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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 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 2022 Formularies
PDPs MAPDs
AMPICILLIN-SULBACTAM 15 GM VIAL [Unasyn]
(Ampicillin & Sulbactam Sodium For)		 ML   55150011899 43
PDPs		 366
MAPDs
AMPICILLIN-SULBACTAM 3 GM VIAL [Unasyn]
(Ampicillin & Sulbactam Sodium For)		 MLS   67457034910 63
PDPs		 404
MAPDs
ANORO ELLIPTA 62.5-25 MCG INH
(umeclidinium and vilanterol inhalation powder)		     00173086910 56
PDPs		 354
MAPDs
BUDESONIDE ER 9 MG TABLET TABDR - ER [UCERIS]
()		 30 UNITS   00591251030 62
PDPs		 356
MAPDs
FEBUXOSTAT 40 MG TABLET [Uloric]
(Febuxostat)		 30 TABLETS   00378392593 27
PDPs		 294
MAPDs
FEBUXOSTAT 80 MG TABLET [Uloric]
(Febuxostat)		 30 TABLETS   00378392693 27
PDPs		 294
MAPDs
FLAVOXATE HCL 100 MG TABLET [Urispas]
()		 90 TABLETS   00574011501 12
PDPs		 210
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)		     00173087310 41
PDPs		 246
MAPDs
LEVOTHYROXINE 125 MCG TABLET [Unithroid]
()		 90 TABLETS   69238183607 63
PDPs		 404
MAPDs
LEVOTHYROXINE 200 MCG TABLET [Unithroid]
()		 30 TABLETS   69238184001 63
PDPs		 404
MAPDs
LEVOTHYROXINE 300 MCG TABLET [Unithroid]
()		 90 TABLETS   69238184101 63
PDPs		 404
MAPDs
METHENAMINE HIPP 1 GM TABLET [Urex]
(Methenamine)		 60 tablets   65862078201 56
PDPs		 389
MAPDs
MOEXIPRIL HCL 15 MG TABLET [Univasc]
(Moexipril HCl)		 30 tablets   00093515001 50
PDPs		 356
MAPDs
RINVOQ ER 15 MG TABLET ER 24H
(Upadacitinib)		 TABLETs   00074230630 58
PDPs		 395
MAPDs
RINVOQ ER 30 MG TABLET 24H
(Upadacitinib)		 TABLETS   00074231030 58
PDPs		 395
MAPDs
RINVOQ ER 45 MG TABLET ER 24H
(Upadacitinib)		 TABLETS   00074104328 58
PDPs		 393
MAPDs
STELARA 45 MG/0.5 ML SYRINGE
(Ustekinumab)		 0.5ML   57894006003 63
PDPs		 404
MAPDs
STELARA 45 MG/0.5 ML VIAL
(Ustekinumab)		     57894006002 63
PDPs		 401
MAPDs
STELARA 90 MG/ML SYRINGE
(Ustekinumab)		 1ML   57894006103 63
PDPs		 404
MAPDs
THEOPHYLLINE ER 400 MG TABLET ER 24H [Uniphyl]
(Theophylline, Anhydrous)		 30 TABLETS   42858070101 63
PDPs		 403
MAPDs
THEOPHYLLINE ER 600 MG TABLET ER 24H [Uniphyl]
(Theophylline, Anhydrous)		 30 TABLETS   42858070201 63
PDPs		 403
MAPDs
TRAMADOL ER 100 MG TABLET TBMP 24HR [Ultram ER]
()		 30 UNITS   47335053183 10
PDPs		 121
MAPDs
TRAMADOL ER 200 MG TABLET TBMP 24HR [Ultram ER]
()		 30 UNITS   47335053383 10
PDPs		 121
MAPDs
TRAMADOL ER 300 MG TABLET TBMP 24HR [Ultram ER]
()		 30 UNITS   47335053783 10
PDPs		 122
MAPDs
TRAMADOL HCL 50 MG TABLET [Ultram]
()		 60 TABLETS   65162062711 63
PDPs		 404
MAPDs
TRAMADOL HCL ER 300 MG Tablet ER 24H [Ultram ER]
(TRAMADOL)		 30 tablets   68180069906 19
PDPs		 162
MAPDs
TRAMADOL-ACETAMINOPHN 37.5-325 TABLET [Ultracet]
(Tramadol, Acetaminophen)		 60 TABLETS   53746061701 45
PDPs		 386
MAPDs
UBRELVY 100 MG TABLET
(Ubrogepant)		 10 TABLETS   00023650110 35
PDPs		 341
MAPDs
UBRELVY 50 MG TABLET
(Ubrogepant)		 10 TABLETS   00023649810 35
PDPs		 344
MAPDs
UCERIS 2 MG RECTAL FOAM FOAM/APPL
(Budesonide)		 66.8 grams   65649065103 2
PDPs		 141
MAPDs
UCERIS 9 MG ER TABLET
(budesonide)		     68012030930 0
PDPs		 1
MAPDs
UDENYCA 6 MG/0.6 ML SYRINGE
(Pegfilgrastim (E. coli))		 ml   70114010101 17
PDPs		 160
MAPDs
ULORIC TABLETS 40MG 30 BOT
