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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 X 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
ALPRAZOLAM 0.25 MG TABLET [Xanax]
(Alprazolam)
30 TABLETS   00781106110 53
PDPs
347
MAPDs
ALPRAZOLAM 0.5 MG TABLET [Xanax]
(Alprazolam)
30 TABLETS   00781107710 53
PDPs
347
MAPDs
ALPRAZOLAM 1 MG TABLET [Xanax]
(Alprazolam)
60 TABLETS   00781107905 53
PDPs
347
MAPDs
ALPRAZOLAM 2 MG TABLET [Xanax]
(Alprazolam)
60 TABLETS   00781108901 53
PDPs
347
MAPDs
ALPRAZOLAM ER 1 MG TABLET 24H [Xanax XR]
(Alprazolam)
30 tablets   65862045560 2
PDPs
65
MAPDs
ALPRAZOLAM ER 2 MG TABLET 24H [Xanax XR]
(Alprazolam)
30 tablets   65862045660 2
PDPs
65
MAPDs
ALPRAZOLAM ER 3 MG TABLET 24H [Xanax XR]
(Alprazolam)
30 tablets   65862045760 2
PDPs
65
MAPDs
BROMFENAC SODIUM 0.09% EYE DROPS [Xibrom]
(BROMFENAC SODIUM)
1.7 MLS   62332050817 13
PDPs
189
MAPDs
CYPROHEPTADINE 4 MG TABLET [Periactin]
()
30 TABLETS   70710111001 49
PDPs
301
MAPDs
HYDROCODONE-ACETAMIN 10-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
120 TABLETS   00406037805 17
PDPs
117
MAPDs
HYDROCODONE-ACETAMIN 5-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
30 TABLETS   27808011401 17
PDPs
141
MAPDs
HYDROCODONE-ACETAMIN 7.5-300 TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
60 TABLETS   00406037705 17
PDPs
117
MAPDs
HYDROCODONE-IBUPROFEN 10-200 TABLET [Xylon 10]
(Hydrocodone Bitartrate, Ibuprofen)
30 TABLETS   53746011701 15
PDPs
203
MAPDs
LEVALBUTEROL 0.31 MG/3 ML SOL VIAL-NEB [Xopenex Pediatric]
(Levalbuterol Tartrate)
90 MLS   76204070025 12
PDPs
229
MAPDs
LEVALBUTEROL 0.63 MG/3 ML SOL VIAL-NEB [Xopenex]
(Levalbuterol Tartrate)
75 MLS   65862094424 14
PDPs
230
MAPDs
LEVALBUTEROL 1.25 MG/3 ML SOL VIAL-NEB [Xopenex]
(Levalbuterol Tartrate)
75 MLS   76204090025 16
PDPs
249
MAPDs
LEVALBUTEROL CONC 1.25 MG/0.5 VIAL-NEB [Xopenex]
(Levalbuterol Tartrate)
30 UNITS   00378699393 13
PDPs
236
MAPDs
LEVALBUTEROL TAR HFA 45MCG INH [Xopenex]
(Levalbuterol HCl)
15.000 GM   00591292754 25
PDPs
234
MAPDs
LEVOCETIRIZINE 2.5 MG/5 ML SOLUTION [Xyzal Solution]
()
148 MLS   31722065931 12
PDPs
205
MAPDs
LEVOCETIRIZINE 5 MG TABLET [Xyzal Allergy 24 Hour]
(LEVOCETIRIZINE)
30 tablets   31722055190 55
PDPs
370
MAPDs
LIDOCAINE 2% VISCOUS SOLUTION [Xylocaine Viscous]
(Lidocaine)
100 MLS   60432046400 53
PDPs
365
MAPDs
LIDOCAINE HCL 4% SOLUTION [Xylocaine]
()
50 MLS   00054350547 39
PDPs
320
MAPDs
