September 2023 Medicare Drug List Updates: Forty-one (41) medications added to the 2023 Medicare Part D Drug plan formularies.

The September 2023 Medicare Part D prescription drug plan formulary (drug list) data is now online and included in our Formulary Browser and the drug finder Drug Finder.

The September formulary updates include the addition of 69 new National Drug Codes (NDCs), representing 41 different prescription drugs, many with multiple strengths.

The formulary updates impact both stand-alone Medicare Part D plans (PDPs) and Medicare Advantage plans with drug coverage (MAPDs).

Highlights of the September 2023 Formulary updates include sixteen (16) newly-introduced brand-name drugs

The September drug data updates include twenty-six (26) new brand-name drugs, sixteen (16) of which are newly introduced brand-name drugs, some with multiple strengths. These drugs include:

CYLTEZO®,
FYLNETRA®,
HADLIMA®,
HULIO®,
HYRIMOZ®,
KYLEENA®,
LILETTA®,
LiQrev®,
MIRENA®,
NEXPLANON®,
ParaGard T 380A IUD®,
SKYCLARYS®,
SKYLA SYSTEM IUD®,
SOGROYA®,
YUSIMRY®, and
ZAVZPRET®.

The September 2023 Formulary updates include four (4) newly-added generic drugs

The September Medicare Part D drug data also includes fifteen (15) new generic medications, four (4) of which are newly-introduced generic drugs. These new generic drugs include:

DARUNAVIR [Prezista®],
ENALAPRIL MALEATE [Vasotec®],
ADALIMUMAB [Hulio®], and
ADALIMUMAB [Idacio®].

Please note that these new generic and brand-name drugs are not available on all Medicare Part D or Medicare Advantage drug plans - and you can review the chart to see the (often limited) number of plan formularies that now include these drugs.

Reminders about Medicare prescription drug plan formulary changes

Medicare Part D plans (PDPs and MAPDs) can change their formulary or drug list during the year and may drop one of your formulary medication mid-year for specific Medicare-allowable reasons (such as a new generic drug is available), but there are steps you can take if your medication is no longer covered by your prescription drug plan.
In most cases, your Medicare Part D plan will notify you if the plan drops a medication you are currently using.

Good to know: What is the NDC?

The NDC or National Drug Code is used to uniquely identify a particular drug, manufacturer, 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 drug manufacturer, the second set of number identifies the product and strength, and the third set of numbers identifies the packaging. You can read more on this site

Summary of September 2023 NDC changes

There are many reasons for NDCs to be added to the Medicare Part D program, a summary for all 69 new September 2023 NDCs is as follows:

Reason for NDC Addition	Occurrences
New Drug	19
New Drug and Delivery Form	4
New Drug and Strength	21
New Drug, Delivery Form and Strength	6
New Manufacturer and Delivery Form	1
New Manufacturer and Strength	6
New Manufacturer, Strength and Delivery Form	1
New Strength	11
Grand Total	69

The following chart details the 69 new manufacturer / drug-strength / packaging combinations (NDCs) that were added to one or more Medicare Part D formularies in the most recent updates -- as you will notices, some drugs are only covered by a few Medicare plans.

You can click on the Drug Name below to go to our on this site Drug Finder ( on this site) and see the details of how this drug is covered by all Medicare Part D plans (PDPs) in Florida (our example state). You can then change the state in our search form for details of drug coverage in your service area.

