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2024 Medicare Part D Formulary Search By Drug Letter

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 2024 Formularies
PDPs MAPDs
AMPICILLIN-SULBACTAM 15 GM VIAL [Unasyn]
(Ampicillin & Sulbactam Sodium For)
ML   55150011801 38
PDPs
339
MAPDs
AMPICILLIN-SULBACTAM 3 GM VIAL [Unasyn]
(Ampicillin & Sulbactam Sodium For)
ML   00641611710 54
PDPs
369
MAPDs
ANORO ELLIPTA 62.5-25 MCG INH
(umeclidinium and vilanterol inhalation powder)
    00173086910 49
PDPs
324
MAPDs
BUDESONIDE 2 MG RECTAL FOAM/APPL [UCERIS Rectal]
()
33.4 GRAMS   45802062786 0
PDPs
110
MAPDs
BUDESONIDE ER 9 MG TABLET ER [UCERIS]
()
30 UNITS   68682030930 54
PDPs
322
MAPDs
FEBUXOSTAT 40 MG TABLET [Uloric]
(Febuxostat)
30 TABLETS   72205002830 22
PDPs
292
MAPDs
FEBUXOSTAT 80 MG TABLET [Uloric]
(Febuxostat)
90 TABLETS   00054041413 22
PDPs
292
MAPDs
FLAVOXATE HCL 100 MG TABLET [Urispas]
()
90 TABLETS   00574011501 5
PDPs
151
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)
    00173087310 35
PDPs
220
MAPDs
LEVOTHYROXINE 125 MCG TABLET [Unithroid]
(Levothyroxine Sodium)
90 TABLETS   00378181310 54
PDPs
369
MAPDs
LEVOTHYROXINE 200 MCG TABLET [Unithroid]
(Levothyroxine Sodium)
90 TABLETS   68180097501 54
PDPs
369
MAPDs
LEVOTHYROXINE 300 MCG TABLET [Unithroid]
(Levothyroxine Sodium)
90 TABLETS   68180097601 54
PDPs
369
MAPDs
METHENAMINE HIPP 1 GM TABLET [Urex]
(Methenamine)
60 tablets   65862078201 54
PDPs
363
MAPDs
MOEXIPRIL HCL 15 MG TABLET [Univasc]
(Moexipril HCl)
90 TABLETS   68462020801 48
PDPs
355
MAPDs
POTASSIUM CITRATE ER 15 MEQ TABLET [Urocit-K]
()
60 TABLETS   42543040801 54
PDPs
365
MAPDs
RINVOQ ER 15 MG TABLET ER 24H
(Upadacitinib)
TABLETs   00074230630 52
PDPs
364
MAPDs
RINVOQ ER 30 MG TABLET 24H
(Upadacitinib)
TABLETS   00074231030 52
PDPs
361
MAPDs
RINVOQ ER 45 MG TABLET ER 24H
(Upadacitinib)
TABLETS   00074104328 52
PDPs
361
MAPDs
STELARA 45 MG/0.5 ML SYRINGE
(Ustekinumab)
0.5ML   57894006003 50
PDPs
368
MAPDs
STELARA 45 MG/0.5 ML VIAL
(Ustekinumab)
    57894006002 50
PDPs
366
MAPDs
STELARA 90 MG/ML SYRINGE
(Ustekinumab)
1ML   57894006103 50
PDPs
368
MAPDs
THEOPHYLLINE ER 400 MG TABLET 24H [Uniphyl]
(Theophylline, Anhydrous)
30 TABLETS   68462038001 54
PDPs
368
MAPDs
THEOPHYLLINE ER 600 MG TABLET 24H [Uniphyl]
(Theophylline, Anhydrous)
30 TABLETS   68462035601 54
PDPs
368
MAPDs
TRAMADOL ER 100 MG TABLET TBMP 24HR [Ultram ER]
()
30 UNITS   47335053183 13
PDPs
72
MAPDs
TRAMADOL ER 200 MG TABLET TBMP 24HR [Ultram ER]
()
30 UNITS   47335053383 13
PDPs
72
MAPDs
TRAMADOL ER 300 MG TABLET TBMP 24HR [Ultram ER]
()
30 UNITS   47335053783 13
PDPs
73
MAPDs
TRAMADOL HCL 50 MG TABLET [Ultram]
()
60 TABLETS   65162062711 54
PDPs
369
MAPDs
TRAMADOL HCL ER 300 MG Tablet ER 24H [Ultram ER]
(TRAMADOL)
30 tablets   68180069906 30
PDPs
147
MAPDs
TRAMADOL-ACETAMINOPHN 37.5-325 TABLET [Ultracet]
(Tramadol, Acetaminophen)
60 TABLETS   53746061701 50
PDPs
365
MAPDs
UBRELVY 100 MG TABLET
(Ubrogepant)
10 TABLETS   00023650110 33
PDPs
317
MAPDs
UBRELVY 50 MG TABLET
(Ubrogepant)
10 TABLETS   00023649810 33
PDPs
317
MAPDs
UCERIS 2 MG RECTAL FOAM/APPL
(Budesonide)
66.8 grams   65649065103 0
PDPs
17
MAPDs
UCERIS 9 MG ER TABLET
(budesonide)
    68012030930 0
PDPs
3
MAPDs
UDENYCA 6 MG/0.6 ML AUTO-INJECTOR
(Pegfilgrastim (E. coli))
ML   70114012001 20
PDPs
156
MAPDs
UDENYCA 6 MG/0.6 ML SYRINGE
(Pegfilgrastim (E. coli))
ml   70114010101 20
PDPs
157
MAPDs
ULORIC TABLETS 40MG 30 BOTTLE
(Febuxostat)
30 BOT 64764091830 0
