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2023 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 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 2023 Formularies
PDPs MAPDs
ACULAR 0.5% EYE DROPS
(Ketorolac Tromethamine Ophth)		 5 ML BOT 00023218105 1
PDPs		 2
MAPDs
ACULAR LS 0.4% OPHTH SOLUTION
(Ketorolac Tromethamine Ophth)		 5 ML BOTDR 00023927705 1
PDPs		 2
MAPDs
ACUVAIL 0.45% OPHTH SOLUTION DROPERETTE
(Ketorolac Tromethamine Ophth)		 30 UNITS   00023350731 1
PDPs		 24
MAPDs
CEFAZOLIN 1 GM VIAL [Kefzol]
()		 7 MLS   60505614205 62
PDPs		 391
MAPDs
CEFAZOLIN 10 GM VIAL [Kefzol]
()		 ML   60505614304 46
PDPs		 358
MAPDs
CEPHALEXIN 125 MG/5 ML ORAL SUSPENSION [Keflex]
(Cephalexin Monohydrate)		 100 MLS   68180044001 62
PDPs		 391
MAPDs
CEPHALEXIN 250 MG/5 ML ORAL SUSPENSION [Keflex]
(Cephalexin Monohydrate)		 200 MLS   68180044101 62
PDPs		 391
MAPDs
CLONAZEPAM 0.125 MG DIS TABLET RAPDIS [Klonopin]
(Clonazepam)		 30 units   49884030602 62
PDPs		 391
MAPDs
CLONAZEPAM 0.25 MG ODT TABLET RAPDIS [Klonopin]
(Clonazepam)		 30 units   49884030702 62
PDPs		 391
MAPDs
CLONAZEPAM 0.5 MG DIS TABLET RAPDIS [Klonopin]
(Clonazepam)		 30 units   49884030802 62
PDPs		 391
MAPDs
CLONAZEPAM 0.5 MG TABLET [Klonopin]
(Clonazepam)		 30 tablets   16729013616 62
PDPs		 391
MAPDs
CLONAZEPAM 1 MG DIS TABLET RAPDIS [Klonopin]
(Clonazepam)		 60 UNITS   49884030902 62
PDPs		 391
MAPDs
CLONAZEPAM 1 MG TABLET [Klonopin]
(Clonazepam)		 60 tablets   16729013716 62
PDPs		 391
MAPDs
CLONAZEPAM 2 MG ODT TABLET RAPDIS [Klonopin]
(Clonazepam)		 30 UNITS   49884031002 62
PDPs		 391
MAPDs
CLONAZEPAM 2 MG TABLET [Klonopin]
(Clonazepam)		 60 tablets   16729013816 62
PDPs		 391
MAPDs
CLONIDINE HCL ER 0.1 MG TABLET ER 12H [Kapvay]
()		 30 TABLETS   27241010806 34
PDPs		 185
MAPDs
DEXLANSOPRAZOLE DR 30 MG CAPSULE DR BP [Kapidex]
()		 30 UNITS   24979000106 21
PDPs		 86
MAPDs
DEXLANSOPRAZOLE DR 60 MG CAPSULE DR BP [Kapidex]
()		 30 UNITS   49884014811 21
PDPs		 86
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 62
PDPs		 391
MAPDs
GRANISETRON HCL 1 MG TABLET [Kytril]
()		 30 TABLETS   51991073520 42
PDPs		 359
MAPDs
JAVYGTOR 100 MG POWDER PACKET [KUVAN]
(Sapropterin)		 1 UNIT   43598009730 35
PDPs		 209
MAPDs
JAVYGTOR 100 MG TABLET SOL [KUVAN]
(Sapropterin)		 UNITS   43598009604 40
PDPs		 261
MAPDs
JAVYGTOR 500 MG POWDER PACKET [KUVAN]
(Sapropterin)		 1 UNIT   43598016230 35
PDPs		 210
MAPDs
KAITLIB FE 0.8-0.025MG CHEWABLE TABLET [Layolis Fe]
(norethindrone and ethinyl estradiol and ferrous fumarate)		 28 CHEWABLE TABLETS   68180090373 18
PDPs		 146
MAPDs
KALETRA 100-25 MG TABLET
(Lopinavir-Ritonavir)		 60 TABLET, FILM COATED   00074052260 2
