKET [Klor-Con]
(Potassium Chloride Microencapsulated Crys CR)
30 UNITS   00603155416 26
PDPs
267
MAPDs
POTASSIUM CL 20% (40 MEQ/15ML) LIQUID [Kaon-CL]
(Potassium Chloride)
100 MLS   00603154358 42
PDPs
366
MAPDs
POTASSIUM CL ER 10 MEQ CAPSULE ER [Micro-K Extencaps]
()
90 CAPSULES   68180079902 61
PDPs
401
MAPDs
POTASSIUM CL ER 10 MEQ TABLET [Klotrix]
()
30 TABLETS   00378456105 63
PDPs
399
MAPDs
POTASSIUM CL ER 10 MEQ TABLET ER PRT [Klotrix]
()
30 UNITS   00832532411 63
PDPs
401
MAPDs
POTASSIUM CL ER 15 MEQ TABLET ER PRT [Klor-Con M15]
(Potassium Chloride Microencapsulated Crys CR)
60 UNITS   72865019505 61
PDPs
386
MAPDs
POTASSIUM CL ER 20 MEQ TABLET ER PRT [Klor-Con M20]
()
30 UNITS   00832532511 63
PDPs
401
MAPDs
POTASSIUM CL ER 8 MEQ CAPSULE ER [Micro-K Extencaps]
()
30 capsules   62037055901 61
PDPs
401
MAPDs
POTASSIUM CL ER 8 MEQ TABLET [Slow-K]
()
90 TABLETS   00832532211 63
PDPs
404
MAPDs
SAPROPTERIN 100 MG POWDER PACK [KUVAN]
(Sapropterin Dihydrochloride Soluble)
60 UNITS   49884094872 58
PDPs
341
MAPDs
SAPROPTERIN 100 MG TABLET SOL [KUVAN]
(Sapropterin Dihydrochloride Soluble)
UNITS   49884072008 63
PDPs
396
MAPDs
SAPROPTERIN 500 MG POWDER PACK [KUVAN]
(Sapropterin Dihydrochloride Soluble)
28 UNITS   49884087372 58
PDPs
341
MAPDs
SPRIX 15.75 MG NASAL SPRAY
(Ketorolac Tromethamine)
UNITS   69344014443 0
PDPs
1
MAPDs
TAVABOROLE 5% TOPICAL SOLUTION SOL W/APPL [KERYDIN]
()
10 MLS   21922002012 2
PDPs
23
MAPDs
TRIAMCINOLONE 0.025% LOTION [Kenalog]
()
60 MLS   70752012905 52
PDPs
393
MAPDs
TRIAMCINOLONE 0.1% LOTION [Kenalog]
()
60 MLS   60432056161 54
PDPs
393
MAPDs
TRIAMCINOLONE 0.147 MG/G SPRAY AEROSOL [Kenalog]
()
63 GRAMS   64980042963 2
PDPs
50
MAPDs



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





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