A non-government resource for the Medicare community
Powered by Q1Group LLC
A non-government Medicare community resource
  • Menu
  • Home
  • Contact
  • MAPD
  • PDP
  • 2025
  • FAQs
  • Articles
  • Search
  • Contact
  • 2025
  • FAQs
  • Articles
  • Latest Medicare News
  • Search

2025 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 2025 Formularies
PDPs MAPDs
AMPICILLIN-SULBACTAM 15 GM VIAL [Unasyn]
(Ampicillin & Sulbactam Sodium For)
ML   55150011801 24
PDPs
307
MAPDs
AMPICILLIN-SULBACTAM 3 GM VIAL [Unasyn]
(Ampicillin & Sulbactam Sodium For)
ML   00641611710 40
PDPs
346
MAPDs
ANORO ELLIPTA 62.5-25 MCG INH
(umeclidinium and vilanterol inhalation powder)
    00173086910 37
PDPs
302
MAPDs
BUDESONIDE 2 MG RECTAL FOAM/APPL [UCERIS Rectal]
()
33.4 GRAMS   45802062786 0
PDPs
114
MAPDs
BUDESONIDE ER 9 MG TABLET ER [UCERIS]
()
30 UNITS   68682030930 40
PDPs
282
MAPDs
FEBUXOSTAT 40 MG TABLET [Uloric]
(Febuxostat)
30 TABLETS   72205002830 11
PDPs
252
MAPDs
FEBUXOSTAT 80 MG TABLET [Uloric]
(Febuxostat)
90 TABLETS   00054041413 11
PDPs
252
MAPDs
FLAVOXATE HCL 100 MG TABLET [Urispas]
()
90 TABLETS   00574011501 2
PDPs
122
MAPDs
INCRUSE ELLIPTA 62.5 MCG INH
(Umeclidinium)
    00173087310 32
PDPs
215
MAPDs
LEVOTHYROXINE 125 MCG TABLET [Unithroid]
(Levothyroxine Sodium)
90 TABLETS   00378181310 40
PDPs
346
MAPDs
LEVOTHYROXINE 200 MCG TABLET [Unithroid]
(Levothyroxine Sodium)
90 TABLETS   68180097501 40
PDPs
346
MAPDs
LEVOTHYROXINE 300 MCG TABLET [Unithroid]
(Levothyroxine Sodium)
90 TABLETS   68180097601 40
PDPs
346
MAPDs
METHENAMINE HIPP 1 GM TABLET [Urex]
(Methenamine)
60 tablets   65862078201 39
PDPs
336
MAPDs
MOEXIPRIL HCL 15 MG TABLET [Univasc]
(Moexipril HCl)
90 TABLETS   68462020801 38
PDPs
332
MAPDs
POTASSIUM CITRATE ER 15 MEQ TABLET [Urocit-K]
()
60 TABLETS   42543040801 40
PDPs
344
MAPDs
RINVOQ ER 15 MG TABLET ER 24H
(Upadacitinib)
TABLETs   00074230630 39
PDPs
340
MAPDs
RINVOQ ER 30 MG TABLET 24H
(Upadacitinib)
TABLETS   00074231030 39
PDPs
340
MAPDs
RINVOQ ER 45 MG TABLET ER 24H
(Upadacitinib)
TABLETS   00074104328 39
PDPs
340
MAPDs
STELARA 45 MG/0.5 ML SYRINGE
(Ustekinumab)
0.5ML   57894006003 40
PDPs
346
MAPDs
STELARA 45 MG/0.5 ML VIAL
(Ustekinumab)
    57894006002 40
PDPs
346
MAPDs
STELARA 90 MG/ML SYRINGE
(Ustekinumab)
1ML   57894006103 40
PDPs
346
MAPDs
THEOPHYLLINE ER 400 MG TABLET 24H [Uniphyl]
(Theophylline, Anhydrous)
30 TABLETS   68462038001 40
PDPs
345
MAPDs
THEOPHYLLINE ER 600 MG TABLET 24H [Uniphyl]
(Theophylline, Anhydrous)
30 TABLETS   68462035601 40
PDPs
345
MAPDs
TRAMADOL ER 100 MG TABLET TBMP 24HR [Ultram ER]
()
30 UNITS   47335053183 8
PDPs
48
MAPDs
TRAMADOL ER 200 MG TABLET TBMP 24HR [Ultram ER]
()
30 UNITS   47335053383 8
PDPs
48
MAPDs
TRAMADOL ER 300 MG TABLET TBMP 24HR [Ultram ER]
()
30 UNITS   47335053783 8
PDPs
49
MAPDs
TRAMADOL HCL 50 MG TABLET [Ultram]
()
60 TABLETS   65162062711 40
PDPs
346
MAPDs
TRAMADOL HCL ER 300 MG Tablet ER 24H [Ultram ER]
(TRAMADOL)
30 tablets   68180069906 25
PDPs
129
MAPDs
TRAMADOL-ACETAMINOPHN 37.5-325 TABLET [Ultracet]
(Tramadol, Acetaminophen)
60 TABLETS   53746061701 33
PDPs
329
MAPDs
UBRELVY 100 MG TABLET
(Ubrogepant)
10 TABLETS   00023650110 21
PDPs
295
MAPDs
UBRELVY 50 MG TABLET
(Ubrogepant)
10 TABLETS   00023649810 21
PDPs
295
MAPDs
UCERIS 2 MG RECTAL FOAM/APPL
(Budesonide)
66.8 grams   65649065103 0
PDPs
5
MAPDs
UDENYCA 6 MG/0.6 ML AUTO-INJECTOR
