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

2024 PDP-DrugFinder:
Search Plan Formulary 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 X 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 2024 Formularies
PDPs MAPDs
ALPRAZOLAM 0.25 MG TABLET [Xanax]
(Alprazolam)
30 TABLETS   00781106110 52
PDPs
346
MAPDs
ALPRAZOLAM 0.5 MG TABLET [Xanax]
(Alprazolam)
30 TABLETS   00781107710 52
PDPs
346
MAPDs
ALPRAZOLAM 1 MG TABLET [Xanax]
(Alprazolam)
60 TABLETS   00781107905 52
PDPs
346
MAPDs
ALPRAZOLAM 2 MG TABLET [Xanax]
(Alprazolam)
60 TABLETS   00781108901 52
PDPs
346
MAPDs
ALPRAZOLAM ER 1 MG TABLET 24H [Xanax XR]
(Alprazolam)
30 tablets   65862045560 2
PDPs
65
MAPDs
ALPRAZOLAM ER 2 MG TABLET 24H [Xanax XR]
(Alprazolam)
30 tablets   65862045660 2
PDPs
65
MAPDs
ALPRAZOLAM ER 3 MG TABLET 24H [Xanax XR]
(Alprazolam)
30 tablets   65862045760 2
PDPs
65
MAPDs
BROMFENAC SODIUM 0.09% EYE DROPS [Xibrom]
(BROMFENAC SODIUM)
1.7 MLS   62332050817 13
PDPs
189
MAPDs
CYPROHEPTADINE 4 MG TABLET [Periactin]
()
30 TABLETS   70710111001 48
PDPs
300
MAPDs
HYDROCODONE-ACETAMIN 10-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
120 TABLETS   00406037805 17
PDPs
116
MAPDs
HYDROCODONE-ACETAMIN 5-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
30 TABLETS   27808011401 17
PDPs
140
MAPDs
HYDROCODONE-ACETAMIN 7.5-300 TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
60 TABLETS   00406037705 17
PDPs
116
MAPDs
HYDROCODONE-IBUPROFEN 10-200 TABLET [Xylon 10]
(Hydrocodone Bitartrate, Ibuprofen)
30 TABLETS   53746011701 15
PDPs
203
MAPDs
LEVALBUTEROL 0.31 MG/3 ML SOL VIAL-NEB [Xopenex Pediatric]
(Levalbuterol Tartrate)
90 MLS   76204070025 12
PDPs
228
MAPDs
LEVALBUTEROL 0.63 MG/3 ML SOL VIAL-NEB [Xopenex]
(Levalbuterol Tartrate)
75 MLS   65862094424 14
PDPs
229
MAPDs
LEVALBUTEROL 1.25 MG/3 ML SOL VIAL-NEB [Xopenex]
(Levalbuterol Tartrate)
75 MLS   76204090025 16
PDPs
248
MAPDs
LEVALBUTEROL CONC 1.25 MG/0.5 VIAL-NEB [Xopenex]
(Levalbuterol Tartrate)
30 UNITS   00378699393 13
PDPs
235
MAPDs
LEVALBUTEROL TAR HFA 45MCG INH [Xopenex]
(Levalbuterol HCl)
15.000 GM   00591292754 24
PDPs
235
MAPDs
LEVOCETIRIZINE 2.5 MG/5 ML SOLUTION [Xyzal Solution]
()
148 MLS   31722065931 12
PDPs
205
MAPDs
LEVOCETIRIZINE 5 MG TABLET [Xyzal Allergy 24 Hour]
(LEVOCETIRIZINE)
30 tablets   31722055190 54
PDPs
369
MAPDs
LIDOCAINE 2% VISCOUS SOLUTION [Xylocaine Viscous]
(Lidocaine)
100 MLS   60432046400 52
PDPs
364
MAPDs
LIDOCAINE HCL 4% SOLUTION [Xylocaine]