NDC	Drug Name	Number of PDP Formularies*	Number of MAPD Formularies*	Notes
59148003472	ABILIFY MYCITE 30 MG MAINT KIT TABSENSSTR	0	23	New Strength
49502041702	ADALIMUMAB-FKJP(CF) 20 MG SYRINGE KIT [Hulio]	0	6	New Drug
49502041802	ADALIMUMAB-FKJP(CF) 40 MG SYRINGE KIT [Idacio]	0	6	New Drug and Delivery Form
49502041602	ADALIMUMAB-FKJP(CF) PEN 40 MG PEN INJECTOR KIT [Idacio]	0	6	New Drug and Delivery Form
71225014001	BACLOFEN 25 MG/5 ML ORAL SUSPENSION [FLEQSUVY]	0	5	New Drug
55566680001	CLENPIQ 175 ML SOLUTION	19	154	New Strength
00597040089	CYLTEZO(CF) 10 MG/0.2 ML SYRINGEKIT	36	86	New Drug, Delivery Form and Strength
00597040580	CYLTEZO(CF) 20 MG/0.4 ML SYRINGEKIT	36	86	New Drug, Delivery Form and Strength
00597037082	CYLTEZO(CF) 40 MG/0.8 ML SYRINGE KIT	36	86	New Drug, Delivery Form and Strength
00597037597	CYLTEZO(CF) PEN 40 MG/0.8 ML PEN INJECTOR KIT	36	86	New Drug, Delivery Form and Strength
00597037516	CYLTEZO(CF) PEN CRH-UC-HS 40MG PEN INJECTOR KIT	36	86	New Drug, Delivery Form and Strength
00597037523	CYLTEZO(CF) PEN PSORIASIS 40MG PEN INJECTOR KIT	36	86	New Drug, Delivery Form and Strength
69238162706	DAPSONE 7.5% GEL W/PUMP [Aczone]	1	14	New Strength
68180034507	DARUNAVIR 600 MG TABLET [Prezista]	59	379	New Drug and Strength
68180034606	DARUNAVIR 800 MG TABLET [Prezista]	59	379	New Drug and Strength
00074732613	DEPAKOTE DR 250 MG TABLET	1	3	New Strength
00264761610	DEXTROSE 5%-0.2% NACL IV SOLUTION	57	324	New Drug
27241003911	ELETRIPTAN HBR 20 MG TABLET [Relpax]	5	108	New Manufacturer and Strength
23155077201	ENALAPRIL MALEATE 10 MG TABLET [Vasotec]	62	391	New Manufacturer and Strength
68001045842	ENOXAPARIN 40 MG/0.4 ML SYRINGE [Lovenox]	62	391	New Manufacturer and Strength
00013104201	ESTRING 7.5 MCG/DAY (2MG) VAG RING	26	181	New Drug
70121162701	FYLNETRA 6 MG/0.6 ML SYRINGE	1	38	New Drug
52427080460	GRALISE ER 450 MG TABLET 24H	2	56	New Strength
52427085060	GRALISE ER 750 MG TABLET 24H	2	57	New Strength
52427089060	GRALISE ER 900 MG TABLET 24H	2	57	New Strength
78206018601	HADLIMA(CF) 40 MG/0.4 ML SYRINGE	0	12	New Drug and Strength
78206018701	HADLIMA(CF) PUSHTOUCH 40MG/0.4 AUTO INJECTOR	0	12	New Drug and Strength
25021083405	HALOPERIDOL DEC 500 MG/5 ML VIAL [Haldol Decanoate]	62	391	New Manufacturer and Strength
63323046905	HALOPERIDOL DEC 50 MG/ML VIAL [Haldol Decanoate]	62	387	New Manufacturer and Strength
49502038102	HULIO(CF) 20 MG/0.4 ML SYRINGE KIT	0	5	New Drug and Strength
49502038202	HULIO(CF) 40 MG/0.8 ML SYRINGE KIT	0	5	New Drug and Strength
49502038002	HULIO(CF) PEN 40 MG/0.8 ML PEN INJECTOR KIT	0	5	New Drug and Strength
61314050964	HYRIMOZ(CF) 10 MG/0.1 ML SYRINGE	8	31	New Drug and Strength
61314047664	HYRIMOZ(CF) 20 MG/0.2 ML SYRINGE	8	31	New Drug and Strength
61314047364	HYRIMOZ(CF) 40 MG/0.4 ML SYRINGE	8	31	New Drug and Strength
61314047320	HYRIMOZ(CF) PEN 40 MG/0.4 ML PEN INJECTOR	8	31	New Drug and Strength
61314053164	HYRIMOZ(CF) PEDI CROHN 80-40MG SYRINGE	8	31	New Drug and Strength
61314051736	HYRIMOZ(CF) PEN PSORIA 80-40MG PEN INJECTOR	8	31	New Drug and Strength
