q1medicare.com
Powered by Q1Group LLC
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 ⌕

2015 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:
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 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 2015 Formularies
PDPsMAPDs
ACULAR 0.5% EYE DROPS
(Ketorolac Tromethamine Ophth)		5 ML BOT0002321810510
PDPs		30
MAPDs
ACULAR LS 0.4% OPHTH SOL
(Ketorolac Tromethamine Ophth)		5 ML BOTDR0002392770510
PDPs		30
MAPDs
ACUVAIL 0.45% OPHTH SOLUTION #30X0.4 EA
(Ketorolac Tromethamine Ophth)		#30X0.4  0002335073014
PDPs		90
MAPDs
EXTINA 2% FOAM
(Ketoconazole)		100 GM  400760051006
PDPs		44
MAPDs
K-TAB ER 20 MEQ TABLET
(Potassium Chloride)		   0007430231316
PDPs		67
MAPDs
K-TAB 10MEQ 750 MG TABLET SA
(Potassium Chloride)		1000 BOT0007478041919
PDPs		77
MAPDs
K-tab er 8 meq tablet
(Potassium Chloride)		   0007430584622
PDPs		99
MAPDs
KADCYLA 100 MG VIAL
(Trastuzumab Emtansine)		   5024200880161
PDPs		328
MAPDs
KADIAN ER 10 MG CAPSULE
(Morphine Sulfate)		  525440011605
PDPs		34
MAPDs
KADIAN ER 100 MG CAPSULE
(Morphine Sulfate)		  525440164607
PDPs		36
MAPDs
KADIAN ER 20 MG CAPSULE
(Morphine Sulfate)		  525440211605
PDPs		29
MAPDs
KADIAN ER 200 MG CAPSULE
(Morphine Sulfate)		  5254402206010
PDPs		58
MAPDs
KADIAN ER 30 MG CAPSULE
(Morphine Sulfate)		  525440032605
PDPs		29
MAPDs
KADIAN ER 40 MG CAPSULE
(Morphine Sulfate)		  525440039606
PDPs		44
MAPDs
KADIAN ER 50 MG CAPSULE
(Morphine Sulfate)		  525440052605
PDPs		29
MAPDs
KADIAN ER 60 MG CAPSULE
(Morphine Sulfate)		  525440063607
PDPs		34
MAPDs
KADIAN ER 80 MG CAPSULE
(Morphine Sulfate)		  525440896607
PDPs		34
MAPDs
Kaletra 100; 25mg/1; mg/1 60 FILM COATED TABLETS in BOTTLE
(Lopinavir-Ritonavir)		60 TABLET, FILM COATED in  0007405226067
PDPs		347
MAPDs
KALETRA 50-200MG TABLET
(Lopinavir-Ritonavir)		120 BOT0007467992267
PDPs		347
MAPDs
KALETRA 80MG/20MG ORAL SOLUTION
(Lopinavir-Ritonavir)		160 ML BOT0007439564667
PDPs		347
MAPDs
KALYDECO 150 MG TABLET
(ivacaftor)		60 EA  5116702000249
PDPs		252
MAPDs
KALYDECO 50 MG GRANULES PACKET
(ivacaftor)		56 EA  5116703000140
PDPs		224
MAPDs
KALYDECO 75 MG GRANULES PACKET
(ivacaftor)		56 EA  5116704000140
PDPs		224
MAPDs
KAPVAY ER 0.1 MG TABLET
(CLONIDINE HYDROCHLORIDE)		   592120658604
PDPs		36
MAPDs
KARIVA 21-5 TABLET
(Desogestrel & Ethinyl Estradiol)		21ACTIVE,5ETHINYL,2PLACEB BLPK0055590505861
PDPs		312
MAPDs
KAYEXALATE POWDER
(Sodium Polystyrene Sulfonate Oral)		   249870075016
PDPs		30
MAPDs
KEFLEX 250 MG CAPSULE
(Cephalexin)		   5963001121010
PDPs		29
MAPDs
KEFLEX 750 MG CAPSULE
(Cephalexin)		   596300115058
PDPs		46
MAPDs
KEFLEX 500 MG CAPSULE
(Cephalexin)		   5963001131010
PDPs		29
