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2012 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 H 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 2012 Formularies
PDPsMAPDs
A-HYDROCORT 100MG VIAL
(Hydrocortisone Sodium Succinate For)
10 X 2 ML VIAL0040948560549
PDPs
166
MAPDs
ACETASOL HC SOLUTION 10ML 10 ML BOT
(Hydrocortisone w/ Acetic Acid Otic)
10 ML BOT0047208828257
PDPs
198
MAPDs
ACTHIB VACCINE VIAL 10-24UNT/5ML
(Haemophilus B Polysaccharide Conjugate Vaccine)
5 X 1 DOSE VIAL4928105450571
PDPs
245
MAPDs
ADALIMUMAB 50 MG/ML PREFILLED SYRINGE [HUMIRA]
(Adalimumab)
0.4 ML  0007493740270
PDPs
238
MAPDs
ALA-CORT 1% CREAM
(Hydrocortisone)
3 OZ TUBE0031601260350
PDPs
179
MAPDs
ALA-CORT 1% LOTION
(Hydrocortisone)
4 FLO BOTGL0031601310451
PDPs
169
MAPDs
ALA-SCALP HP 2% LOTION
(Hydrocortisone)
1 OZ BOT0031601400125
PDPs
97
MAPDs
ANUSOL-HC 2.5% CREAM
(Hydrocortisone)
   6564904013017
PDPs
62
MAPDs
CITOLOPRAM HBR 10MG TABLET (100 CT)
(Citalopram Hydrobromide)
100 BOT3172202060171
PDPs
245
MAPDs
CITALOPRAM HBR ORAL SOLUTION 10MG 240ML BOTPL
(Citalopram Hydrobromide)
240 ML BOTPL6586200742471
PDPs
244
MAPDs
CO-GESIC 5/500 TABLET
(Hydrocodone-Acetaminophen)
100 BOT0013121043755
PDPs
196
MAPDs
COLOCORT 100MG ENEMA
(Hydrocortisone)
7 X 60 ML BOTAP0057420200752
PDPs
169
MAPDs
COMVAX VACCINE VIAL
(Haemophilus B Polysac Conj-Hepatitis B (Recomb) Vac IM)
10 X .5MLSINGLE DOSE VIAL BOX0000648980071
PDPs
245
MAPDs
CORTEF 10MG TABLET
(Hydrocortisone)
100 BOT0000900310121
PDPs
62
MAPDs
CORTEF 20MG TABLET
(Hydrocortisone)
100 BOT0000900440120
PDPs
59
MAPDs
CORTEF 5MG TABLET
(Hydrocortisone)
50 BOT0000900120121
PDPs
62
MAPDs
CORTENEMA 100MG/60ML ENEMA
(Hydrocortisone)
   6255911100718
PDPs
55
MAPDs
CORTIFOAM RECTAL FOAM
(Hydrocortisone Acetate Rectal)
15 GM X CONTAINER CRTN 6822001401547
PDPs
136
MAPDs
DILAUDID HYDROMORPHONE HCL ORAL LIQUID 1MG/ML 1 PINT BOTGL
(Hydromorphone HCl)
1 PINT BOTGL5901104510133
PDPs
122
MAPDs
DILAUDID HYDROMORPHONE HYDROCHLORIDE INJECTION 1MG/ML 10 AMPULES BOX
(Hydromorphone HCl)
10 AMPULES BOX5901104411022
PDPs
62
MAPDs
DILAUDID HP HYDROMORPHONE HCL INJECTION 10MG/ML ML VIALSD
(Hydromorphone HCl)
ML VIALSD5901104455025
PDPs
63
MAPDs
DILAUDID HYDROMORPHONE HCL INJECTION 2MG/ML 10 AMP BOX
(Hydromorphone HCl)
10 AMP BOX5901104421022
PDPs
62
MAPDs
DILAUDID HYDROMORPHONE HCL TABLETS 2MG 100 TABS BOT
(Hydromorphone HCl)
100 TABS BOT5901104521014
PDPs
48
MAPDs
DILAUDID HYDROMORPHONE HCL INJECTION 4MG/ML 10 AMP BOX
(Hydromorphone HCl)
10 AMP BOX5901104441022
PDPs
62
MAPDs
DILAUDID HYDROMORPHONE HCL TABLETS 4MG 100 TAB BOT
(Hydromorphone HCl)
100 TAB BOT5901104541014
PDPs
48
MAPDs
