A non-government resource for the Medicare community
Powered by Q1Group LLC
A non-government Medicare community resource
  • Menu
  • Home
  • Contact
  • MAPD
  • PDP
  • 2024
  • 2025
  • FAQs
  • Articles
  • Search
  • Contact
  • 2024
  • 2025
  • FAQs
  • Articles
  • Latest Medicare News
  • Search

2014 Medicare Part D Formulary Search By Drug Letter

This is archive material for research purposes. Please see PDPFinder.com or MAFinder.com for current plans.
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 K in Alphabetical Order.
Example: Lipitor® is found on letter page "L" as well as letter page "A" for Atorvastatin.

Drug Name
PackagingNDCOn This Nbr of 2014 Formularies
PDPsMAPDs
ACULAR 0.5% EYE DROPS
(Ketorolac Tromethamine Ophth)
5 ML BOT0002321810513
PDPs
37
MAPDs
ACULAR LS 0.4% OPHTH SOL
(Ketorolac Tromethamine Ophth)
5 ML BOTDR0002392770513
PDPs
36
MAPDs
ACUVAIL 0.45% OPHTH SOLUTION #30X0.4 EA
(Ketorolac Tromethamine Ophth)
#30X0.4  0002335073016
PDPs
85
MAPDs
EXTINA 2% FOAM
(Ketoconazole)
   630320051001
PDPs
1
MAPDs
EXTINA 2% FOAM
(Ketoconazole)
100 GM  400760051009
PDPs
46
MAPDs
K-TAB ER 20 MEQ TABLET
(Potassium Chloride)
   0007430231326
PDPs
73
MAPDs
K-TAB 10MEQ 750 MG TABLET SA
(Potassium Chloride)
1000 BOT0007478041930
PDPs
83
MAPDs
KADCYLA 100 MG VIAL
(Trastuzumab Emtansine)
   5024200880172
PDPs
288
MAPDs
KADIAN ER 10 MG CAPSULE
(Morphine Sulfate)
100 EA  4698704101127
PDPs
106
MAPDs
KADIAN ER 100 MG CAPSULE
(Morphine Sulfate)
100 EA  4698703241115
PDPs
71
MAPDs
KADIAN ER 20 MG CAPSULE
(Morphine Sulfate)
100 EA  4698703221113
PDPs
63
MAPDs
KADIAN ER 200 MG CAPSULE
(Morphine Sulfate)
100 EA  4698703771130
PDPs
119
MAPDs
KADIAN ER 30 MG CAPSULE
(Morphine Sulfate)
100 EA  4698703251113
PDPs
63
MAPDs
KADIAN ER 50 MG CAPSULE
(Morphine Sulfate)
100 EA  4698703231113
PDPs
63
MAPDs
KADIAN ER 60 MG CAPSULE
(Morphine Sulfate)
100 EA  4698703261115
PDPs
69
MAPDs
KADIAN ER 80 MG CAPSULE
(Morphine Sulfate)
100 EA  4698704121115
PDPs
68
MAPDs
Kaletra 100; 25mg/1; mg/1 60 FILM COATED TABLETS in BOTTLE
(Lopinavir-Ritonavir)
60 TABLET, FILM COATED in  0007405226077
PDPs
309
MAPDs
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)
120 BOT0007467992277
PDPs
309
MAPDs
KALETRA 80MG/20MG ORAL SOLUTION
(Lopinavir-Ritonavir)
160 ML BOT0007439564677
PDPs
309
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)
60 EA  5116702000260
PDPs
209
MAPDs
Kapvay 0.2mg/1
(CLONIDINE HYDROCHLORIDE)
   5963006586020
PDPs
89
MAPDs
KARBINAL ER SUS 4MG/5ML
(carbinoxamine maleate)
   135510101056
PDPs
16
MAPDs
KARIVA 21-5 TABLET
(Desogestrel & Ethinyl Estradiol)
21ACTIVE,5ETHINYL,2PLACEB BLPK0055590505875
PDPs
287
MAPDs
KAYEXALATE POWDER
(Sodium Polystyrene Sulfonate Oral)
   249870075018
PDPs
44
MAPDs
KEFLEX 250 MG CAPSULE
(Cephalexin)
   5963001121014
PDPs
47
MAPDs
KEFLEX 500 MG CAPSULE
(Cephalexin)
   5963001131013