MAPDs
KELNOR 1-35 1-0.035MG TABLET
(Ethynodiol Diacetate & Ethinyl Estradiol)		28 (21+7) BLPK0055590645855
PDPs		271
MAPDs
Kenalog 0.147mg/g 63 g in 1 CAN
(Triamcinolone Acetonide)		63 g in 1 CAN  1063100936221
PDPs		102
MAPDs
KENALOG-10 10 MG/ML VIAL
(Triamcinolone Acetonide)		5 ML  000030494207
PDPs		65
MAPDs
KENALOG-40 40 MG/ML VIAL
(Triamcinolone Acetonide)		1 ML  000030293059
PDPs		69
MAPDs
KEPIVANCE 6.25 MG VIAL
(Palifermin For IV)		   6665801120338
PDPs		208
MAPDs
KEPPRA 100MG/ML ORAL SOLUTION
(Levetiracetam)		16 FLO BOT5047400014810
PDPs		43
MAPDs
Keppra 1000mg/1 60 FILM COATED TABLETS in BOTTLE, PLASTIC
(Levetiracetam)		60 TABLET, FILM COATED in  5047405976610
PDPs		43
MAPDs
KEPPRA 250MG TABLET
(Levetiracetam)		120 TABS BOT5047405944010
PDPs		43
MAPDs
KEPPRA 500MG TABLET
(Levetiracetam)		120 TABS BOT5047405954010
PDPs		43
MAPDs
KEPPRA TABLETS EXTENDED RELEASE 500MG 60 BOT
(Levetiracetam)		60 BOT504740598667
PDPs		44
MAPDs
KEPPRA 750MG TABLET
(Levetiracetam)		120 TABS BOT5047405964010
PDPs		43
MAPDs
KEPPRA 750MG XR TABLET
(Levetiracetam)		60 BOT504740599667
PDPs		44
MAPDs
KERYDIN 5% TOPICAL SOLUTION
(Tavaborole)		   103370905443
PDPs		23
MAPDs
Ketek 300mg/1 20 FILM COATED TABLETS in BOTTLE
(Telithromycin)		20 TABLET, FILM COATED in  0008822232030
PDPs		138
MAPDs
KETEK 400MG TABLET
(Telithromycin)		60 CT BOT0008822254130
PDPs		146
MAPDs
KETOCONAZOLE SHAMPOO
(Ketoconazole)		118.28ML BOTPL 0078170900467
PDPs		346
MAPDs
KETOCONAZOLE 2% CREAM
(Ketoconazole)		30 GRAMS TUBE0009308403067
PDPs		347
MAPDs
Ketoconazole 200mg 100 TABLET BOTTLE
(Ketoconazole)		100 TABLET BOTTLE  0037802610167
PDPs		345
MAPDs
KETOPROFEN 200MG CAPSULE 24HR SR PELLETS
(Ketoprofen)		100 BOT0037882000137
PDPs		247
MAPDs
KETOPROFEN 50MG CAPSULE
(Ketoprofen)		100 BOT0037840700161
PDPs		325
MAPDs
KETOPROFEN 75MG CAPSULE
(Ketoprofen)		100 CAPSULES BOT0009331950161
PDPs		325
MAPDs
KETOROLAC 0.4% OPHTH SOLUTION
(Ketorolac)		5 ML  6131400180567
PDPs		346
MAPDs
KETOROLAC 10MG TABLET
(Ketorolac)		100 TABLETS BOT0009303140125
PDPs		142
MAPDs
ketorolac 30 mg/ml vial
(Ketorolac)		   0064160422510
PDPs		121
MAPDs
Ketorolac Tromethamine 15mg/mL 25 VIAL, SINGLE-DOSE in 1 TRAY / 1 mL in 1 VIAL, SINGLE-DOSE
(Ketorolac Tromethamine)		25 VIAL, SINGLE-DOSE in 1  0040937934910
PDPs		127
MAPDs
Ketorolac Tromethamine 5mg/mL 10 mL in 1 BOTTLE
(Ketorolac Tromethamine)		10 mL in 1 BOTTLE  4161602219067
PDPs		347
MAPDs
KEYTRUDA 50 MG VIAL
(Pembrolizumab)		   0000630290153
PDPs		292
MAPDs
KHEDEZLA ER 100 MG TABLET
(desvenlafaxine)		30 EA  6522408903122
PDPs		151
MAPDs
KHEDEZLA ER 50 MG TABLET
(desvenlafaxine)		90 EA  6522408809022
PDPs		151
MAPDs
Kineret 100mg/0.67mL