()
50 MLS   00054350547 39
PDPs
319
MAPDs
SODIUM OXYBATE 0.5 G/ML SOLUTION [Xyrem]
(Sodium Oxybate (Gamma Hydroxybutyrate Or Ghb))
MLS   00054962857 48
PDPs
334
MAPDs
TETRABENAZINE 12.5 MG TABLET [Xenazine]
(Tetrabenazine)
60 TABLETS   43598039467 54
PDPs
369
MAPDs
TETRABENAZINE 25 MG TABLET [Xenazine]
(Tetrabenazine)
84 TABLETS   43598039567 54
PDPs
369
MAPDs
XACIATO 2% VAGINAL GEL W/APPL
(Clindamycin)
GRAMS   78206018901 0
PDPs
1
MAPDs
XALATAN EYE DROPS 125MCG 2.5ML BOTPL
(Latanoprost Ophth)
2.5 ML BOTPL 00013830304 0
PDPs
1
MAPDs
Xalkori 200mg/1 60 CAPSULE BOTTLE
(CRIZOTINIB)
60 CAPSULE in 1 BOTTLE   00069814120 54
PDPs
369
MAPDs
Xalkori 250mg/1 60 CAPSULE BOTTLE
(CRIZOTINIB)
60 CAPSULE in 1 BOTTLE   00069814020 54
PDPs
369
MAPDs
XARELTO 1 MG/ML ORAL SUSPENSION
(Rivaroxaban)
MLS   50458057501 44
PDPs
319
MAPDs
XARELTO 10 MG TABLET
(Rivaroxaban)
30.000 EA   50458058030 54
PDPs
369
MAPDs
XARELTO 15 MG TABLET
(Rivaroxaban)
30.000 EA   50458057830 54
PDPs
369
MAPDs
XARELTO 2.5 MG TABLET
(Rivaroxaban)
60 tablets   50458057760 54
PDPs
369
MAPDs
XARELTO 20 MG TABLET
(Rivaroxaban)
30.000 EA   50458057930 54
PDPs
369
MAPDs
XARELTO STARTER PACK
(Rivaroxaban)
51 EA   50458058451 54
PDPs
369
MAPDs
XATMEP 2.5 MG/ML ORAL SOLUTION
(Methotrexate)
40 MLS   52652200106 54
PDPs
363
MAPDs
XCOPRI 100 MG TABLET
(Cenobamate)
TABLETS   71699010030 54
PDPs
369
MAPDs
XCOPRI 12.5-25 MG TITRATION PK TABLET DS PK
(Cenobamate)
UNITS   71699020128 54
PDPs
369
MAPDs
XCOPRI 150 MG TABLET
(Cenobamate)
TABLETS   71699015030 54
PDPs
369
MAPDs
XCOPRI 150-200 MG TITRATION PK TABLET DS PK
(Cenobamate)
UNITS   71699020328 54
PDPs
369
MAPDs
XCOPRI 200 MG TABLET
(Cenobamate)
90 TABLETS   71699020030 54
PDPs
369
MAPDs
XCOPRI 250 MG DAILY DOSE PACK TABLET
(Cenobamate)
TABLETS   71699010456 54
PDPs
369
MAPDs
XCOPRI 350 MG DAILY DOSE PACK TABLET
(Cenobamate)
TABLETS   71699010356 54
PDPs
369
MAPDs
XCOPRI 50 MG TABLET
(Cenobamate)
TABLETS   71699005030 54
PDPs
369
MAPDs
XCOPRI 50-100 MG TITRATION PAK TABLET DS PK
(Cenobamate)
UNITS   71699020228 54
PDPs
369
MAPDs
XDEMVY 0.25% DROPS
(Lotilaner)
MLS   81942012501 12
PDPs
94
MAPDs
XELJANZ 1 MG/ML SOLUTION
(Tofacitinib Citrate)
MLS   00069102902 46
PDPs
311
MAPDs
XELJANZ 10 MG TABLET
(Tofacitinib Citrate)
60 tablets   00069100201 46
PDPs
312
MAPDs
XELJANZ 5 MG TABLET
(Tofacitinib Citrate)
60 EA   00069100101 46
PDPs
312
MAPDs
XELJANZ XR 11 MG TABLET
(Tofacitinib Citrate)
    00069050130 46
PDPs
312
