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2017 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
Packaging NDC On This Nbr of 2017 Formularies
PDPs MAPDs
ACETASOL HC SOLUTION 10ML 10 ML BOT
(Hydrocortisone w/ Acetic Acid Otic)
10 ML BOT 00472088282 34
PDPs
187
MAPDs
ACTHIB VACCINE WITH DILUENT
(Haemophilus B Polysaccharide Conjugate Vaccine)
    49281054503 59
PDPs
341
MAPDs
ADALIMUMAB 50 MG/ML PREFILLED SYRINGE [HUMIRA]
(Adalimumab)
0.4 ML   00074937402 59
PDPs
341
MAPDs
ADEFOVIR DIPIVOXIL 10 MG TAB [Hepsera]
()
30 EA   42794000308 53
PDPs
341
MAPDs
ALA-CORT 1% CREAM
(Hydrocortisone)
3 OZ TUBE 00316012603 46
PDPs
266
MAPDs
Ala-cort 2.5% cream
(Hydrocortisone)
    00316012830 51
PDPs
273
MAPDs
ALA-SCALP HP 2% LOTION
(Hydrocortisone)
1 OZ BOT 00316014001 4
PDPs
57
MAPDs
ANUSOL-HC 2.5% CREAM
(Hydrocortisone)
    65649040130 2
PDPs
37
MAPDs
COLOCORT 100MG ENEMA
(Hydrocortisone)
7 X 60 ML BOTAP 00574202007 53
PDPs
287
MAPDs
CORTEF 10MG TABLET
(Hydrocortisone)
100 BOT 00009003101 4
PDPs
9
MAPDs
CORTEF 20MG TABLET
(Hydrocortisone)
100 BOT 00009004401 4
PDPs
9
MAPDs
CORTEF 5MG TABLET
(Hydrocortisone)
50 BOT 00009001201 4
PDPs
9
MAPDs
DILAUDID 2 MG TABLET
(Hydromorphone HCl)
    42858012201 4
PDPs
8
MAPDs
DILAUDID 4 MG TABLET
(Hydromorphone HCl)
    42858023450 4
PDPs
8
MAPDs
DILAUDID 5 MG/5 ML ORAL LIQUID
(Hydromorphone HCl)
    42858041616 1
PDPs
9
MAPDs
DILAUDID 8 MG TABLET
(Hydromorphone HCl)
    42858033801 4
PDPs
8
MAPDs
DOXERCALCIFEROL 0.001 MG ORAL CAPSULE [HECTOROL]
()
    58468012401 3
PDPs
18
MAPDs
Doxercalciferol 0.5 mcg capsule [HECTOROL]
()
    00054033819 30
PDPs
231
MAPDs
Doxercalciferol 1 mcg capsule [HECTOROL]
()
    00054038819 25
PDPs
237
MAPDs
Doxercalciferol 2.5 mcg capsule [HECTOROL]
()
    00054033919 24
PDPs
231
MAPDs
Doxercalciferol 4 mcg/2 ml amp [HECTOROL]
()
    00641615425 23
PDPs
214
MAPDs
DROXIA 200MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633517 48
PDPs
282
MAPDs
DROXIA 300MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633617 48
PDPs
280
MAPDs
DROXIA 400MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633717 48
PDPs
280
MAPDs
ENGERIX B INJECTION
(Hepatitis B Vaccine (Recombinant))
10 SYR CRTN 58160082052 59
PDPs
341
MAPDs
ENGERIX-B 10MCG 10 X 0.5ML VIALSD
(Hepatitis B Vaccine (Recombinant))
10 X 0.5 ML VIALSD 58160082011 59
PDPs
341
MAPDs
ENGERIX-B 20 MCG/ML SYRN
(Hepatitis B Vaccine (Recombinant))
    58160082143 59
PDPs
341
MAPDs
EXALGO 12mg/1 100 TABLET, ER in 1 BOTTLE
(HYDROMORPHONE HYDROCHLORIDE)
100 TABLET, EXTENDED RELE   23635041201 2
PDPs
8
MAPDs
EXALGO 16mg/1 100 TABLET, ER in 1 BOTTLE
(HYDROMORPHONE HYDROCHLORIDE)
100 TABLET, EXTENDED RELE   23635041601 2
PDPs
8
MAPDs
EXALGO ER 32 MG TABLET
(HYDROMORPHONE HYDROCHLORIDE)
100 EA   23635043201 2
PDPs
22