DILAUDID HYDROMORPHONE HCL TABLETS 8MG 100 TAB BOT
(Hydromorphone HCl)
100 TAB BOT5901104581014
PDPs
48
MAPDs
DOXERCALCIFEROL 0.001 MG ORAL CAPSULE [HECTOROL]
()
   5846801240145
PDPs
176
MAPDs
DROXIA 200MG CAPSULE
(Hydroxyurea)
60 BOTPL0000363351757
PDPs
205
MAPDs
DROXIA 300MG CAPSULE
(Hydroxyurea)
60 BOTPL0000363361757
PDPs
204
MAPDs
DROXIA 400MG CAPSULE
(Hydroxyurea)
60 BOTPL0000363371757
PDPs
204
MAPDs
ENGERIX B INJECTION
(Hepatitis B Vaccine (Recombinant))
10 SYR CRTN 5816008205271
PDPs
245
MAPDs
ENGERIX-B 10MCG 10 X 0.5ML VIALSD
(Hepatitis B Vaccine (Recombinant))
10 X 0.5 ML VIALSD5816008201170
PDPs
242
MAPDs
ENGERIX B INJECTION 20MCG/ML
(Hepatitis B Vaccine (Recombinant))
1ML X 1 SYR CRTN5816008213271
PDPs
244
MAPDs
EXALGO 12mg/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(HYDROMORPHONE HYDROCHLORIDE)
100 TABLET, EXTENDED RELE  2363504120135
PDPs
106
MAPDs
EXALGO 16mg/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(HYDROMORPHONE HYDROCHLORIDE)
100 TABLET, EXTENDED RELE  2363504160135
PDPs
106
MAPDs
EXALGO 8mg/1 100 TABLET, EXTENDED RELEASE in 1 BOTTLE
(HYDROMORPHONE HYDROCHLORIDE)
100 TABLET, EXTENDED RELE  2363504080135
PDPs
106
MAPDs
Halaven 0.5mg/mL
(Eribulin)
   6285603890155
PDPs
183
MAPDs
HALOG OINTMENT 1mg/g 60 g in 1 TUBE
(Halcinonide)
60 g in 1 TUBE  1063100963026
PDPs
106
MAPDs
HALDOL INJECTION
(Haloperidol Lactate)
1ML X 1 AMP X 10 BOX 5045802550131
PDPs
111
MAPDs
HALDOL DECANOATE INJECTION
(Haloperidol Decanoate IM)
1ML X 5 AMP BOX 5045802541434
PDPs
115
MAPDs
HALDOL DECANOATE INJECTION
(Haloperidol Decanoate IM)
1ML X 3 AMP BOX 5045802530334
PDPs
115
MAPDs
HalfLytely and Bisacodyl Bowel Prep with Flavor Packs 1 KIT in 1 CARTON
(Bisacodyl)
1 KIT in 1 CARTON  5226805230244
PDPs
142
MAPDs
Halobetasol Propionate 0.5mg/g 1 TUBE in 1 CARTON / 50 g in 1 TUBE
(Halobetasol Propionate)
1 TUBE in 1 CARTON / 50 g  4580201313269
PDPs
237
MAPDs
halobetasol propionate 0.5mg/g 50 g in 1 TUBE
(Halobetasol Propionate)
50 g in 1 TUBE  0016803555069
PDPs
237
MAPDs
Halog 1mg/g 60 g in 1 TUBE
(Halcinonide)
60 g in 1 TUBE  1063100943027
PDPs
107
MAPDs
HALOPERIDOL DEC 100MG/ML VL
(Haloperidol Decanoate IM)
1 X 5 ML VIALMD0070370230171
PDPs
244
MAPDs
HALOPERIDOL DEC 50MG 10 X 1ML PKG
(Haloperidol Decanoate IM)
10 X 1 ML PKG0070370110371
PDPs
245
MAPDs
HALOPERIDOL LAC 2MG/ML CONC
(Haloperidol Lactate)
120 ML BOT0009396041271
PDPs
245
MAPDs
HALOPERIDOL LAC 5MG/ML VIAL
(Haloperidol Lactate)
1 X 10 ML PKG0070370450170
PDPs
244
MAPDs
HALOPERIDOL 0.5MG TABLET
(Haloperidol)
100 BOT0078113910171
PDPs
245
MAPDs
HALOPERIDOL 1MG TABLET
(Haloperidol)
100 BOT0078113920171
PDPs
245
MAPDs
HALOPERIDOL 10MG TABLET (1000 CT)
(Haloperidol)