MAPDs
XELJANZ XR 22 MG TABLET ER 24H
(Tofacitinib Citrate)
TABLETS   00069050230 46
PDPs
312
MAPDs
XELPROS 0.005% EYE DROPS EMULS
()
mls   47335031790 0
PDPs
9
MAPDs
XELSTRYM 13.5 MG/9 HR PATCH
(Dextroamphetamine)
1 PATCH   68968021503 0
PDPs
5
MAPDs
XELSTRYM 18 MG/9 HR PATCH
(Dextroamphetamine)
PATCHES   68968022003 0
PDPs
5
MAPDs
XELSTRYM 4.5 MG/9 HR PATCH
(Dextroamphetamine)
PATCHES   68968020503 0
PDPs
5
MAPDs
XELSTRYM 9 MG/9 HR PATCH
(Dextroamphetamine)
30 PATCHES   68968021003 0
PDPs
5
MAPDs
XENAZINE TABLET 25 MG
(Tetrabenazine)
112 BOT 67386042201 0
PDPs
5
MAPDs
XENAZINE TABLETS 12.5MG 112 BOTTLE
(Tetrabenazine)
112 BOT 67386042101 0
PDPs
5
MAPDs
XENLETA 600 MG TABLET
(Lefamulin)
tablets   72000011030 1
PDPs
56
MAPDs
XERESE 5%-1% CREAM
(acyclovir and hydrocortisone topical)
5 GM   00187510401 0
PDPs
3
MAPDs
XERMELO 250 MG TABLET
(Telotristat Ethyl)
TABLETS   70720012585 51
PDPs
352
MAPDs
XGEVA 120mg/1.7mL 1 VIAL, SINGLE-USE per CARTON / 1.7 mL in 1 VIAL, SINGLE-USE
(DENOSUMAB)
1 VIAL, SINGLE-USE   55513073001 54
PDPs
369
MAPDs
XHANCE 93 MCG NASAL SPRAY AER BR.ACT
(Fluticasone Propionate)
16 mls   71143037501 17
PDPs
152
MAPDs
XIFAXAN 200MG TABLET
(Rifaximin)
30 BOT 65649030103 19
PDPs
237
MAPDs
XIFAXAN 550 MG TABLET
(Rifaximin)
60.000 EA   65649030302 54
PDPs
369
MAPDs
XIGDUO XR 10 MG-1,000 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)
30 EA   00310628030 49
PDPs
321
MAPDs
XIGDUO XR 10 MG-500 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)
30 EA   00310627030 49
PDPs
321
MAPDs
XIGDUO XR 2.5 MG-1,000 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)
60   00310622560 49
PDPs
321
MAPDs
XIGDUO XR 5 MG-1,000 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)
60 EA   00310626060 49
PDPs
321
MAPDs
XIGDUO XR 5 MG-500 MG TABLET
(Dapagliflozin and Metformin Hydrochloride)
30 EA   00310625030 49
PDPs
321
MAPDs
XIIDRA 5% EYE DROPS DROPERETTE
(Lifitegrast)
60 UNITS   00078091112 22
PDPs
224
MAPDs
XIMINO ER 135 MG CAPSULE ER 24H
(Minocycline Hydrochloride)
CAPSULES   69489012330 0
PDPs
1
MAPDs
XIMINO ER 90 MG CAPSULE ER 24H
(Minocycline Hydrochloride)
30 CAPSULES   69489012230 0
PDPs
1
MAPDs
XOFLUZA 40 MG TABLET
(Baloxavir)
1 TABLET   50242086001 33
PDPs
258
MAPDs
XOFLUZA 80 MG TABLET
(Baloxavir)
1 TABLET   50242087701 33
PDPs
260
MAPDs
XOLAIR 150 MG/ML SYRINGE
(Omalizumab (Hamster))
2 mls   50242021501 54
PDPs
369
MAPDs
XOLAIR 150MG VIAL
(Omalizumab For)
1 X VIAL 50242004062 51
PDPs
352
MAPDs