PDPs
46
MAPDs
Keflex 500mg/1
(Cephalexin)
   684530113101
PDPs
1
MAPDs
KELNOR 1-35 1-0.035MG TABLET
(Ethynodiol Diacetate & Ethinyl Estradiol)
28 (21+7) BLPK0055590645874
PDPs
269
MAPDs
Kenalog 0.147mg/g 63 g in 1 CAN
(Triamcinolone Acetonide)
63 g in 1 CAN  1063100936224
PDPs
101
MAPDs
KENALOG-10 10 MG/ML VIAL
(Triamcinolone Acetonide)
5 ML  0000304942018
PDPs
58
MAPDs
KENALOG-40 40 MG/ML VIAL
(Triamcinolone Acetonide)
1 ML  0000302930518
PDPs
60
MAPDs
KEPIVANCE 6.25 MG VIAL
(Palifermin For IV)
   6665801120352
PDPs
212
MAPDs
KEPPRA 100MG/ML ORAL SOLUTION
(Levetiracetam)
16 FLO BOT5047400014813
PDPs
50
MAPDs
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Levetiracetam)
60 TABLET, FILM COATED in  5047405976613
PDPs
49
MAPDs
KEPPRA 250MG TABLET
(Levetiracetam)
120 TABS BOT5047405944013
PDPs
49
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)
120 TABS BOT5047405954013
PDPs
49
MAPDs
KEPPRA TABLETS EXTENDED RELEASE 500MG 60 BOT
(Levetiracetam)
60 BOT5047405986610
PDPs
45
MAPDs
KEPPRA 750MG TABLET
(Levetiracetam)
120 TABS BOT5047405964013
PDPs
49
MAPDs
KEPPRA 750MG XR TABLET
(Levetiracetam)
60 BOT5047405996610
PDPs
45
MAPDs
Ketek 300mg/1 20 FILM COATED TABLETS in BOTTLE
(Telithromycin)
20 TABLET, FILM COATED in  0008822232046
PDPs
164
MAPDs
KETEK 400MG TABLET
(Telithromycin)
60 CT BOT0008822254146
PDPs
172
MAPDs
KETOCONAZOLE SHAMPOO
(Ketoconazole)
118.28ML BOTPL 0078170900477
PDPs
308
MAPDs
KETOCONAZOLE 2% CREAM
(Ketoconazole)
30 GRAMS TUBE0009308403077
PDPs
309
MAPDs
KETOCONAZOLE 2% FOAM
(Ketoconazole)
   4580205323337
PDPs
169
MAPDs
Ketoconazole 200mg 100 TABLET BOTTLE
(Ketoconazole)
100 TABLET BOTTLE  0037802610177
PDPs
309
MAPDs
ketodan 2% foam kit
(ketoconazole)
   4353805311018
PDPs
53
MAPDs
KETOPROFEN 200MG CAPSULE 24HR SR PELLETS
(Ketoprofen)
100 BOT0037882000153
PDPs
263
MAPDs
KETOPROFEN 50MG CAPSULE
(Ketoprofen)
100 BOT0037840700168
PDPs
294
MAPDs
KETOPROFEN 75MG CAPSULE
(Ketoprofen)
100 CAPSULES BOT0009331950168
PDPs
294
MAPDs
KETOROLAC 0.4% OPHTH SOLUTION
(Ketorolac)
5 ML  6131400180575
PDPs
306
MAPDs
KETOROLAC 10MG TABLET
(Ketorolac)
100 TABLETS BOT0009303140142
PDPs
156
MAPDs
Ketorolac 15 mg/ml vial
(Ketorolac)
   0064160410127
PDPs
145
MAPDs
ketorolac 30 mg/ml vial
(Ketorolac)
   0064160422528
PDPs
140
MAPDs
KETOROLAC TROMETHAMINE INJECTION 15MG BOX OF 10 VIALGL
(Ketorolac Tromethamine)
BOX OF 10 VIALGL646790757022
PDPs
2
MAPDs
Ketorolac Tromethamine 4mg/mL 1 BOTTLE, DROPPER per CARTON / 5 mL in 1 BOTTLE, DROPPER
(Ketorolac Tromethamine)
1 BOTTLE, DROPPER in 1 CA  174780208102
PDPs
3
MAPDs
Ketorolac Tromethamine 5mg/mL 10 mL in 1 BOTTLE
(Ketorolac Tromethamine)
10 mL in 1 BOTTLE  4161602219077
PDPs
309
MAPDs
KHEDEZLA ER 100 MG TABLET
(desvenlafaxine)
   4988403750931
PDPs
155
MAPDs
KHEDEZLA ER 50 MG TABLET
(desvenlafaxine)
   4988403741131
PDPs
155
MAPDs
Kineret 100mg/0.67mL
(Anakinra Subcutaneous)