1000 BOT6838200801071
PDPs
245
MAPDs
HALOPERIDOL 2MG TABLET (100 CT)
(Haloperidol)
100 BOT0037802140171
PDPs
245
MAPDs
HALOPERIDOL 20MG TABLET (100 CT)
(Haloperidol)
100 BOT6838200810171
PDPs
240
MAPDs
HALOPERIDOL 5MG TABLET
(Haloperidol)
100 BOT0078113960171
PDPs
245
MAPDs
HAVRIX HEPATITIS A VACCINE INACTIVATED INJECTION SOLUTION 1440UNITS 10 X 1ML VIALSD
(Hepatitis A Vaccine)
10 X 1 ML VIALSD5816008261171
PDPs
234
MAPDs
HAVRIX HEPATITIS A VACCINE INJECTION
(Hepatitis A Vaccine)
10 SYR CRTN 5816008255271
PDPs
245
MAPDs
HECTOROL 0.5MCG CAPSULE
(Doxercalciferol)
   5846801200147
PDPs
192
MAPDs
HECTOROL 2.5MCG CAPSULE
(Doxercalciferol)
   5846801210147
PDPs
181
MAPDs
Hectorol 4ug/2mL
(Doxercalciferol)
   5846801230144
PDPs
167
MAPDs
HELIDAC THERAPY
(Metronidaz)
56 PKGCOM6548304951427
PDPs
106
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
10 ML X 1 VIALMD X 25 TRAY 0040927200271
PDPs
244
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 1 VIALSD X 25 VIAL TRAY 0040927210171
PDPs
242
MAPDs
HEPARIN 25000U-1/2NS 250ML
(Heparin Sodium)
24 X 250 ML CTR0040976506255
PDPs
215
MAPDs
HEPARIN NA 2000UNITS/ML VIAL
(Heparin Sodium)
25 X 5ML VIAL0040925810265
PDPs
227
MAPDs
HEPARIN SODIUM INJECTION SOLUTION 200UNITS 12 X 1000ML CTR
(Heparin Sodium)
12 X 1000 ML CTR0040976205961
PDPs
225
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 25 VIAL CRTN 2502104040170
PDPs
239
MAPDs
Heparin Sodium in Dextrose 5; 4000g/100mL; [USP'U]/100mL 24 CONTAINER in 1 CASE / 500 mL in 1 CONTA
(Heparin Sodium)
24 CONTAINER in 1 CASE /  0026495671065
PDPs
223
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
10 ML X 1 VIALMD TRAY 0040927230271
PDPs
245
MAPDs
HEPARIN 25000U-1/2NS 500ML
(Heparin Sodium)
24 X 500 ML CTR0040976510355
PDPs
210
MAPDs
HEPATAMINE INJECTION 8%
(Amino Acid Infusion)
6 X 500 ML BOTGL0026493715560
PDPs
193
MAPDs
HEPATASOL INJECTION 8% 500ML BAG
(Amino Acid Infusion)
500 ML BAG0033805040349
PDPs
166
MAPDs
HEPATITIS B VACCINE RECOMBIANT ADULT FORMULATION INJECTION 10MCG 1ML VIALSD
(Hepatitis B Vaccine)
1 ML VIALSD0000649950071
PDPs
245
MAPDs
HEPSERA 10MG TABLET
(Adefovir Dipivoxil)
   6195805010171
PDPs
245
MAPDs
HERCEPTIN 440MG VIAL
(Trastuzumab For IV)
1 X VIAL AND DILUENT PKGCOM5024201346857
PDPs
199
MAPDs
HEXALEN CAPSULES
(Altretamine)
100 BOT 6285600011071
PDPs
245
MAPDs
HIPREX 1GM TABLET
(Methenamine Hippurate)
100 BOT0006802776117
PDPs
65
MAPDs
HIZENTRA LIQUID
(Immune Globulin (Human) Subcutaneous)
5ML X 1 VIALSD CRTN 4420604510137
PDPs
117
MAPDs
HORIZANT 600mg/1 30 TABLET in 1 BOTTLE
(GABAPENTIN ENACARBIL)
30 TABLET in 1 BOTTLE  0017308060129
PDPs
69
MAPDs
HUMALOG 100U/ML VIAL
(Insulin Lispro (Human))
