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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 W 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
BUPROPION HCL SR 100 MG TABLET SR 12H [Wellbutrin SR]
(Bupropion HCl (Smoking Deterrent))
30 units   43547028810 54
PDPs
369
MAPDs
BUPROPION HCL SR 150 MG TABLET SR 12H [Wellbutrin SR]
(Bupropion HCl (Smoking Deterrent))
60 units   43547028910 54
PDPs
369
MAPDs
BUPROPION HCL SR 200 MG TABLET SR 12H [Wellbutrin SR]
(Bupropion HCl (Smoking Deterrent))
30 UNITS   43547029010 54
PDPs
369
MAPDs
BUPROPION HCL XL 150 MG TABLET ER 24H [Wellbutrin XL]
()
30 TABLETS   70436001002 54
PDPs
369
MAPDs
BUPROPION HCL XL 300 MG TABLET ER 24H [Wellbutrin XL]
()
30 TABLETS   70436001102 54
PDPs
369
MAPDs
COLESEVELAM 625 MG TABLET [WelChol]
()
180 TABLETS   67877050651 26
PDPs
300
MAPDs
COLESEVELAM HCL 3.75 G POWDER PACKET [Welchol Powder]
()
30 UNITS   68462062030 23
PDPs
267
MAPDs
HYDROCORTISONE VAL 0.2% CREAM (G) [Westcort]
(Hydrocortisone Valerate)
15 GRAMS   51672129001 25
PDPs
188
MAPDs
HYDROCORTISONE VAL 0.2% OINTMENT [Westcort]
(Hydrocortisone Valerate)
45 GRAMS   51672129203 23
PDPs
153
MAPDs
ISOSORBIDE DINITRATE 10 MG TABLET [Wesorbide]
(Isosorbide Dinitrate)
90 TABLETS   00143177101 54
PDPs
369
MAPDs
ISOSORBIDE DINITRATE 20 MG TABLET [Wesorbide]
(Isosorbide Dinitrate)
90 TABLETS   00143177201 54
PDPs
369
MAPDs
JANTOVEN 1 MG TABLET
(Warfarin Sodium)
100.000 EA   00832121100 54
PDPs
365
MAPDs
JANTOVEN 10 MG TABLET
(Warfarin Sodium)
100.000 EA   00832121900 54
PDPs
365
MAPDs
JANTOVEN 2 MG TABLET
(Warfarin Sodium)
100.000 EA   00832121200 54
PDPs
365
MAPDs
JANTOVEN 2.5MG TABLET
(Warfarin Sodium)
100 BOT 00832121300 54
PDPs
365
MAPDs
JANTOVEN 3 MG TABLET
(Warfarin Sodium)
100.000 EA   00832121400 54
PDPs
365
MAPDs
JANTOVEN 4 MG TABLET
(Warfarin Sodium)
100.000 EA   00832121500 54
PDPs
365
MAPDs
JANTOVEN 5 MG TABLET [Jantoven]
(Warfarin Sodium)
30 tablets   00832121610 54
PDPs
365
MAPDs
JANTOVEN 6MG TABLET
(Warfarin Sodium)
100 BOT 00832121700 54
PDPs
365
MAPDs
JANTOVEN 7.5MG TABLET
(Warfarin Sodium)
100 BOT 00832121800 54
PDPs
365
MAPDs
NECON 0.5-35-28 TABLET [WERA]
(Ethinyl Estradiol, Norethindrone;Inert)
28 TABLETS   51862089203 46
PDPs
316
MAPDs
PREDNISONE 20 MG TABLET [Predone]
(Prednisone)
10 TABLETS   00591544305 54
PDPs
369
MAPDs
WAINUA 45 MG/0.8 ML AUTOINJECTOR
(Eplontersen)
ML   00310940001 0
PDPs
19
MAPDs
WAKIX 17.8 MG TABLET
(Pitolisant)
39 tablets   72028017803 5
PDPs
70
MAPDs
WAKIX 4.45 MG TABLET
(Pitolisant)
tablets   72028004503 5
PDPs
70
MAPDs
WARFARIN SODIUM 1 MG TABLET
(Warfarin Sodium)
100.000 EA   00093171201 54
PDPs
369
MAPDs
WARFARIN SODIUM 10 MG TABLET
(Warfarin Sodium)
100 EA   00093172001 54
PDPs
369