61314045420	HYRIMOZ(CF) PEN 80 MG/0.8 ML PEN INJECTOR	8	31	New Drug and Strength
61314045436	HYRIMOZ(CF) PEN CROHN-UC 80 MG PEN INJECTOR	8	31	New Drug and Strength
50419042401	KYLEENA 19.5 MG SYSTEM IUD	0	8	New Drug
00023585801	LILETTA 52 MG SYSTEM IUD	1	12	New Drug
46287005501	LIQREV 10 MG/ML ORAL SUSPENSION	0	8	New Drug
00074377903	LUPRON DEPOT-PED 11.25 MG 3MO SYRINGE KIT	47	326	New Drug and Strength
00074357501	LUPRON DEPOT-PED 45 MG 6MO SYRINGE KIT	22	243	New Drug and Strength
00074210803	LUPRON DEPOT-PED 7.5 MG KIT	51	331	New Drug and Strength
42571033490	METFORMIN ER 1,000 MG GASTRC-TABLET 24H [Glumetza]	1	6	New Manufacturer, Strength and Delivery Form
42571033301	METFORMIN ER 500 MG GASTRC-TABLET 24H [Glumetza]	2	11	New Manufacturer and Delivery Form
68180091173	MIBELAS 24 FE CHEWABLE TABLET [Minastrin]	7	115	New Drug
50419042301	MIRENA 52 MG SYSTEM IUD	0	10	New Drug
78206014501	NEXPLANON 68 MG IMPLANT	1	24	New Drug
00641617701	OCTREOTIDE 1,000 MCG/5 ML VIAL [Sandostatin]	62	391	New Manufacturer and Strength
49884079009	OLMSRTN-AMLDPN-HCTZ 40-10-25MG TABLET [Tribenzor]	37	314	New Strength
51285020401	ParaGard T 380A IUD	0	4	New Drug
73179025090	SKYCLARYS 50 MG CAPSULE	6	56	New Drug
50419042201	SKYLA 13.5 MG SYSTEM IUD	0	10	New Drug
00169203011	SOGROYA 10 MG/1.5 ML PEN INJECTOR	0	7	New Drug and Strength
00169203711	SOGROYA 15 MG/1.5 ML PEN INJECTOR	0	7	New Drug and Strength
00169203511	SOGROYA 5 MG/1.5 ML PEN INJECTOR	0	7	New Drug and Strength
52652195002	THYQUIDITY 100 MCG/5 ML SOLUTION	0	14	New Drug
71858001204	TIROSINT 37.5 MCG CAPSULE	2	15	New Strength
71858001304	TIROSINT 44 MCG CAPSULE	2	15	New Strength
71858001704	TIROSINT 62.5 MCG CAPSULE	2	15	New Strength
70114022002	YUSIMRY(CF) 40 MG/0.8 ML PEN INJECTOR	0	7	New Drug
00069350002	ZAVZPRET 10 MG NASAL SPRAY	1	5	New Drug
00169191302	ZEGALOGUE 0.6 MG/0.6 ML SYRINGE	5	145	New Drug and Delivery Form
00169191202	ZEGALOGUE 0.6 MG/0.6ML AUTO INJECTOR	5	145	New Drug and Delivery Form
52427077530	ZOLPIDEM TARTRATE 7.5 MG CAPSULE	0	1	New Drug
66992020830	ZONTIVITY 2.08 MG TABLET	10	67	New Drug

If your brand-name drug is no longer covered by your Medicare Part D plan, you can use the 30-day notice period (if notice is provided) to:

Ask your prescriber about trying the generic.
Check for an alternative formulary drug.
Ask your plan to cover a non-formulary drug.
You will need to work with your doctor or prescriber to explain why you are not able to use the generic medication or why no other formulary drug is acceptable. If your formulary exception is denied, you have the right to appeal your plan’s decision.
Consider using a Special Enrollment Period and move to another Medicare plan that provides coverage of all your prescription and health needs.

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

Our online Formulary Browser and Drug Finder

You can review any Medicare plan formulary using the on this site Formulary Browser found at: FormularyBrowser.com or compare how any medication is covered on all Medicare plans in your Service Area using our Drug Finder found at on this site.