1 X 10 ML VIAL0000275100160
PDPs
217
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 0000287995959
PDPs
205
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL0000275120161
PDPs
220
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL0000275110160
PDPs
217
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 0000287985960
PDPs
207
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 0000287975959
PDPs
205
MAPDs
HUMATROPE 12MG CARTRIDGE
(Somatropin For)
1 PKGCOM0000281480137
PDPs
156
MAPDs
HUMATROPE 24MG CARTRIDGE
(Somatropin For)
1 CARTRIDGE VIAL0000281490137
PDPs
156
MAPDs
HUMATROPE FOR INJECTION 5MG 6 X 5ML VIAL
(Somatropin For)
6 X 5 ML VIAL0000273351636
PDPs
155
MAPDs
HUMATROPE 6MG CARTRIDGE
(Somatropin For)
1 CTG0000281470137
PDPs
150
MAPDs
Humira 2 KIT in 1 CARTON / 1 KIT in 1 KIT
(Adalimumab)
2 KIT in 1 CARTON / 1 KIT  0007437990271
PDPs
244
MAPDs
HUMIRA PEN KIT 40MG-70% 1 PKGCOM
(Adalimumab)
1 PKGCOM0007443390668
PDPs
230
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL0000287150160
PDPs
210
MAPDs
HUMULIN 70/30 PEN INJECTION 100UNT 1 X 3.0ML(PEN) CTG
(Insulin Isophane & Regular (Human))
1 X 3.0 ML(PEN) CTG0000287700159
PDPs
199
MAPDs
HUMULIN N PEN INJECTION 100UNT 1 X 3.0ML (PEN) CTG
(Insulin Isophane (Human))
1 X 3.0 ML (PEN) CTG0000287300159
PDPs
201
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL0000283150160
PDPs
210
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL0000282150160
PDPs
211
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL0000285010165
PDPs
214
MAPDs
HYCAMTIN POWDER FOR INJECTION SOLUTION 4MG 1 VIAL
(Topotecan HCl For)
1 VIAL0000742010124
PDPs
79
MAPDs
Hycet 325; 7.5mg/15mL; mg/15mL 473 mL in 1 BOTTLE
(Hydrocodone-Acetaminophen)
473 mL in 1 BOTTLE  1355108010519
PDPs
75
MAPDs
HYDRALAZINE 10MG TABLET
(Hydralazine HCl)
1000 BOT4988400291071
PDPs
245
MAPDs
HYDRALAZINE 100MG TABLET
(Hydralazine HCl)
100 BOT4988401210171
PDPs
245
MAPDs
HYDRALAZINE HYDROCHLORIDE INJECTION USP
(Hydralazine HCl)
25 X 1 ML VIALSD 0051709012563
PDPs
224
MAPDs
HYDRALAZINE 25MG TABLET
(Hydralazine HCl)
1000 BOT4988400271071
PDPs
245
MAPDs
HYDRALAZINE 50MG TABLET
(Hydralazine HCl)
1000 BOT4988400281071
PDPs
245
MAPDs
HYDREA 500MG CAPSULE
(Hydroxyurea)
100 BOT0000308305019
PDPs
68
MAPDs
HYDROCHLORIDE 50MG TABLET (1000 CT)
(HYDROCHLORIDE)
1000 BOT0037836021071
PDPs
245
MAPDs
HYDROCHLOROTHIAZIDE 12.5MG TABLET
(Hydrochlorothiazide)
100 BOT0022828201165
PDPs
225
MAPDs
HYDROCHLOROTHIAZIDE 12.5MG CAPSULE (100 CT)
(Hydrochlorothiazide)
100 BOT0060338552171
PDPs
244
MAPDs
HYDROCHLOROTHIAZIDE TABLETS 25MG
(Hydrochlorothiazide)
1000 BOT0060338563271
PDPs
245
MAPDs
