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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:
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 2023 Formularies
PDPs MAPDs
AMPICILLIN-SULBACTAM 15 GM VIAL [Unasyn]
(Ampicillin & Sulbactam Sodium For)
ML   71288000775 41
PDPs
361
MAPDs
AMPICILLIN-SULBACTAM 3 GM VIAL [Unasyn]
(Ampicillin & Sulbactam Sodium For)
MLS   67457034910 62
PDPs
391
MAPDs
ANORO ELLIPTA 62.5-25 MCG INH
(umeclidinium and vilanterol inhalation powder)
    00173086910 54
PDPs
344
MAPDs
BUDESONIDE 2 MG RECTAL FOAM/APPL [UCERIS Rectal]
()
33.4 GRAMS   45802062786 1
PDPs
113
MAPDs
BUDESONIDE ER 9 MG TABLET ER [UCERIS]
()
30 UNITS   68682030930 61
PDPs
342
MAPDs
FEBUXOSTAT 40 MG TABLET [Uloric]
(Febuxostat)
30 TABLETS   72205002830 26
PDPs
291
MAPDs
FEBUXOSTAT 80 MG TABLET [Uloric]
(Febuxostat)
90 TABLETS   00054041413 26
PDPs
291
MAPDs
FLAVOXATE HCL 100 MG TABLET [Urispas]
()
90 TABLETS   00574011501 5
PDPs
180
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)
    00173087310 39
PDPs
237
MAPDs
LEVOTHYROXINE 125 MCG TABLET [Unithroid]
(Levothyroxine Sodium)
90 TABLETS   00378181310 62
PDPs
391
MAPDs
LEVOTHYROXINE 200 MCG TABLET [Unithroid]
(Levothyroxine Sodium)
90 TABLETS   68180097501 62
PDPs
391
MAPDs
LEVOTHYROXINE 300 MCG TABLET [Unithroid]
(Levothyroxine Sodium)
90 TABLETS   68180097601 62
PDPs
391
MAPDs
METHENAMINE HIPP 1 GM TABLET [Urex]
(Methenamine)
60 tablets   65862078201 62
PDPs
385
MAPDs
MOEXIPRIL HCL 15 MG TABLET [Univasc]
(Moexipril HCl)
90 TABLETS   68462020801 58
PDPs
379
MAPDs
POTASSIUM CITRATE ER 15 MEQ TABLET [Urocit-K]
()
60 TABLETS   42543040801 60
PDPs
387
MAPDs
RINVOQ ER 15 MG TABLET ER 24H
(Upadacitinib)
TABLETs   00074230630 61
PDPs
389
MAPDs
RINVOQ ER 30 MG TABLET 24H
(Upadacitinib)
TABLETS   00074231030 61
PDPs
386
MAPDs
RINVOQ ER 45 MG TABLET ER 24H
(Upadacitinib)
TABLETS   00074104328 61
PDPs
386
MAPDs
STELARA 45 MG/0.5 ML SYRINGE
(Ustekinumab)
0.5ML   57894006003 62
PDPs
388
MAPDs
STELARA 45 MG/0.5 ML VIAL
(Ustekinumab)
    57894006002 62
PDPs
386
MAPDs
STELARA 90 MG/ML SYRINGE
(Ustekinumab)
1ML   57894006103 62
PDPs
388
MAPDs
THEOPHYLLINE ER 400 MG TABLET 24H [Uniphyl]
(Theophylline, Anhydrous)
30 TABLETS   68462038001 62
PDPs
390
MAPDs
THEOPHYLLINE ER 600 MG TABLET 24H [Uniphyl]
(Theophylline, Anhydrous)
30 TABLETS   68462035601 62
PDPs
390
MAPDs
TRAMADOL ER 100 MG TABLET TBMP 24HR [Ultram ER]
()
30 UNITS   47335053183 12
PDPs
110
MAPDs
TRAMADOL ER 200 MG TABLET TBMP 24HR [Ultram ER]
()
30 UNITS   47335053383 12
PDPs
110
MAPDs
TRAMADOL ER 300 MG TABLET TBMP 24HR [Ultram ER]
()
30 UNITS   47335053783 12
PDPs
111
MAPDs
TRAMADOL HCL 50 MG TABLET [Ultram]
()
60 TABLETS   65162062711 62
PDPs
391
MAPDs
TRAMADOL HCL ER 300 MG Tablet ER 24H [Ultram ER]
(TRAMADOL)
30 tablets   68180069906 33
PDPs
165
MAPDs
TRAMADOL-ACETAMINOPHN 37.5-325 TABLET [Ultracet]
(Tramadol, Acetaminophen)
60 TABLETS   53746061701 57
PDPs
385
MAPDs
UBRELVY 100 MG TABLET
(Ubrogepant)
10 TABLETS   00023650110 31
PDPs
267
MAPDs
UBRELVY 50 MG TABLET
(Ubrogepant)
10 TABLETS   00023649810 31
PDPs
267
MAPDs
UCERIS 2 MG RECTAL FOAM/APPL
(Budesonide)
66.8 grams   65649065103 1
PDPs
61
MAPDs
UCERIS 9 MG ER TABLET
(budesonide)
    68012030930 0
PDPs
2
MAPDs
UDENYCA 6 MG/0.6 ML AUTO-INJECTOR
(Pegfilgrastim (E. coli))
ML   70114012001 16
PDPs
199
MAPDs
UDENYCA 6 MG/0.6 ML SYRINGE
(Pegfilgrastim (E. coli))
ml   70114010101 16
PDPs
199
MAPDs
ULORIC TABLETS 40MG 30 BOTTLE
(Febuxostat)
30 BOT 64764091830 0
PDPs
3
MAPDs
ULORIC TABLETS 80MG 30 BOTTLE
(Febuxostat)
30 BOT 64764067730 0
PDPs
3
MAPDs
ULTRAVATE 0.05 % 60 ML
(Halobetasol Propionate)
    10631012204 0
PDPs
2
MAPDs
UNASYN 15GM VIAL