PDPs
1
MAPDs
ULORIC TABLETS 80MG 30 BOTTLE
(Febuxostat)
30 BOT 64764067730 0
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 48
PDPs
313
MAPDs
UNITHROID 112 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080601 48
PDPs
313
MAPDs
UNITHROID 125 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080701 48
PDPs
313
MAPDs
UNITHROID 137 MCG TABLET
(Levothyroxine Sodium)
30 TABLETS   60846080801 48
PDPs
313
MAPDs
UNITHROID 150 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080901 48
PDPs
313
MAPDs
UNITHROID 175 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846081001 48
PDPs
313
MAPDs
UNITHROID 200 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846081101 48
PDPs
313
MAPDs
UNITHROID 25 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080101 48
PDPs
313
MAPDs
UNITHROID 300 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846081201 48
PDPs
313
MAPDs
UNITHROID 50 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080201 48
PDPs
313
MAPDs
UNITHROID 75 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080301 48
PDPs
313
MAPDs
UNITHROID 88 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080401 48
PDPs
313
MAPDs
UPTRAVI 1,000 MCG TABLET
(Selexipag)
    66215061006 1
PDPs
148
MAPDs
UPTRAVI 1,200 MCG TABLET
(Selexipag)
    66215061206 1
PDPs
148
MAPDs
UPTRAVI 1,400 MCG TABLET
(Selexipag)
    66215061406 1
PDPs
148
MAPDs
UPTRAVI 1,600 MCG TABLET
(Selexipag)
    66215061606 2
PDPs
148
MAPDs
UPTRAVI 200 MCG TABLET
(Selexipag)
60 TABLETS   66215060206 1
PDPs
148
MAPDs
UPTRAVI 200-800 TITRATION PACK
(Selexipag)
    66215062820 2
PDPs
145
MAPDs
UPTRAVI 400 MCG TABLET
(Selexipag)
    66215060406 1
PDPs
148
MAPDs
UPTRAVI 600 MCG TABLET
(Selexipag)
    66215060606 1
PDPs
148
MAPDs
UPTRAVI 800 MCG TABLET
(Selexipag)
    66215060806 1
PDPs
148
MAPDs
Urocit-K 10.000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)
100 TABLET, EXTENDED RELE   00178061001 0
PDPs
3
MAPDs
Urocit-k 15.000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)
100 TABLET, EXTENDED RELE   00178061501 0
PDPs
3
MAPDs
Urocit-K 5.0000000meq/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(Potassium Citrate)
100 TABLET, EXTENDED RELE   00178060001 0
PDPs
3
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 BOTTLE
(Ursodiol)
100 BOT 58914079010 0
PDPs
1
MAPDs
URSODIOL 200 MG CAPSULE [Reltone]
()
60 CAPSULES   72887014306 1
PDPs
14
MAPDs
URSODIOL 250 MG TABLET [Urso 250]
()
30 TABLETS   68462047301 54
PDPs
369
MAPDs
URSODIOL 300 MG CAPSULE [Actigall]
(Ursodiol)
60 CAPSULES   69238154001 46
PDPs
362
MAPDs
URSODIOL 400 MG CAPSULE [Reltone]
()
60 CAPSULES   72887014406 1
PDPs
8
MAPDs
URSODIOL 500 MG TABLET [Urso Forte]
(Ursodiol)
30 TABLETS   68462047401 54
PDPs
369
MAPDs
UZEDY ER 100 MG/0.28 ML SYRINGE
(Risperidone)
ML   51759052010 23
PDPs
200
MAPDs
UZEDY ER 125 MG/0.35 ML SYRINGE
(Risperidone)
ML   51759063010 23
PDPs
200
MAPDs
UZEDY ER 150 MG/0.42 ML SYRINGE
(Risperidone)
ML   51759074010 23
PDPs
200
MAPDs
UZEDY ER 200 MG/0.56 ML SYRINGE
(Risperidone)
ML   51759085010 23
PDPs
200
MAPDs
UZEDY ER 250 MG/0.7 ML SYRINGE
(Risperidone)
ML   51759096010 23
PDPs
200
MAPDs
UZEDY ER 50 MG/0.14 ML SYRINGE
(Risperidone)
ML   51759030510 23
PDPs
200
MAPDs
UZEDY ER 75 MG/0.21 ML SYRINGE
(Risperidone)
ML   51759041010 23
PDPs
200
MAPDs
XURIDEN GRANULE PACKET
(Uridine Triacetate)
1 unit   69468015230 1
PDPs
52
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data June 2024)





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