(Anakinra Subcutaneous)		   6665802342840
PDPs		237
MAPDs
KIONEX POW USP
(Sodium Polystyrene Sulfonate Oral)		454 GM BOTPL0057420041658
PDPs		308
MAPDs
KLARON 10% LOTION
(Sulfacetamide Sodium)		   0018751980411
PDPs		44
MAPDs
Klonopin 0.5mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)		100 TABLET in 1 BOTTLE, P  000040068016
PDPs		35
MAPDs
Klonopin 1mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)		100 TABLET in 1 BOTTLE, P  000040058016
PDPs		35
MAPDs
Klonopin 2mg/1 100 TABLET BOTTLE, PLASTIC
(Clonazepam)		100 TABLET in 1 BOTTLE, P  000040098016
PDPs		35
MAPDs
Klor-Con 10 MEQ Tablet
(Potassium Chloride)		   6675801600165
PDPs		338
MAPDs
Klor-Con 8 MEQ Tablet
(Potassium Chloride)		   6675801100165
PDPs		332
MAPDs
Klor-Con M15 Tablet
(Potassium Chloride Microencapsulated Crys CR)		   6675801800150
PDPs		296
MAPDs
Klor-Con M20 Tablet
(Potassium Chloride Microencapsulated Crys CR)		   6675801901067
PDPs		344
MAPDs
KOMBIGLYZE XR 2.5-1,000 MG TAB
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)		60 EA  0031061256038
PDPs		191
MAPDs
KOMBIGLYZE XR 5-1,000 MG TAB
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)		30 EA  0031061453038
PDPs		191
MAPDs
KOMBIGLYZE XR 5-500 MG TABLET
(SAXAGLIPTIN AND METFORMIN HYDROCHLORIDE)		30 EA  0031061353038
PDPs		191
MAPDs
KORLYM 300 MG TABLET
(mifepristone)		   7634600730123
PDPs		166
MAPDs
KRISTALOSE 10 GM PACKET
(Lactulose)		   6622007193017
PDPs		102
MAPDs
KRISTALOSE 20 GM PACKET
(Lactulose)		   6622007293017
PDPs		102
MAPDs
KUVAN 100MG TABLET SOLUBLE
(Sapropterin DiHCL Soluble)		   6813503000267
PDPs		347
MAPDs
KUVAN 500 MG POWDER PACKET
(Sapropterin Dihydrochloride Soluble)		1 EA  6813504821058
PDPs		288
MAPDs
Kynamro 200 mg/mL INJECTION, SOLUTION
(mipomersen sodium)		   5846801910223
PDPs		126
MAPDs
Nizoral 20mg/mL 120 mL in 1 BOTTLE
(Ketoconazole)		120 mL in 1 BOTTLE  5045806800811
PDPs		47
MAPDs
POTASSIUM CHLORIDE 20MEQ IN D5W/NACL 0.225%
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)		12 X 1000 ML CTR0040979010947
PDPs		240
MAPDs
POTASSIUM CHLORIDE 0.15%/D5W/SODIUM CHLORIDE 0.9% 1000ML
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)		1000 ML BAG0026476520050
PDPs		280
MAPDs
POTASSIUM CHLORIDE 0.3%/D5W/SODIUM CHLORIDE 0.45% 1000ML BAG
(DEXTROSE (ANHYDROUS)/POTASSIUM CHLORIDE/SODIUM CHLORIDE)		1000ML BAG0026476380065
PDPs		311
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  005178880055
PDPs		40
MAPDs



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




Medicare Supplements
fill the gaps in your
Original Medicare
1. Enter Your ZIP Code:
» Medicare Supplement FAQs




© Q1Group LLC 2005 - 2024  



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.
.