(Ampicillin & Sulbactam Sodium For)
15 GM BOT 00049002428 0
PDPs
2
MAPDs
UNASYN 3 GM VIAL
(Ampicillin, Sulbactam)
ml   00049001483 0
PDPs
2
MAPDs
UNITHROID 100 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080501 57
PDPs
330
MAPDs
UNITHROID 112 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080601 57
PDPs
330
MAPDs
UNITHROID 125 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080701 57
PDPs
330
MAPDs
UNITHROID 137 MCG TABLET
(Levothyroxine Sodium)
30 TABLETS   60846080801 57
PDPs
330
MAPDs
UNITHROID 150 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080901 57
PDPs
330
MAPDs
UNITHROID 175 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846081001 57
PDPs
330
MAPDs
UNITHROID 200 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846081101 57
PDPs
330
MAPDs
UNITHROID 25 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080101 57
PDPs
330
MAPDs
UNITHROID 300 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846081201 57
PDPs
330
MAPDs
UNITHROID 50 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080201 57
PDPs
330
MAPDs
UNITHROID 75 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080301 57
PDPs
330
MAPDs
UNITHROID 88 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080401 57
PDPs
330
MAPDs
UPTRAVI 1,000 MCG TABLET
(Selexipag)
    66215061006 17
PDPs
215
MAPDs
UPTRAVI 1,200 MCG TABLET
(Selexipag)
    66215061206 17
PDPs
215
MAPDs
UPTRAVI 1,400 MCG TABLET
(Selexipag)
    66215061406 17
PDPs
215
MAPDs
UPTRAVI 1,600 MCG TABLET
(Selexipag)
    66215061606 17
PDPs
215
MAPDs
UPTRAVI 200 MCG TABLET
(Selexipag)
60 TABLETS   66215060206 17
PDPs
215
MAPDs
UPTRAVI 200-800 TITRATION PACK
(Selexipag)
    66215062820 17
PDPs
212
MAPDs
UPTRAVI 400 MCG TABLET
(Selexipag)
    66215060406 17
PDPs
215
MAPDs
UPTRAVI 600 MCG TABLET
(Selexipag)
    66215060606 17
PDPs
215
MAPDs
UPTRAVI 800 MCG TABLET
(Selexipag)
    66215060806 17
PDPs
215
MAPDs
Urocit-K 10.000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)
100 TABLET, EXTENDED RELE   00178061001 0
PDPs
7
MAPDs
Urocit-k 15.000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)
100 TABLET, EXTENDED RELE   00178061501 0
PDPs
7
MAPDs
Urocit-K 5.0000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)
100 TABLET, EXTENDED RELE   00178060001 0
PDPs
7
MAPDs
UROXATRAL 10 MG TABLET
(Alfuzosin HCl)
    59212020010 0
PDPs
2
MAPDs
Urso 250 250mg/1
(Ursodiol)
    58914078510 0
PDPs
2
MAPDs
URSO FORTE TABLETS 500MG 100 BOTTLE
(Ursodiol)
100 BOT 58914079010 0
PDPs
2
MAPDs
URSODIOL 200 MG CAPSULE [Reltone]
()
60 CAPSULES   72887014306 1
PDPs
11
MAPDs
URSODIOL 250 MG TABLET [Urso 250]
()
30 TABLETS   68462047301 62
PDPs
391
MAPDs
URSODIOL 300 MG CAPSULE [Actigall]
(Ursodiol)
60 CAPSULES   69238154001 56
PDPs
383
MAPDs
URSODIOL 400 MG CAPSULE [Reltone]
()
60 CAPSULES   72887014406 1
PDPs
11
MAPDs
URSODIOL 500 MG TABLET [Urso Forte]
(Ursodiol)
30 TABLETS   68462047401 62
PDPs
391
MAPDs
UZEDY ER 100 MG/0.28 ML SYRINGE
(Risperidone)
ML   51759052010 31
PDPs
195
MAPDs
UZEDY ER 125 MG/0.35 ML SYRINGE
(Risperidone)
ML   51759063010 31
PDPs
195
MAPDs
UZEDY ER 150 MG/0.42 ML SYRINGE
(Risperidone)
ML   51759074010 31
PDPs
195
MAPDs
UZEDY ER 200 MG/0.56 ML SYRINGE
(Risperidone)
ML   51759085010 31
PDPs
195
MAPDs
UZEDY ER 250 MG/0.7 ML SYRINGE
(Risperidone)
ML   51759096010 31
PDPs
195
MAPDs
UZEDY ER 50 MG/0.14 ML SYRINGE
(Risperidone)
ML   51759030510 31
PDPs
195
MAPDs
UZEDY ER 75 MG/0.21 ML SYRINGE
(Risperidone)
ML   51759041010 31
PDPs
195
MAPDs
XURIDEN GRANULE PACKET
(Uridine Triacetate)
1 unit   69468015230 3
PDPs
59
MAPDs



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





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