MAPDs
WARFARIN SODIUM 2 MG TABLET
(Warfarin Sodium)
100.000 EA   00093171301 54
PDPs
369
MAPDs
WARFARIN SODIUM 2.5 MG TABLET
(Warfarin Sodium)
100.000 EA   00093171401 54
PDPs
369
MAPDs
WARFARIN SODIUM 3 MG TABLET
(Warfarin Sodium)
100.000 EA   00093171501 54
PDPs
369
MAPDs
WARFARIN SODIUM 4 MG TABLET
(Warfarin Sodium)
100.000 EA   00093171601 54
PDPs
369
MAPDs
WARFARIN SODIUM 5 MG TABLET
(Warfarin Sodium)
100.000 EA   00093172101 54
PDPs
369
MAPDs
WARFARIN SODIUM 6 MG TABLET
(Warfarin Sodium)
100.000 EA   00093171801 54
PDPs
369
MAPDs
WARFARIN SODIUM 7.5 MG TABLET [Jantoven]
()
30 TABLETS   00093172301 54
PDPs
369
MAPDs
WEGOVY 0.25 MG/0.5 ML PEN INJECTOR
(Semaglutide)
2 MLS   00169452514 0
PDPs
23
MAPDs
WEGOVY 0.5 MG/0.5 ML PEN INJECTOR
(Semaglutide)
2 MLS   00169450514 0
PDPs
23
MAPDs
WEGOVY 1 MG/0.5 ML PEN INJECTOR
(Semaglutide)
2 MLS   00169450114 0
PDPs
23
MAPDs
WEGOVY 1.7 MG/0.75 ML PEN INJECTOR
(Semaglutide)
3 MLS   00169451714 0
PDPs
23
MAPDs
WEGOVY 2.4 MG/0.75 ML PEN INJECTOR
(Semaglutide)
3 MLS   00169452414 0
PDPs
23
MAPDs
WELCHOL 3.75G PACKET POWDER PACK
(Colesevelam)
30 UNITS   00713088030 0
PDPs
1
MAPDs
WELCHOL 625 MG TABLET
(Colesevelam HCl)
180 TABLETS   00713087981 0
PDPs
1
MAPDs
WELIREG 40 MG TABLET
(Belzutifan)
TABLETS   00006533101 54
PDPs
369
MAPDs
WELLBUTRIN SR 100MG TABLET SA
(Bupropion HCl)
60 BOT 00173094755 0
PDPs
4
MAPDs
WELLBUTRIN SR 150MG TABLET SA
(Bupropion HCl)
60 X 150 MG TABLETS BOT 00173013555 0
PDPs
4
MAPDs
WELLBUTRIN SR 200MG TABLET SA
(Bupropion HCl)
60 BOT 00173072200 0
PDPs
4
MAPDs
WELLBUTRIN XL 150 MG TABLET
(Bupropion HCl)
30 EA   00187073030 0
PDPs
5
MAPDs
WELLBUTRIN XL 300 MG TABLET
(Bupropion HCl)
30 EA   00187073130 0
PDPs
5
MAPDs
WINLEVI 1% CREAM (G)
(Clascoterone)
GRAMS   47335099436 0
PDPs
9
MAPDs
WINREVAIR 45 MG ONE-VIAL KIT
(Sotatercept)
1 KIT   00006509001 0
PDPs
64
MAPDs
WINREVAIR 45 MG TWO-VIAL KIT
(Sotatercept)
1 KIT   00006508701 0
PDPs
64
MAPDs
WINREVAIR 60 MG ONE-VIAL KIT
(Sotatercept)
1 KIT   00006509101 0
PDPs
64
MAPDs
WINREVAIR 60 MG TWO-VIAL KIT
(Sotatercept)
1 KIT   00006508801 0
PDPs
64
MAPDs
WIXELA 100-50 INHUB BLST W/DEV [Advair]
(Fluticasone Propionate, Salmeterol)
60 units   00378932032 44
PDPs
325
MAPDs
WIXELA 250-50 INHUB BLST W/DEV [Advair]
(Fluticasone Propionate, Salmeterol)
60 units   00378932132 44
PDPs
325
MAPDs
WIXELA 500-50 INHUB BLST W/DEV [Advair]
(Fluticasone Propionate, Salmeterol)
60 units   00378932232 44
PDPs
325
MAPDs
WYMZYA FE 0.4-0.035 MG CHEWABLE TABLET [ZEOSA]
(Norethindrone and Ethinyl Estradiol, and Ferrous Fumarate)
28 CHEWABLE TABLETS   68180087373 28
PDPs
156
MAPDs



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





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