HYDROCHLOROTHIAZIDE 25 MG / TRIAMTERENE 50 MG ORAL CAPSULE
(Triamterene & Hydrochlorothiazide)
   0078127150170
PDPs
242
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 10mg/1; mg/1
(Hydrocodone-Acetaminophen)
   6437606430149
PDPs
168
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 5mg/1; mg/1
(Hydrocodone-Acetaminophen)
   6437606480149
PDPs
170
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 7.5mg/1; mg/1
(Hydrocodone-Acetaminophen)
   6437606490149
PDPs
170
MAPDs
Hydrocodone Bitartrate and Acetaminophen 325; 7.5mg/15mL; mg/15mL
(Hydrocodone-Acetaminophen)
   6437606401653
PDPs
152
MAPDs
HYDROCODONE/APAP 10/325 TABLET
(Hydrocodone-Acetaminophen)
500 BOT0040603670571
PDPs
244
MAPDs
HYDROCODONE-ACETAMINOPHEN 5MG-325MG TABLET
(Hydrocodone-Acetaminophen)
100 BOT0060338902170
PDPs
241
MAPDs
Hydrocodone Bitartrate And Acetaminophen 500; 7.5mg/1; mg/1 500 TABLET in 1 BOTTLE, PLASTIC
(Hydrocodone-Acetaminophen)
500 TABLET BOTTLE  0060338822871
PDPs
242
MAPDs
HYDROCODONE-ACETAMINOPHEN 10MG-500MG TABLET
(Hydrocodone-Acetaminophen)
180 BOT0060338880471
PDPs
243
MAPDs
HYDROCODONE/APAP 2.5/500 TABLET
(Hydrocodone-Acetaminophen)
100 BOT0060338802171
PDPs
241
MAPDs
HYDROCODONE/APAP 5/500 TABLET
(Hydrocodone-Acetaminophen)
100 BOT0060338812171
PDPs
244
MAPDs
HYDROCODONE BITARTRATE AND ACETAMINOPHEN ORAL SOLUTION 500;7;7.5MG/15ML;% 4 FLO BOT
(Hydrocodone-Acetaminophen)
4 FLO BOT0012106550471
PDPs
234
MAPDs
HYDROCODONE-ACETAMINOPHEN 10MG-650MG TABLET
(Hydrocodone-Acetaminophen)
120 BOT0060338852271
PDPs
243
MAPDs
HYDROCODONE/APAP 10/660 TABLET
(Hydrocodone-Acetaminophen)
100 BOT0060338862170
PDPs
236
MAPDs
HYDROCODONE-ACETAMINOPHEN 7.5-325MG TABLET
(Hydrocodone-Acetaminophen)
100 BOT0060338912170
PDPs
241
MAPDs
HYDROCODONE BITARTRATE AND ACETAMINOPHEN TABLET 7.5-650MG (500 CT)
(Hydrocodone-Acetaminophen)
500 BOT5374601130571
PDPs
242
MAPDs
HYDROCODONE-ACETAMINOPHEN 10-750MG TABLET
(Hydrocodone-Acetaminophen)
100 BOT0040603640169
PDPs
224
MAPDs
HYDROCODONE/APAP 7.5/750 TABLET
(Hydrocodone-Acetaminophen)
500 BOT0059103870571
PDPs
244
MAPDs
HYDROCODONE BITARTRATE AND IBUPROFEN TABLET 7.5-200MG (100 CT)
(Hydrocodone-Ibuprofen)
100 BOT5374601450171
PDPs
233
MAPDs
HYDROCORTISONE 0.2% CREAM
(Hydrocortisone)
   5167212900369
PDPs
239
MAPDs
HYDROCORTISONE 0.2% OINTMENT
(Hydrocortisone)
   5167212920368
PDPs
239
MAPDs
HYDROCORTISONE CREAM 1% 1 LB JAR
(Hydrocortisone)
1 LB JAR0016800151666
PDPs
223
MAPDs
HYDROCORTISONE OINTMENT 1% 1 LB JAR
(Hydrocortisone)
1 LB JAR0016800201666
PDPs
223
MAPDs
HYDROCORTISONE 10MG TABLET
(Hydrocortisone)
100 BOT0060339002171
PDPs
239
MAPDs
Hydrocortisone 100mg/60mL 7 BOTTLE, WITH APPLICATOR in 1 BOX / 60 mL in 1 BOTTLE, WITH APPLICATOR