PDPs		 3
MAPDs
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)		 120 BOT 00074679922 2
PDPs		 5
MAPDs
KALETRA 80MG/20MG ORAL SOLUTION
(Lopinavir-Ritonavir)		 160 ML BOT 00074395646 1
PDPs		 2
MAPDs
KALYDECO 13.4 MG GRANULES PACKET
(Ivacaftor)		 UNITS   51167077001 57
PDPs		 377
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)		 56.000 EA   51167020001 61
PDPs		 391
MAPDs
KALYDECO 25 MG GRANULES PACKET
(Ivacaftor)		 units   51167060001 57
PDPs		 383
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)		 56 EA   51167030001 57
PDPs		 383
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)		 56 EA   51167040001 57
PDPs		 383
MAPDs
KAPVAY ER 0.1 MG TABLET
(CLONIDINE HYDROCHLORIDE)		     59212065860 0
PDPs		 2
MAPDs
KARIVA 21-5 TABLET
(Desogestrel & Ethinyl Estradiol)		 21ACTIVE,5ETHINYL,2PLACEB BLPK 00555905058 59
PDPs		 376
MAPDs
KATERZIA 1 MG/ML ORAL SUSPENSION
(Amlodipine)		 100 mls   52652500101 0
PDPs		 46
MAPDs
KCL 10 MEQ/L-D5W-0.45% NACL IV SOLUTION
()		 MLS   65219014210 55
PDPs		 315
MAPDs
KCL 20 MEQ IN D5W-LACT RINGER IV SOLUTION
()		 mls   00338081104 25
PDPs		 218
MAPDs
KCL 20 MEQ/L-D5W-0.45% NACL IV SOLUTION
()		 500 MLS   65219014410 57
PDPs		 328
MAPDs
KCL 20 MEQ/L-D5W-0.9% NACL IV SOLUTION
()		 MLS   65219011810 33
PDPs		 288
MAPDs
KCL 30 MEQ/L-D5W-0.45% NACL IV SOLUTION
()		 MLS   65219014610 55
PDPs		 316
MAPDs
KCL 40 MEQ/L-D5W-0.45% NACL IV SOLUTION
()		 MLS   65219014810 55
PDPs		 313
MAPDs
KCL 40 MEQ/L-D5W-0.9% NACL IV SOLUTION
()		 MLS   65219011910 33
PDPs		 285
MAPDs
KELNOR 1-35 1-0.035MG TABLET
(Ethynodiol Diacetate & Ethinyl Estradiol)		 28 (21+7) BLPK 00555906458 60
PDPs		 379
MAPDs
KELNOR 1-50 TABLET [Zovia 1/50E]
(Ethynodiol Diacetate, Ethinyl Estradiol;Inert)		 28 tablets   00093807316 62
PDPs		 374
MAPDs
KENALOG 0.147 MG/GRAM SPRAY AEROSOL
(Triamcinolone Acetonide)		 63 GRAMS   10631009307 0
PDPs		 2
MAPDs
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Levetiracetam)		 60 TABLET, FILM COATED   50474059766 1
PDPs		 2
MAPDs
KEPPRA 100MG/ML ORAL SOLUTION
(Levetiracetam)		 16 FLO BOT 50474000148 1
PDPs		 2
MAPDs
KEPPRA 250MG TABLET
(Levetiracetam)		 120 TABS BOT 50474059440 1
PDPs		 2
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)		 120 TABS BOT 50474059540 1
PDPs		 2
MAPDs
KEPPRA 750MG TABLET
(Levetiracetam)		 120 TABS BOT 50474059640 1
PDPs		 2
MAPDs
KEPPRA 750MG XR TABLET
(Levetiracetam)		 60 BOT 50474059966 0
PDPs		 2
MAPDs
KEPPRA XR 500 MG TABLET ER 24H
(Levetiracetam)		 60 BOT 50474059866 0
PDPs		 2
MAPDs
KERENDIA 10 MG TABLET
(Finerenone)		 30 TABLETS   50419054001 62
PDPs		 391
MAPDs
KERENDIA 20 MG TABLET
(Finerenone)		 30 TABLETS   50419054101 62
PDPs		 391