   6665802342826
PDPs
172
MAPDs
KIONEX POW USP
(Sodium Polystyrene Sulfonate Oral)
454 GM BOTPL0057420041667
PDPs
273
MAPDs
KLARON 10% LOTION
(Sulfacetamide Sodium)
   0018751980414
PDPs
46
MAPDs
KLARON 10% LOTION
(Sulfacetamide Sodium)
118 ML CTR000667500041
PDPs
1
MAPDs
Klonopin 0.5mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE, P  000040068016
PDPs
32
MAPDs
Klonopin 1mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE, P  000040058016
PDPs
32
MAPDs
Klonopin 2mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)
100 TABLET in 1 BOTTLE, P  000040098016
PDPs
32
MAPDs
KLOR-CON 10MEQ 750MG TABLET SA
(Potassium Chloride)
500 BOTPL0024500411575
PDPs
301
MAPDs
KLOR-CON 8MEQ 600MG TABLET SA
(Potassium Chloride)
500 BOTPL0024500401575
PDPs
295
MAPDs
KLOR-CON M15 15MEQ 1125MG TABLET SR PARTICLES/CRYSTALS
(Potassium Chloride Microencapsulated Crys CR)
100 BOT0024501501162
PDPs
271
MAPDs
KLOR-CON M20 TABLET 20MEQ ER
(Potassium Chloride Microencapsulated Crys CR)
500 BOT0024500581574
PDPs
294
MAPDs
KOMBIGLYZE XR 1000; 2.5mg/1; mg/1 60 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
60 TABLET, FILM COATED, E  0000342221646
PDPs
165
MAPDs
KOMBIGLYZE XR 1000; 5mg/1; mg/1 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
30 TABLET, FILM COATED, E  0000342231146
PDPs
165
MAPDs
KOMBIGLYZE XR 500; 5mg/1; mg/1 30 TABLET, FILM COATED, EXTENDED RELEASE in 1 BOTTLE, PLASTIC
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)
30 TABLET, FILM COATED, E  0000342211146
PDPs
165
MAPDs
KORLYM 300 MG TABLET
(mifepristone)
   7634600730132
PDPs
154
MAPDs
KRISTALOSE 10 GM PACKET
(Lactulose)
   6622007193022
PDPs
94
MAPDs
KRISTALOSE 20 GM PACKET
(Lactulose)
   6622007293020
PDPs
90
MAPDs
KUVAN 100MG TABLET SOLUBLE
(Sapropterin DiHCL Soluble)
   6813503000277
PDPs
309
MAPDs
Kynamro 200 mg/mL INJECTION, SOLUTION
(mipomersen sodium)
   5846801910225
PDPs
119
MAPDs
Nizoral 20mg/mL 120 mL in 1 BOTTLE
(Ketoconazole)
120 mL in 1 BOTTLE  5045806800814
PDPs
47
MAPDs
POTASSIUM CHLORIDE 20MEQ IN D5W/NACL 0.225%
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)
12 X 1000 ML CTR0040979010949
PDPs
208
MAPDs
POTASSIUM CHLORIDE 0.15%/D5W/SODIUM CHLORIDE 0.45%
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)
1000 ML BAG0033806710475
PDPs
278
MAPDs
POTASSIUM CHLORIDE 0.15%/D5W/SODIUM CHLORIDE 0.9% 1000ML
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)
1000 ML BAG0026476520058
PDPs
256
MAPDs
POTASSIUM CHLORIDE 0.3%/D5W/SODIUM CHLORIDE 0.45% 1000ML BAG
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)
1000ML BAG0026476380074
PDPs
275
MAPDs
SPRIX 15.75mg/1 5 BOTTLE, SPRAY per CARTON / 8 SPRAY, METERED in 1 BOTTLE, SPRAY
(Ketorolac Tromethamine)
5 BOTTLE, SPRAY in 1 CART  005178880059
PDPs
33
MAPDs



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





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.