SODIUM OXYBATE 0.5 G/ML SOLUTION [Xyrem]
(Sodium Oxybate (Gamma Hydroxybutyrate Or Ghb))
MLS   00054962857 49
PDPs
335
MAPDs
TETRABENAZINE 12.5 MG TABLET [Xenazine]
(Tetrabenazine)
60 TABLETS   43598039467 55
PDPs
370
MAPDs
TETRABENAZINE 25 MG TABLET [Xenazine]
(Tetrabenazine)
84 TABLETS   43598039567 55
PDPs
370
MAPDs
XALATAN EYE DROPS 125MCG 2.5ML BOTPL
(Latanoprost Ophth)
2.5 ML BOTPL 00013830304 0
PDPs
1
MAPDs
Xalkori 200mg/1 60 CAPSULE BOTTLE
(CRIZOTINIB)
60 CAPSULE in 1 BOTTLE   00069814120 55
PDPs
370
MAPDs
Xalkori 250mg/1 60 CAPSULE BOTTLE
(CRIZOTINIB)
60 CAPSULE in 1 BOTTLE   00069814020 55
PDPs
370
MAPDs
XARELTO 1 MG/ML ORAL SUSPENSION
(Rivaroxaban)
MLS   50458057501 44
PDPs
319
MAPDs
XARELTO 10 MG TABLET
(Rivaroxaban)
30.000 EA   50458058030 55
PDPs
370
MAPDs
XARELTO 15 MG TABLET
(Rivaroxaban)
30.000 EA   50458057830 55
PDPs
370
MAPDs
XARELTO 2.5 MG TABLET
(Rivaroxaban)
60 tablets   50458057760 55
PDPs
370
MAPDs
XARELTO 20 MG TABLET
(Rivaroxaban)
30.000 EA   50458057930 55
PDPs
370
MAPDs
XARELTO STARTER PACK
(Rivaroxaban)
51 EA   50458058451 55
PDPs
370
MAPDs
XATMEP 2.5 MG/ML ORAL SOLUTION
(Methotrexate)
40 MLS   52652200106 55
PDPs
364
MAPDs
XCOPRI 100 MG TABLET
(Cenobamate)
TABLETS   71699010030 55
PDPs
370
MAPDs
XCOPRI 12.5-25 MG TITRATION PK TABLET DS PK
(Cenobamate)
UNITS   71699020128 55
PDPs
370
MAPDs
XCOPRI 150 MG TABLET
(Cenobamate)
TABLETS   71699015030 55
PDPs
370
MAPDs
XCOPRI 150-200 MG TITRATION PK TABLET DS PK
(Cenobamate)
UNITS   71699020328 55
PDPs
370
MAPDs
XCOPRI 200 MG TABLET
(Cenobamate)
90 TABLETS   71699020030 55
PDPs
370
MAPDs
XCOPRI 250 MG DAILY DOSE PACK TABLET
(Cenobamate)
TABLETS   71699010456 55
PDPs
369
MAPDs
XCOPRI 350 MG DAILY DOSE PACK TABLET
(Cenobamate)
TABLETS   71699010356 55
PDPs
370
MAPDs
XCOPRI 50 MG TABLET
(Cenobamate)
TABLETS   71699005030 55
PDPs
370
MAPDs
XCOPRI 50-100 MG TITRATION PAK TABLET DS PK
(Cenobamate)
UNITS   71699020228 55
PDPs
370
MAPDs
XELJANZ 1 MG/ML SOLUTION
(Tofacitinib Citrate)
MLS   00069102902 47
PDPs
312
MAPDs
XELJANZ 10 MG TABLET
(Tofacitinib Citrate)
60 tablets   00069100201 47
PDPs
313
MAPDs
XELJANZ 5 MG TABLET
(Tofacitinib Citrate)
60 EA   00069100101 47
PDPs
313
MAPDs
XELJANZ XR 11 MG TABLET
(Tofacitinib Citrate)
    00069050130 47
PDPs
313
MAPDs
XELJANZ XR 22 MG TABLET ER 24H
(Tofacitinib Citrate)
TABLETS   00069050230 47
PDPs
313
MAPDs
XELPROS 0.005% EYE DROPS EMULS
()
mls   47335031790 0
PDPs
9
MAPDs
XELSTRYM 13.5 MG/9 HR PATCH
