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2025 Medicare Part D Formulary Search By Drug Letter

 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 a Number ex: 8-MOP.
Drugs are 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 2025 Formularies
PDPs MAPDs
ACETAMINOPHEN-COD #3 TABLET [Tylenol with Codeine No.3]
(Acetaminophen w/ Codeine)		 20 tablets   00406048410 40
PDPs		 346
MAPDs
HYDROCODONE-IBUPROFEN 10-200 TABLET [Xylon 10]
(Hydrocodone Bitartrate, Ibuprofen)		 30 TABLETS   53746011701 8
PDPs		 63
MAPDs
IBU 800 MG TABLET [Samson-8]
(Ibuprofen)		 30 tablets   55111068405 40
PDPs		 342
MAPDs
IBUPROFEN 800 MG TABLET [Samson-8]
(Ibuprofen)		 30 TABLETS   64380080707 40
PDPs		 346
MAPDs
KLOR-CON 20 MEQ PACKET
(Potassium Chloride Microencapsulated Crys CR)		     00245036030 14
PDPs		 198
MAPDs
KLOR-CON M10 MEQ TABLET [Klotrix] 30 TABLETS   00245531615 40
PDPs		 272
MAPDs
KLOR-CON M10 TABLET ER PRT [Klotrix] 30 UNITS   00245531711 40
PDPs		 335
MAPDs
KLOR-CON M15 TABLET ER PRT
(Potassium Chloride)		 30 UNITS   00245531811 37
PDPs		 332
MAPDs
Methoxsalen 10 mg Capsule [8-MOP]
(Methoxsalen)		     64380075216 13
PDPs		 234
MAPDs
ODACTRA 12 SQ-HDM SUBLIGUAL TABLET
(Dermatophagoides farinae, Dermatophagoides pteronyssinus)		 30 TABLETS   52709170103 1
PDPs		 11
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.4 mL in 1 SYRINGE, GLASS
(Abatacept For IV)		     00003281411 8
PDPs		 217
MAPDs
Orencia 4 SYRINGE, GLASS in 1 CARTON > 0.7 mL in 1 SYRINGE, GLASS
(Abatacept For IV)		     00003281811 8
PDPs		 217
MAPDs
POTASSIUM CL ER 15 MEQ TABLET ER PRT [Klor-Con M15]
(Potassium Chloride Microencapsulated Crys CR)		 60 UNITS   72865019505 40
PDPs		 333
MAPDs
PREDNISOLONE 20 MG/5 ML SOLUTION [Veripred-20]
(Prednisolone)		 100 MLS   00121077708 6
PDPs		 59
MAPDs
SULFACETAMIDE 10% EYE DROPS [Sulf-10]
(Sulfacetamide)		 15 MLS   24208067004 40
PDPs		 346
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data February 2025)




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