(Hydrocortisone)
7 BOTTLE, WITH APPLICATOR  5199107286769
PDPs
224
MAPDs
HYDROCORTISONE LOTION 2.5% 2 OZ BOT
(Hydrocortisone)
2 OZ BOT0060377855271
PDPs
239
MAPDs
HYDROCORTISONE OINTMENT USP 2.5% 20GM TUBE BOX
(Hydrocortisone)
20 GM TUBE BOX4580200140270
PDPs
245
MAPDs
Hydrocortisone 20mg 100 TABLET BOTTLE
(Hydrocortisone)
100 TABLET BOTTLE  0060339012169
PDPs
228
MAPDs
Hydrocortisone 25mg/g 1 TUBE in 1 TUBE / 30 g in 1 TUBE
(Hydrocortisone)
1 TUBE in 1 TUBE / 30 g i  0060377817871
PDPs
240
MAPDs
HYDROCORTISONE 5MG TABLET
(Hydrocortisone)
50 BOT0060338991970
PDPs
239
MAPDs
HYDROCORTISONE AND ACETIC ACID OTIC SOLUTION
(Hydrocortisone Acetate-Aloe Vera)
10 ML BOTDR 0060370393962
PDPs
224
MAPDs
HYDROCORTISONE BUTYRATE 0.1% CREAM
(Hydrocortisone Butyrate)
   5167240740669
PDPs
235
MAPDs
HYDROCORTISONE BUTYRATE 0.1% SOLUTION NON-ORAL
(Hydrocortisone Butyrate)
   5167240610468
PDPs
230
MAPDs
HYDROCORTISONE BUTYRATE 0.1% OINTMENT
(Hydrocortisone Butyrate)
   5167240830669
PDPs
230
MAPDs
HYDROCORTISONE 0.001 MG/MG TOPICAL OINTMENT [LOCOID]
(Hydrocortisone Butyrate)
   1429003114518
PDPs
66
MAPDs
HYDROCORTISONE 1 MG/ML TOPICAL SOLUTION [LOCOID]
(Hydrocortisone Butyrate)
   1429003126118
PDPs
68
MAPDs
Hydromorphone Hydrochloride 10mg/mL 1 VIAL in 1 CARTON / 50 mL in 1 VIAL
(Hydromorphone HCl)
1 VIAL in 1 CARTON / 50 m  1747805405070
PDPs
226
MAPDs
HYDROMORPHONE HYDROCHLORIDE TABLETS
(Hydromorphone HCl)
100 BOTPL 0052713530170
PDPs
241
MAPDs
HYDROMORPHONE HYDROCHLORIDE TABLETS
(Hydromorphone HCl)
100 BOT 0052713540170
PDPs
241
MAPDs
HYDROMORPHONE HCL 8MG TABLET (100 CT)
(Hydromorphone HCl)
100 BOT0040632490169
PDPs
240
MAPDs
HYDROXYCHLOROQUINE 200MG TABLET (500 CT)
(Hydroxychloroquine Sulfate)
500 BOT6838200960571
PDPs
245
MAPDs
HYDROXYUREA 500MG CAPSULE
(Hydroxyurea)
100 BOT0055508820271
PDPs
245
MAPDs
HYDROXYZINE HCL 10MG/5ML ORAL SOLUTION 1 PT BOT
(Hydroxyzine HCl)
1 PT BOT0060313105861
PDPs
211
MAPDs
HYDROXYZINE HCL 10MG TABLET (500 CT)
(Hydroxyzine HCl)
500 BOT0059155220562
PDPs
215
MAPDs
HYDROXYZINE 25MG/ML VIAL
(Hydroxyzine HCl)
25 X 1 ML VIALSD0051742012556
PDPs
210
MAPDs
HYDROXYZINE HCL 25MG TABLET
(Hydroxyzine HCl)
500 BOT0059155230562
PDPs
215
MAPDs
HYDROXYZINE HCL TABLETS 50MG 100 BOT
(Hydroxyzine HCl)
100 BOT6846203620162
PDPs
215
MAPDs
HYDROXYZINE 50MG/ML VIAL
(Hydroxyzine HCl)
25 X 1 ML VIALSD0051756012556
PDPs
205
MAPDs
HYDROXYZINE PAM 100MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT0055503240255
PDPs
200
MAPDs
HYDROXYZINE PAMOATE 25MG CAPSULE
(Hydroxyzine Pamoate)
500 BOT0059108000555
PDPs
201
MAPDs
HYDROXYZINE PAM 50MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT0059108010155