(Dextroamphetamine)
1 PATCH   68968021503 0
PDPs
4
MAPDs
XELSTRYM 18 MG/9 HR PATCH
(Dextroamphetamine)
PATCHES   68968022003 0
PDPs
4
MAPDs
XELSTRYM 4.5 MG/9 HR PATCH
(Dextroamphetamine)
PATCHES   68968020503 0
PDPs
4
MAPDs
XELSTRYM 9 MG/9 HR PATCH
(Dextroamphetamine)
30 PATCHES   68968021003 0
PDPs
4
MAPDs
XENAZINE TABLET 25 MG
(Tetrabenazine)
112 BOT 67386042201 0
PDPs
5
MAPDs
XENAZINE TABLETS 12.5MG 112 BOTTLE
(Tetrabenazine)
112 BOT 67386042101 0
PDPs
5
MAPDs
XENLETA 600 MG TABLET
(Lefamulin)
tablets   72000011030 1
PDPs
56
MAPDs
XERESE 5%-1% CREAM
(acyclovir and hydrocortisone topical)
5 GM   00187510401 0
PDPs
3
MAPDs
XERMELO 250 MG TABLET
(Telotristat Ethyl)
TABLETS   70720012585 52
PDPs
353
MAPDs
XGEVA 120mg/1.7mL 1 VIAL, SINGLE-USE per CARTON / 1.7 mL in 1 VIAL, SINGLE-USE
(DENOSUMAB)
1 VIAL, SINGLE-USE   55513073001 55
PDPs
370
MAPDs
XHANCE 93 MCG NASAL SPRAY AER BR.ACT
(Fluticasone Propionate)
16 mls   71143037501 17
PDPs
152
MAPDs
XIFAXAN 200MG TABLET
(Rifaximin)
30 BOT 65649030103 20
PDPs
235
MAPDs
XIFAXAN 550 MG TABLET
(Rifaximin)
60.000 EA   65649030302 55
PDPs
370
MAPDs
XIGDUO XR 10 MG-1,000 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)
30 EA   00310628030 50
PDPs
322
MAPDs
XIGDUO XR 10 MG-500 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)
30 EA   00310627030 50
PDPs
322
MAPDs
XIGDUO XR 2.5 MG-1,000 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)
60   00310622560 50
PDPs
322
MAPDs
XIGDUO XR 5 MG-1,000 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)
60 EA   00310626060 50
PDPs
322
MAPDs
XIGDUO XR 5 MG-500 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)
30 EA   00310625030 50
PDPs
322
MAPDs
XIIDRA 5% EYE DROPS DROPERETTE
(Lifitegrast)
60 UNITS   00078091112 23
PDPs
224
MAPDs
XIMINO ER 135 MG CAPSULE ER 24H
(Minocycline Hydrochloride)
CAPSULES   69489012330 0
PDPs
1
MAPDs
XIMINO ER 45 MG CAPSULE ER 24H
(Minocycline Hydrochloride)
30 CAPSULES   69489012130 0
PDPs
1
MAPDs
XIMINO ER 90 MG CAPSULE ER 24H
(Minocycline Hydrochloride)
30 CAPSULES   69489012230 0
PDPs
1
MAPDs
XOFLUZA 40 MG TABLET
(Baloxavir)
1 TABLET   50242086001 34
PDPs
259
MAPDs
XOFLUZA 80 MG TABLET
(Baloxavir)
1 TABLET   50242087701 34
PDPs
261
MAPDs
XOLAIR 150 MG/ML SYRINGE
(Omalizumab (Hamster))
2 mls   50242021501 55
PDPs
370
MAPDs
XOLAIR 150MG VIAL
(Omalizumab For)
1 X VIAL 50242004062 52
PDPs
353
MAPDs
XOLAIR 75 MG/0.5 ML SYRINGE
(Omalizumab (Hamster))
ml   50242021401 55