MAPDs
KERYDIN 5% TOPICAL SOLUTION W/APPL
(Tavaborole)		 10 MLS   10337090544 0
PDPs		 3
MAPDs
KESIMPTA 20 MG/0.4 ML PEN INJECTOR
(Ofatumumab)		 MLS   00078100768 8
PDPs		 262
MAPDs
KETOCONAZOLE 2% CREAM (G) [Nizoral]
()		 30 GRAMS   00093321992 62
PDPs		 391
MAPDs
KETOCONAZOLE 2% FOAM [Ketodan]
()		 50 GRAMS   00378700701 6
PDPs		 72
MAPDs
KETOCONAZOLE 2% SHAMPOO
(Ketoconazole)		 120.000 ML   45802046564 62
PDPs		 391
MAPDs
KETOCONAZOLE 200 MG TABLET [Nizoral]
()		 30 TABLETS   64380082706 62
PDPs		 391
MAPDs
KETODAN 2% FOAM
(Ketoconazole)		 100 grams   43538053010 5
PDPs		 24
MAPDs
KETOPROFEN 200MG CAPSULE 24HR SR PELLETS
(Ketoprofen)		 100 BOT 00378820001 5
PDPs		 55
MAPDs
KETOPROFEN 25 MG CAPSULE [Orudis]
(Ketoprofen)		 120 CAPSULES   00276050410 2
PDPs		 47
MAPDs
KETOPROFEN 50 MG CAPSULE [Orudis]
(Ketoprofen)		 30 CAPSULES   00276050610 3
PDPs		 58
MAPDs
KETOROLAC 0.4% OPHTH SOLUTION DROPS [Acular LS]
(Ketorolac)		 5 mls   60758077305 61
PDPs		 343
MAPDs
KETOROLAC 0.5% OPHTH SOLUTION DROPS [Acular PF]
()		 5 MLS   61314012605 62
PDPs		 391
MAPDs
KETOROLAC 10MG TABLET
(Ketorolac)		 100 TABLETS BOT 00093031401 14
PDPs		 186
MAPDs
KETOROLAC 15.75 MG NASAL SPRAY [SPRIX]
(Ketorolac)		 5 UNITS   66993019395 0
PDPs		 3
MAPDs
KEVEYIS 50 MG TABLET
(Dichlorphenamide)		     71090000101 0
PDPs		 55
MAPDs
KEVZARA 150 MG/1.14 ML PEN INJECTOR
(Sarilumab)		 MLS   00024592001 9
PDPs		 217
MAPDs
KEVZARA 150 MG/1.14 ML SYRINGE
(Sarilumab)		     00024590801 9
PDPs		 217
MAPDs
KEVZARA 200 MG/1.14 ML PEN INJECTOR
(Sarilumab)		 MLS   00024592201 9
PDPs		 217
MAPDs
KEVZARA 200 MG/1.14 ML SYRINGE
(Sarilumab)		     00024591001 9
PDPs		 217
MAPDs
KINERET 100 MG/0.67 ML SYRINGE
(Anakinra Subcutaneous)		 .670 ML   66658023407 3
PDPs		 96
MAPDs
KISQALI 200 MG DAILY DOSE
(Ribociclib)		     00078086001 62
PDPs		 391
MAPDs
KISQALI 400 MG DAILY DOSE
(Ribociclib)		     00078086742 62
PDPs		 391
MAPDs
KISQALI 600 MG DAILY DOSE
(Ribociclib)		     00078087463 62
PDPs		 391
MAPDs
KISQALI FEMARA 200 MG CO-PACK
(Letrozole;Ribociclib)		 49 EA   00078090961 62
PDPs		 391
MAPDs
KISQALI FEMARA 400 MG CO-PACK
(Letrozole;Ribociclib)		 70 EA   00078091661 62
PDPs		 391
MAPDs
KISQALI FEMARA 600 MG CO-PACK
(Letrozole;Ribociclib)		 91 EA   00078092361 62
PDPs		 391
MAPDs
KITABIS PAK 300 MG/5 ML AMPUL-NEB
(Tobramycin)		 MLS   24492085056 1
PDPs		 17
MAPDs
KLARON 10% LOTION
(Sulfacetamide Sodium)		     00187519804 1
PDPs		 2
MAPDs
KLISYRI 1% OINTMENT PACKET
(Tirbanibulin)		 5 UNITS   16110039105 11
PDPs		 83
MAPDs
KLONOPIN 0.5 MG TABLET
(Clonazepam)		 30 TABLETS   61269060510 0
PDPs		 2
MAPDs
Klonopin 1mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)		 100 TABLET in 1 BOTTLE   00004005801 0