(Pegfilgrastim (E. coli))
ML   70114012001 9
PDPs
98
MAPDs
UDENYCA 6 MG/0.6 ML SYRINGE
(Pegfilgrastim (E. coli))
ml   70114010101 9
PDPs
100
MAPDs
UNITHROID 100 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080501 35
PDPs
276
MAPDs
UNITHROID 112 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080601 35
PDPs
274
MAPDs
UNITHROID 125 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080701 35
PDPs
276
MAPDs
UNITHROID 137 MCG TABLET
(Levothyroxine Sodium)
30 TABLETS   60846080801 35
PDPs
276
MAPDs
UNITHROID 150 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080901 35
PDPs
274
MAPDs
UNITHROID 175 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846081001 35
PDPs
274
MAPDs
UNITHROID 200 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846081101 35
PDPs
274
MAPDs
UNITHROID 25 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080101 35
PDPs
276
MAPDs
UNITHROID 300 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846081201 35
PDPs
274
MAPDs
UNITHROID 50 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080201 35
PDPs
276
MAPDs
UNITHROID 75 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080301 35
PDPs
276
MAPDs
UNITHROID 88 MCG TABLET
(Levothyroxine Sodium)
100 EA   60846080401 35
PDPs
276
MAPDs
UPTRAVI 1,000 MCG TABLET
(Selexipag)
    66215061006 6
PDPs
147
MAPDs
UPTRAVI 1,200 MCG TABLET
(Selexipag)
    66215061206 6
PDPs
147
MAPDs
UPTRAVI 1,400 MCG TABLET
(Selexipag)
    66215061406 6
PDPs
147
MAPDs
UPTRAVI 1,600 MCG TABLET
(Selexipag)
    66215061606 6
PDPs
149
MAPDs
UPTRAVI 200 MCG TABLET
(Selexipag)
60 TABLETS   66215060206 6
PDPs
147
MAPDs
UPTRAVI 200-800 TITRATION PACK
(Selexipag)
    66215062820 6
PDPs
148
MAPDs
UPTRAVI 400 MCG TABLET
(Selexipag)
    66215060406 6
PDPs
147
MAPDs
UPTRAVI 600 MCG TABLET
(Selexipag)
    66215060606 6
PDPs
147
MAPDs
UPTRAVI 800 MCG TABLET
(Selexipag)
    66215060806 6
PDPs
147
MAPDs
URSODIOL 200 MG CAPSULE [Reltone]
()
60 CAPSULES   72887014306 0
PDPs
56
MAPDs
URSODIOL 250 MG TABLET [Urso 250]
()
30 TABLETS   68462047301 40
PDPs
346
MAPDs
URSODIOL 300 MG CAPSULE [Actigall]
(Ursodiol)
60 CAPSULES   69238154001 38
PDPs
339
MAPDs
URSODIOL 400 MG CAPSULE [Reltone]
()
60 CAPSULES   72887014406 0
PDPs
56
MAPDs
URSODIOL 500 MG TABLET [Urso Forte]
(Ursodiol)
30 TABLETS   68462047401 40
PDPs
346
MAPDs
UZEDY ER 100 MG/0.28 ML SYRINGE
(Risperidone)
ML   51759052010 16
PDPs
192
MAPDs
UZEDY ER 125 MG/0.35 ML SYRINGE
(Risperidone)
ML   51759063010 16
PDPs
192
MAPDs
UZEDY ER 150 MG/0.42 ML SYRINGE
(Risperidone)
ML   51759074010 16
PDPs
192
MAPDs
UZEDY ER 200 MG/0.56 ML SYRINGE
(Risperidone)
ML   51759085010 16
PDPs
192
MAPDs
UZEDY ER 250 MG/0.7 ML SYRINGE
(Risperidone)
ML   51759096010 16
PDPs
192
MAPDs
UZEDY ER 50 MG/0.14 ML SYRINGE
(Risperidone)
ML   51759030510 16
PDPs
192
MAPDs
UZEDY ER 75 MG/0.21 ML SYRINGE
(Risperidone)
ML   51759041010 16
PDPs
192
MAPDs



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





Tips & Disclaimers
  • Q1Medicare®, Q1Rx®, and Q1Group® are registered Service Marks of Q1Group LLC and may not be used in any advertising, publicity, or for commercial purposes without the express authorization of Q1Group.
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDPCompare.com and MACompare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
    Statement required by Medicare:
    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.