(Febuxostat)		 30 BOT 64764091830 0
PDPs		 6
MAPDs
ULORIC TABLETS 80MG 30 BOT
(Febuxostat)		 30 BOT 64764067730 0
PDPs		 6
MAPDs
ULTRACET TABLET
(Tramadol-Acetaminophen)		 100.000 EA   50458065060 2
PDPs		 1
MAPDs
ULTRAM 50MG TABLETS
(Tramadol HCl)		 100 BOT 50458065960 2
PDPs		 1
MAPDs
ULTRAVATE 0.05 % 60 ML
(Halobetasol Propionate)		     10631012204 0
PDPs		 1
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		 1
MAPDs
UNITHROID 100 MCG TABLET
(Levothyroxine Sodium)		 100 EA   60846080501 58
PDPs		 345
MAPDs
UNITHROID 112 MCG TABLET
(Levothyroxine Sodium)		 100 EA   60846080601 58
PDPs		 345
MAPDs
UNITHROID 125 MCG TABLET
(Levothyroxine Sodium)		 100 EA   60846080701 58
PDPs		 345
MAPDs
UNITHROID 137 MCG TABLET
(Levothyroxine Sodium)		 30 TABLETS   60846080801 58
PDPs		 342
MAPDs
UNITHROID 150 MCG TABLET
(Levothyroxine Sodium)		 100 EA   60846080901 58
PDPs		 345
MAPDs
UNITHROID 175 MCG TABLET
(Levothyroxine Sodium)		 100 EA   60846081001 58
PDPs		 345
MAPDs
UNITHROID 200 MCG TABLET
(Levothyroxine Sodium)		 100 EA   60846081101 58
PDPs		 345
MAPDs
UNITHROID 25 MCG TABLET
(Levothyroxine Sodium)		 100 EA   60846080101 58
PDPs		 345
MAPDs
UNITHROID 300 MCG TABLET
(Levothyroxine Sodium)		 100 EA   60846081201 58
PDPs		 345
MAPDs
UNITHROID 50 MCG TABLET
(Levothyroxine Sodium)		 100 EA   60846080201 58
PDPs		 345
MAPDs
UNITHROID 75 MCG TABLET
(Levothyroxine Sodium)		 100 EA   60846080301 58
PDPs		 345
MAPDs
UNITHROID 88 MCG TABLET
(Levothyroxine Sodium)		 100 EA   60846080401 58
PDPs		 345
MAPDs
UPTRAVI 1,000 MCG TABLET
(Selexipag)		     66215061006 24
PDPs		 240
MAPDs
UPTRAVI 1,200 MCG TABLET
(Selexipag)		     66215061206 24
PDPs		 240
MAPDs
UPTRAVI 1,400 MCG TABLET
(Selexipag)		     66215061406 24
PDPs		 240
MAPDs
UPTRAVI 1,600 MCG TABLET
(Selexipag)		     66215061606 24
PDPs		 240
MAPDs
UPTRAVI 200 MCG TABLET
(Selexipag)		 60 TABLETS   66215060206 24
PDPs		 240
MAPDs
UPTRAVI 200-800 TITRATION PACK
(Selexipag)		     66215062820 24
PDPs		 237
MAPDs
UPTRAVI 400 MCG TABLET
(Selexipag)		     66215060406 24
PDPs		 240
MAPDs
UPTRAVI 600 MCG TABLET
(Selexipag)		     66215060606 24
PDPs		 240
MAPDs
UPTRAVI 800 MCG TABLET
(Selexipag)		     66215060806 24
PDPs		 240
MAPDs
Urocit-K 10.000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)		 100 TABLET, EXTENDED RELE   00178061001 0
PDPs		 6
MAPDs
Urocit-k 15.000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)		 100 TABLET, EXTENDED RELE   00178061501 0
PDPs		 6
MAPDs
Urocit-K 5.0000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)		 100 TABLET, EXTENDED RELE   00178060001 0
PDPs		 6
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 200 MG CAPSULE [Reltone]
()		 60 CAPSULES   72887014306 2
PDPs		 10
MAPDs
URSODIOL 250 MG TABLET
(Ursodiol)		 100.000 EA   49884041201 63
PDPs		 404
MAPDs
URSODIOL 300 MG CAPSULE [Actigall]
(Ursodiol)		 60 CAPSULES   00527132601 52
PDPs		 380
MAPDs
URSODIOL 400 MG CAPSULE [Reltone]
()		 60 CAPSULES   72887014406 2
PDPs		 10
MAPDs
URSODIOL 500 MG TABLET [Urso Forte]
(Ursodiol)		 30 TABLETS   49884041301 63
PDPs		 401
MAPDs
XURIDEN GRANULE PACKET
(Uridine Triacetate)		 1 unit   69468015230 9
PDPs		 127
MAPDs



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




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