PDPs		 2
MAPDs
KLONOPIN 2 MG TABLET
(Clonazepam)		 60 TABLETS   61269062010 0
PDPs		 2
MAPDs
KLOR-CON 20 MEQ PACKET
(Potassium Chloride Microencapsulated Crys CR)		     00245036030 26
PDPs		 250
MAPDs
KLOR-CON 8 MEQ TABLET
(Potassium Chloride)		 30 TABLETS   00245531511 61
PDPs		 331
MAPDs
KLOR-CON M10 MEQ TABLET [Klotrix]
()		 30 TABLETS   00245531615 61
PDPs		 331
MAPDs
KLOR-CON M10 TABLET ER PRT [Klotrix]
()		 30 UNITS   00245531711 62
PDPs		 376
MAPDs
KLOR-CON M15 TABLET ER PRT
(Potassium Chloride)		 30 UNITS   00245531811 59
PDPs		 380
MAPDs
KLOR-CON M20 TABLET ER PRT [Klor-Con M20]
(Potassium Chloride)		 30 UNITS   00245531911 62
PDPs		 382
MAPDs
KLOXXADO 8 MG NASAL SPRAY
(Naloxone Hydrochloride)		 2 UNITS   59467067901 31
PDPs		 189
MAPDs
KOMBIGLYZE XR 2.5-1,000 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)		 60 EA   00310612560 11
PDPs		 58
MAPDs
KOMBIGLYZE XR 5-1,000 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)		 30 EA   00310614530 11
PDPs		 58
MAPDs
KOMBIGLYZE XR 5-500 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)		 30 EA   00310613530 11
PDPs		 58
MAPDs
KONVOMEP 2-84 MG/ML ORAL SUSPENSION
(OMEPRAZOLE/SODIUM BICARBONATE)		 90 MLS   65628027210 0
PDPs		 1
MAPDs
KORLYM 300 MG TABLET
(mifepristone)		 28 TABLETS   76346007302 62
PDPs		 391
MAPDs
KOSELUGO 10 MG CAPSULE
(Selumetinib)		 capsules   00310061060 37
PDPs		 258
MAPDs
KOSELUGO 25 MG CAPSULE
(Selumetinib)		 capsules   00310062560 37
PDPs		 258
MAPDs
KRAZATI 200 MG TABLET
(Adagrasib)		 TABLETS   80739081218 62
PDPs		 391
MAPDs
KRINTAFEL 150 MG TABLET
(Tafenoquine)		 tablets   00173088939 3
PDPs		 97
MAPDs
KRISTALOSE 10 GM PACKET
(Lactulose)		     66220071930 3
PDPs		 16
MAPDs
KRISTALOSE 20 GM PACKET
(Lactulose)		     66220072930 3
PDPs		 24
MAPDs
KURVELO-28 TABLET [Portia]
(Inert; Levonorgestrel, Ethinyl Estradiol)		 28 tablets   68180084473 59
PDPs		 364
MAPDs
KUVAN 100 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)		 30.000 EA   68135030122 1
PDPs		 7
MAPDs
KUVAN 100MG TABLET SOLUBLE
(Sapropterin DiHCL Soluble)		     68135030002 1
PDPs		 7
MAPDs
KUVAN 500 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)		 30.000 EA   68135048211 1
PDPs		 7
MAPDs
KYLEENA 19.5 MG SYSTEM IUD
(Levonorgestrel)		 UNIT   50419042401 0
PDPs		 8
MAPDs
LACTULOSE 10 GM PACKET [Kristalose]
(Lactulose)		 30 units   69067001015 1
PDPs		 32
MAPDs
LEVETIRACETAM 1,000 MG TABLET [Keppra]
()		 60 TABLETS   31722053960 62
PDPs		 391
MAPDs
LEVETIRACETAM 100 MG/ML SOLUTION [Keppra]
()		 60 MLS   51991065116 62
PDPs		 391
MAPDs
LEVETIRACETAM 250 MG TABLET [Keppra]
()		 90 TABLETS   31722053612 62
PDPs		 391
MAPDs