XOLAIR 75 MG/0.5 ML SYRINGE
(Omalizumab (Hamster))
ml   50242021401 54
PDPs
369
MAPDs
XOPENEX HFA 45 MCG INHALER HFA AER AD
(Levalbuterol Tartrate)
15 GRAMS   27437005601 7
PDPs
50
MAPDs
XOSPATA 40 MG TABLET
(Gilteritinib)
tablets   00469142590 54
PDPs
369
MAPDs
XPOVIO 100 MG ONCE WEEKLY DOSE TABLET
(Selinexor)
TABLETS   72237010305 54
PDPs
368
MAPDs
XPOVIO 40 MG ONCE WEEKLY DOSE TABLET
(Selinexor)
TABLETS   72237010207 54
PDPs
368
MAPDs
XPOVIO 40 MG TWICE WEEKLY DOSE TABLET
(Selinexor)
TABLETS   72237010206 54
PDPs
368
MAPDs
XPOVIO 60 MG ONCE WEEKLY DOSE TABLET
(Selinexor)
TABLETS   72237010401 54
PDPs
368
MAPDs
XPOVIO 60 MG TWICE WEEKLY DOSE TABLET
(Selinexor)
6 TABLETS   72237010103 54
PDPs
369
MAPDs
XPOVIO 80 MG ONCE WEEKLY DOSE TABLET
(Selinexor)
TABLETS   72237010202 54
PDPs
368
MAPDs
XPOVIO 80 MG TWICE WEEKLY DOSE TABLET
(Selinexor)
8 TABLETS   72237010104 54
PDPs
369
MAPDs
XTAMPZA ER 13.5 MG CAPSULE
(Oxycodone)
    24510011510 15
PDPs
96
MAPDs
XTAMPZA ER 18 MG CAPSULE
(Oxycodone)
    24510012010 15
PDPs
98
MAPDs
XTAMPZA ER 27 MG CAPSULE
(Oxycodone)
    24510013010 15
PDPs
98
MAPDs
XTAMPZA ER 36 MG CAPSULE
(Oxycodone)
    24510014010 15
PDPs
96
MAPDs
XTAMPZA ER 9 MG CAPSULE
(Oxycodone)
    24510011010 15
PDPs
96
MAPDs
XTANDI 40 MG CAPSULE
(enzalutamide)
    00469012599 54
PDPs
369
MAPDs
XTANDI 40 MG TABLET
(enzalutamide)
TABLETS   00469062599 54
PDPs
369
MAPDs
XTANDI 80 MG TABLET
(enzalutamide)
TABLETS   00469072560 54
PDPs
369
MAPDs
Xulane Patch
(norelgestromin / ethinyl estradiol)
    00378334053 15
PDPs
259
MAPDs
XULTOPHY 100 UNIT-3.6MG/ML PEN
(Insulin Degludec and Liraglutide)
3 ML   00169291115 17
PDPs
216
MAPDs
XURIDEN GRANULE PACKET
(Uridine Triacetate)
1 unit   69468015230 1
PDPs
52
MAPDs
XYOSTED 100 MG/0.5 ML AUTO-INJECT
(Testosterone Enanthate)
2 mls   54436020004 0
PDPs
51
MAPDs
XYOSTED 50 MG/0.5 ML AUTO-INJ AUTO INJCT
(Testosterone Enanthate)
2 MLS   54436025004 0
PDPs
51
MAPDs
XYOSTED 75 MG/0.5 ML AUTO-INJECT
(Testosterone Enanthate)
2 mls   54436027504 0
PDPs
51
MAPDs
XYREM 500MG/ML ORAL SOLUTION
(Sodium Oxybate Oral)
180 ML BOT 68727010001 5
PDPs
56
MAPDs
XYWAV 0.5 GM/ML ORAL SOLUTION
(Calcium Oxybate, Magnesium Oxybate, Potassium Oxybate, Sodium Oxybate (Gamma Hydroxybutyrate Or Ghb))
MLS   68727015001 1
PDPs
73
MAPDs
ZAFEMY 150-35 MCG/DAY PATCH [Xulane]
(Norelgestromin, Ethinyl Estradiol)
3 PATCHES   65162035803 15
PDPs
251
MAPDs






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.