PDPs
201
MAPDs
HYZAAR 100-12.5MG TABLET (90 CT)
(Losartan Potassium & Hydrochlorothiazide)
90 BOT0000607455417
PDPs
59
MAPDs
HYZAAR 12.5; 50mg/1; mg/1 1000 TABLET, FILM COATED in 1 BOTTLE
(Losartan Potassium & Hydrochlorothiazide)
1000 TABLET, FILM COATED  0000607178217
PDPs
59
MAPDs
HYZAAR 100-25MG TABLET (90 CT)
(Losartan Potassium & Hydrochlorothiazide)
90 BOT0000607475417
PDPs
59
MAPDs
LOCOID LOTN 0.1 %
(Hydrocortisone Butyrate)
59 ML BOT1429003146124
PDPs
84
MAPDs
LOCOID LIPOCREAM CREAM 0.1% 15 GM TUBE
(Hydrocortisone Butyrate Hydrophilic Lipo Base)
15 GM TUBE1429003131526
PDPs
96
MAPDs
LORCET 10/650 TABLET
(Hydrocodone-Acetaminophen)
500 BOT0078563505012
PDPs
57
MAPDs
LORCET PLUS TABLET 7.5-650
(Hydrocodone-Acetaminophen)
500 BOT0078511225013
PDPs
57
MAPDs
LORTAB 10/500MG TABLET
(Hydrocodone-Acetaminophen)
500 BOTPL5047409105013
PDPs
59
MAPDs
LORTAB 5/500 TABLET
(Hydrocodone-Acetaminophen)
500 BOTPL5047409025013
PDPs
60
MAPDs
LORTAB 7.5/500 TABLET
(Hydrocodone-Acetaminophen)
500 BOTPL5047409075013
PDPs
59
MAPDs
LORTAB ELIXIR 500-7.5MG/15ML
(Hydrocodone-Acetaminophen)
1 PINT BOT5047409091612
PDPs
48
MAPDs
MAXIDONE 10/750MG TABLET
(Hydrocodone-Acetaminophen)
100 BOT5254406340115
PDPs
62
MAPDs
MICROZIDE 12.5MG CAPSULE
(Hydrochlorothiazide)
100 BOTPL5254406220118
PDPs
66
MAPDs
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT
(Neomycin-Polymyxin-HC)
10 ML BOT2420806311071
PDPs
245
MAPDs
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS
(Neomycin-Polymyxin-HC)
7.5 ML BOTPL6131406417564
PDPs
228
MAPDs
NORCO 5-325 TABLET (100 TABS)
(Hydrocodone-Acetaminophen)
100 TABLET BOTTLE  5254409130112
PDPs
56
MAPDs
NORCO 10/325 TABLET
(Hydrocodone-Acetaminophen)
500 BOT5254405390513
PDPs
58
MAPDs
NORCO 7.5/325 TABLET
(Hydrocodone-Acetaminophen)
100 BOTPL5254407290112
PDPs
56
MAPDs
Pandel 1mg/g 45 g in 1 TUBE
(Hydrocortisone Probutate)
45 g in 1 TUBE  0046201534628
PDPs
94
MAPDs
PEDVAXHIB VACCINE VIAL
(Haemophilus B Polysaccharide Conjugate Vaccine)
10 X .5ML SINGLE DOSE VIL BOX0000648970071
PDPs
245
MAPDs
PHISOHEX 3% CLEANSER
(Hexachlorophene)
16 FLO BOTPL0002415350629
PDPs
77
MAPDs
PLAQUENIL 200MG TABLET
(Hydroxychloroquine Sulfate)
100 BOT0002415621017
PDPs
63
MAPDs
PROCTO-PAK 1% CREAM
(Hydrocortisone)
1 OZ TUBE6498003023063
PDPs
211
MAPDs
PROCTOCORT 1% CREAM
(Hydrocortisone)
   6564905013015
PDPs
56
MAPDs
Proctocream HC 25mg/g
(Hydrocortisone)
   6822001413051
PDPs
165
MAPDs
PROCTOSOL-HC 2.5% CREAM
(Hydrocortisone)
1 OUNCE TUBE1063104070166
PDPs
223
MAPDs
PROCTOZONE-HC 2.5% CREAM
(Hydrocortisone)
30 GM TUBE6498003013067
PDPs
236
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
1 ML VIALSD0000649920071