LEVETIRACETAM 750 MG TABLET [Keppra]
()		 60 TABLETS   31722053812 62
PDPs		 391
MAPDs
LOPINAVIR-RITONAVIR 80-20MG/ML Solution [Kaletra]
()		     00527194748 62
PDPs		 391
MAPDs
LOPINAVIR-RITONAVR 100-25MG TABLET [Kaletra]
()		 12 TABLETS   31722060360 62
PDPs		 391
MAPDs
LOPINAVIR-RITONAVR 200-50MG TABLET [Kaletra]
()		 12 TABLETS   31722055612 62
PDPs		 391
MAPDs
MORPHINE SULFATE ER 20 MG CAPSULE PEL [Kadian]
(Morphine)		 60 UNITS   00832022600 3
PDPs		 60
MAPDs
POTASSIUM CL 10% (20 MEQ/15ML) LIQUID [Kay Ciel]
(Potassium Chloride)		 450 MLS   69238145902 62
PDPs		 391
MAPDs
POTASSIUM CL 20 MEQ PACKET [Klor-Con]
(Potassium Chloride Microencapsulated Crys CR)		 30 UNITS   72888002407 26
PDPs		 259
MAPDs
POTASSIUM CL 20% (40 MEQ/15ML) LIQUID [Kaon-CL]
(Potassium Chloride)		 473 MLS   69238145802 59
PDPs		 386
MAPDs
POTASSIUM CL ER 10 MEQ CAPSULE ER [Micro-K Extencaps]
()		 90 CAPSULES   68180079902 60
PDPs		 388
MAPDs
POTASSIUM CL ER 10 MEQ TABLET [Klotrix]
()		 30 TABLETS   00378456105 62
PDPs		 391
MAPDs
POTASSIUM CL ER 10 MEQ TABLET PRT [Klotrix]
()		 30 UNITS   00832532410 62
PDPs		 388
MAPDs
POTASSIUM CL ER 15 MEQ TABLET ER PRT [Klor-Con M15]
(Potassium Chloride Microencapsulated Crys CR)		 60 UNITS   72865019505 60
PDPs		 377
MAPDs
POTASSIUM CL ER 20 MEQ TABLET [K-Tab]
(Potassium Chloride)		 30 TABLETS   70436015301 62
PDPs		 391
MAPDs
POTASSIUM CL ER 20 MEQ TABLET PRT [Klor-Con M20]
()		 30 UNITS   00832532510 62
PDPs		 388
MAPDs
POTASSIUM CL ER 8 MEQ CAPSULE ER [Micro-K Extencaps]
()		 30 capsules   62037055901 60
PDPs		 388
MAPDs
POTASSIUM CL ER 8 MEQ TABLET [Slow-K]
()		 90 TABLETS   00832532211 62
PDPs		 391
MAPDs
SAPROPTERIN 100 MG POWDER PACK [KUVAN]
(Sapropterin Dihydrochloride Soluble)		 60 UNITS   49884094872 57
PDPs		 335
MAPDs
SAPROPTERIN 100 MG TABLET SOL [KUVAN]
(Sapropterin Dihydrochloride Soluble)		 UNITS   49884072008 62
PDPs		 389
MAPDs
SAPROPTERIN 500 MG POWDER PACK [KUVAN]
(Sapropterin Dihydrochloride Soluble)		 28 UNITS   49884087372 57
PDPs		 335
MAPDs
SPRIX 15.75 MG NASAL SPRAY
(Ketorolac Tromethamine)		 UNITS   69344014443 0
PDPs		 3
MAPDs
TAVABOROLE 5% TOPICAL SOLUTION SOL W/APPL [KERYDIN]
()		 10 MLS   21922002012 0
PDPs		 9
MAPDs
TRIAMCINOLONE 0.025% LOTION [Kenalog]
()		 60 MLS   70752012905 61
PDPs		 391
MAPDs
TRIAMCINOLONE 0.1% LOTION [Kenalog]
()		 60 MLS   60432056161 62
PDPs		 390
MAPDs
TRIAMCINOLONE 0.147 MG/G SPRAY AEROSOL [Kenalog]
()		 63 GRAMS   64980042901 4
PDPs		 45
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2023)




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  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.
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