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August 2025 Formulary Changes to the Top Medicare Drugs

Monthly Formulary changes · published Aug 30, 2025

The August 2025 Medicare Part D formulary updates included 36 new drug codes or NDCs representing 56 different medications.

The NDC uniquely identifies a particular manufacturer, drug-strength, and packaging combination. The NDC is often shown on your prescription bottle as an 11-digit code (see the charts below) or could be formatted as 00000-0000-00 where the first set of numbers identifies the manufacturer, the second set of number identifies the drug and strength, and the third set of numbers identifies the packaging.

This article highlights the change for some of the "top Medicare drugs", including their generic equivalents.  The generics included are Atorvastatin [Lipitor®] , Clopidogrel [Plavix®], Escitalopram [Lexapro®], Esomeprazole Sodium [Nexium®], FLUTICASONE-SALMETEROL [Advair®], Pioglitazone [Actos®], Quetiapine Fumarate [Seroquel®], Risedronate Sodium [Actonel®], and Valsartan-HCTZ [Diovan HCT®].  The changes to the number of formularies covering these medications looks as follows:

Count of Formularies Covering the Top Medicare Drugs Program-wide
Formulary Count*
Drug Name 2019 End** 2020 End** 2021 End** 2022 End** 2023 End** 2024 End**
2025
Start**
August
ACTONEL 35 MG TABLET 8 11 3 3 2 1 0 0
ACTOS 30 MG TABLET 16 15 13 5 3 4 3 3
ADVAIR DISKUS MIS 250/50 361 312 289 349 316 15 15 15
ATORVASTATIN 10 MG TABLET [Lipitor] 406 454 456 458 450 421 383 382
CLOPIDOGREL 75 MG TABLET [Plavix] 406 454 456 458 450 421 383 382
DIOVAN HCT 160/12.5MG TABLET 17 18 13 5 3 4 3 3
ESCITALOPRAM 10 MG TABLET [Lexapro] 406 454 456 458 450 421 383 382
ESOMEPRAZOLE MAG DR 40 MG CAPSULE [Nexium] 309 353 376 419 414 389 356 357
FLUTICASONE-SALMETEROL 250-50 INHALER [Advair] 122 216 221 174 196 398 359 359
LANTUS 100U/ML VIAL 306 364 363 362 392 354 297 300
LEXAPRO 10MG TABLET 14 12 13 5 4 4 3 3
LIPITOR 10MG TABLET 19 16 11 3 3 4 3 3
NEXIUM DR 40 MG CAPSULE 19 10 11 3 3 4 3 3
PIOGLITAZONE HCL 30 MG TABLET [Actos] 406 454 456 458 450 421 383 382
PLAVIX 75 MG TABLET 75 10 11 3 3 4 3 3
QUETIAPINE FUMARATE 25 MG TABLET [Seroquel] 406 454 456 458 450 421 383 382
RISEDRONATE SODIUM 35 MG TABLET [Actonel] 287 335 360 368 355 339 273 271
SEROQUEL 25MG TABLET 9 10 11 3 3 4 3 3
VALSARTAN-HCTZ 160-12.5 MG TABLET [Diovan HCT] 403 451 451 454 448 420 382 381
*The number of formularies counts the unique formularies that offer this medication. As a note, the same formulary can be used by one or many different Medicare Part D plans. The same formulary can be used by both stand-alone prescription drug plans (PDP) and Medicare Advantage plans (MAPD).

**The ending CMS formulary datasets are the respective September dataset. The starting 2025 CMS formulary dataset is dated October, 2024.

Learn more in our article: How a mid-year formulary change can affect your Medicare Part D drug coverage.

You can review any Medicare plan formulary using the on this site FormularyBrowser at FormularyBrowser.com or compare how any medication is covered on all Medicare plans in your service area using our on this site.