PDPs
245
MAPDs
REPREXAIN TABLET
(Hydrocodone-Ibuprofen)
100 BOT6371709020136
PDPs
111
MAPDs
REPREXAIN TABLET
(Hydrocodone-Ibuprofen)
100 BOT6371709000121
PDPs
87
MAPDs
REPREXAIN 5-200 MG TABLET 100 EA
(Hydrocodone-Ibuprofen)
   6371709010119
PDPs
85
MAPDs
SOLU CORTEF INJECTION 100 MG/VIAL
(Hydrocortisone Sodium Succinate For)
2 ML X 1 VIALSD0000900110332
PDPs
103
MAPDs
SOLU CORTEF INJECTION
(Hydrocortisone Sodium Succinate For)
2ML X 1 VIALSD 0000900130543
PDPs
154
MAPDs
STAGESIC 5MG-500MG CAPSULE
(Hydrocodone-Acetaminophen)
100 BOT5840700910162
PDPs
205
MAPDs
Triamterene and Hydrochlorothiazide 25; 37.5mg 100 CAPSULE BOTTLE
(Triamterene & Hydrochlorothiazide)
100 CAPSULE BOTTLE  0037825370170
PDPs
240
MAPDs
TRIAMTERENE/HCTZ 37.5/25 TABLET
(Triamterene & Hydrochlorothiazide)
100 BOT0078111230171
PDPs
245
MAPDs
TRIAMTERENE/HCTZ 75/50 TABLET
(Triamterene & Hydrochlorothiazide)
500 BOT0078110080571
PDPs
245
MAPDs
TWINRIX TF PF VACCINE 720UNT/20ML 10 X 1ML VIALSD
(Hepatitis A (Inact)-Hep B (Recomb) Vac)
10 X 1ML VIALSD5816008151171
PDPs
245
MAPDs
Ultravate 0.5mg/g 50 g in 1 TUBE
(Halobetasol Propionate)
50 g in 1 TUBE  1063101025017
PDPs
52
MAPDs
Ultravate 0.5mg/g 50 g in 1 TUBE
(Halobetasol Propionate)
50 g in 1 TUBE  1063101035017
PDPs
52
MAPDs
VAQTA 25 UNITS/0.5ML VIAL
(Hepatitis A Vaccine)
10 X 0.5 ML BOX0000648314171
PDPs
245
MAPDs
Vicodin 500; 5mg/1; mg/1 100 TABLET in 1 BOTTLE
(Hydrocodone-Acetaminophen)
100 TABLET BOTTLE  0007419491413
PDPs
45
MAPDs
VICODIN ES TABLET 7.5-750
(Hydrocodone-Acetaminophen)
500 BOTPL0007419735413
PDPs
45
MAPDs
VICODIN HP TABLET 10-660
(Hydrocodone-Acetaminophen)
500 BOTPL0007422745428
PDPs
94
MAPDs
VICOPROFEN 200/7.5 TABLET
(Hydrocodone-Ibuprofen)
500 BOT0007422775415
PDPs
47
MAPDs
VISTARIL 25MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT0006954106615
PDPs
45
MAPDs
VISTARIL 50MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT0006954206615
PDPs
45
MAPDs
Westcort 2mg/g 45 g in 1 TUBE
(Hydrocortisone Valerate)
45 g in 1 TUBE  1063101054517
PDPs
52
MAPDs
XODOL 10-300 TABLET
(Hydrocodone-Acetaminophen)
   5963009111015
PDPs
47
MAPDs
XODOL 5MG-300MG TABLET (100 CT)
(Hydrocodone-Acetaminophen)
100 BOT6845309121014
PDPs
46
MAPDs
XODOL 7.5-300 MG TABLET
(Hydrocodone-Acetaminophen)
   5963009131013
PDPs
45
MAPDs
ZYDONE 10/400MG TABLET
(Hydrocodone-Acetaminophen)
100 BOT6348106987017
PDPs
65
MAPDs
ZYDONE 5/400MG TABLET
(Hydrocodone-Acetaminophen)
100 BOT6348106687017
PDPs
65
MAPDs
ZYDONE 7.5/400MG TABLET
(Hydrocodone-Acetaminophen)
100 BOT6348106697017
PDPs
65
MAPDs



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





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