PDPs
370
MAPDs
XOPENEX HFA 45MCG HFA AEROSOL WITH ADAPTER
(Levalbuterol Tartrate)
200 INHALATIONS BOX 63402051001 7
PDPs
50
MAPDs
XOSPATA 40 MG TABLET
(Gilteritinib)
tablets   00469142590 55
PDPs
370
MAPDs
XPOVIO 100 MG ONCE WEEKLY DOSE TABLET
(Selinexor)
TABLETS   72237010305 55
PDPs
369
MAPDs
XPOVIO 40 MG ONCE WEEKLY DOSE TABLET
(Selinexor)
TABLETS   72237010207 55
PDPs
369
MAPDs
XPOVIO 40 MG TWICE WEEKLY DOSE TABLET
(Selinexor)
TABLETS   72237010206 55
PDPs
369
MAPDs
XPOVIO 60 MG ONCE WEEKLY DOSE TABLET
(Selinexor)
TABLETS   72237010401 55
PDPs
369
MAPDs
XPOVIO 60 MG TWICE WEEKLY DOSE TABLET
(Selinexor)
6 TABLETS   72237010103 55
PDPs
370
MAPDs
XPOVIO 80 MG ONCE WEEKLY DOSE TABLET
(Selinexor)
TABLETS   72237010202 55
PDPs
369
MAPDs
XPOVIO 80 MG TWICE WEEKLY DOSE TABLET
(Selinexor)
8 TABLETS   72237010104 55
PDPs
370
MAPDs
XTAMPZA ER 13.5 MG CAPSULE
(Oxycodone)
    24510011510 16
PDPs
96
MAPDs
XTAMPZA ER 18 MG CAPSULE
(Oxycodone)
    24510012010 16
PDPs
98
MAPDs
XTAMPZA ER 27 MG CAPSULE
(Oxycodone)
    24510013010 16
PDPs
98
MAPDs
XTAMPZA ER 36 MG CAPSULE
(Oxycodone)
    24510014010 16
PDPs
96
MAPDs
XTAMPZA ER 9 MG CAPSULE
(Oxycodone)
    24510011010 16
PDPs
96
MAPDs
XTANDI 40 MG CAPSULE
(enzalutamide)
    00469012599 55
PDPs
370
MAPDs
XTANDI 40 MG TABLET
(enzalutamide)
TABLETS   00469062599 55
PDPs
370
MAPDs
XTANDI 80 MG TABLET
(enzalutamide)
TABLETS   00469072560 55
PDPs
370
MAPDs
Xulane Patch
(norelgestromin / ethinyl estradiol)
    00378334053 15
PDPs
254
MAPDs
XULTOPHY 100 UNIT-3.6MG/ML PEN
(Insulin Degludec and Liraglutide)
3 ML   00169291115 17
PDPs
216
MAPDs
XURIDEN GRANULE PACKET
(Uridine Triacetate)
1 unit   69468015230 1
PDPs
52
MAPDs
XYOSTED 100 MG/0.5 ML AUTO-INJECT
(Testosterone Enanthate)
2 mls   54436020004 0
PDPs
51
MAPDs
XYOSTED 50 MG/0.5 ML AUTO-INJ AUTO INJCT
(Testosterone Enanthate)
2 MLS   54436025004 0
PDPs
51
MAPDs
XYOSTED 75 MG/0.5 ML AUTO-INJECT
(Testosterone Enanthate)
2 mls   54436027504 0
PDPs
51
MAPDs
XYREM 500MG/ML ORAL SOLUTION
(Sodium Oxybate Oral)
180 ML BOT 68727010001 5
PDPs
57
MAPDs
XYWAV 0.5 GM/ML ORAL SOLUTION
(Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate (Gamma Hydroxybutyrate Or Ghb))
MLS   68727015001 1
PDPs
74
MAPDs
ZAFEMY 150-35 MCG/DAY PATCH [Xulane]
(Norelgestromin, Ethinyl Estradiol)
3 PATCHES   65162035803 15
PDPs
246
MAPDs



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





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