MAPDs
EXALGO 8mg/1 100 TABLET, ERE in 1 BOTTLE
(HYDROMORPHONE HYDROCHLORIDE)
100 TABLET, EXTENDED RELE   23635040801 2
PDPs
8
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)
5 ML   63004871001 18
PDPs
120
MAPDs
Halaven 0.5mg/mL
(Eribulin)
    62856038901 40
PDPs
232
MAPDs
HALOG OINTMENT 1mg/g 60 g in 1 TUBE [HALOG]
(Halcinonide)
60 g in 1 TUBE   10631009630 9
PDPs
69
MAPDs
Halcion 0.25mg/1 100 TABLET per BLISTER PACK
(Triazolam)
100 TABLET in 1 BLISTER P   00009001755 1
PDPs
6
MAPDs
HALDOL 5MG/ML INJECTION
(Haloperidol Lactate)
1ML X 1 AMP X 10 BOX 50458025501 4
PDPs
14
MAPDs
HALDOL DECANOATE 100MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 5 AMP BOX 50458025414 4
PDPs
12
MAPDs
HALDOL DECANOATE 50MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 3 AMP BOX 50458025303 4
PDPs
12
MAPDs
Halobetasol Propionate 0.5mg/g 1 TUBE per CARTON / 50 g in 1 TUBE
(Halobetasol Propionate)
1 TUBE in 1 CARTON / 50 g   45802013132 56
PDPs
318
MAPDs
halobetasol propionate 0.5mg/g 50 g in 1 TUBE
(Halobetasol Propionate)
50 g in 1 TUBE   00168035550 56
PDPs
325
MAPDs
Halog 1mg/g 60 g in 1 TUBE
(Halcinonide)
60 g in 1 TUBE   10631009430 9
PDPs
64
MAPDs
HALOPERIDOL DEC 100MG/ML VL
(Haloperidol Decanoate IM)
1 X 5 ML VIALMD 00703702301 59
PDPs
340
MAPDs
HALOPERIDOL DEC 50MG 10 X 1ML PKG
(Haloperidol Decanoate IM)
10 X 1 ML PKG 00703701103 59
PDPs
341
MAPDs
HALOPERIDOL LAC 2MG/ML CONC
(Haloperidol Lactate)
120 ML BOT 00093960412 59
PDPs
341
MAPDs
HALOPERIDOL LAC 5 MG/ML VIAL
(Haloperidol Lactate)
10.000 ML   63323047410 59
PDPs
341
MAPDs
HALOPERIDOL 0.5MG TABLET
(Haloperidol)
100 BOT 00781139101 59
PDPs
341
MAPDs
HALOPERIDOL 1MG TABLET
(Haloperidol)
100 BOT 00781139201 59
PDPs
341
MAPDs
Haloperidol 10mg/1 100 TABLET BOTTLE, PLASTIC
(Haloperidol)
100 TABLET in 1 BOTTLE, P   00378033401 59
PDPs
341
MAPDs
HALOPERIDOL 2MG TABLET (100 CT)
(Haloperidol)
100 BOT 00378021401 59
PDPs
341
MAPDs
HALOPERIDOL 20MG TABLET (100 CT)
(Haloperidol)
100 BOT 68382008101 59
PDPs
341
MAPDs
HALOPERIDOL 5MG TABLET
(Haloperidol)
100 BOT 00781139601 59
PDPs
341
MAPDs
HARVONI 90-400 MG TABLET
(Ledipasvir and Sofosbuvir)
  61958180101 45
PDPs
266
MAPDs
HAVRIX HEPATITIS A VACCINE INACTIVATED INJECTION SOLUTION 1440UNITS 10 X 1ML VIALSD
(Hepatitis A Vaccine)
10 X 1 ML VIALSD 58160082611 59
PDPs
341
MAPDs
HAVRIX HEPATITIS A VACCINE INJECTION
(Hepatitis A Vaccine)
10 SYR CRTN 58160082552 59
PDPs
341
MAPDs
HECTOROL 0.5MCG CAPSULE
(Doxercalciferol)
    58468012001 3
PDPs
14
MAPDs
HECTOROL 2.5MCG CAPSULE
(Doxercalciferol)
    58468012101 3
PDPs
17
MAPDs
Hectorol 4ug/2mL
(Doxercalciferol)
    58468012301 3
PDPs
14
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
10 ML X 1 VIALMD X 25 TRAY 00409272002 58
PDPs
339
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 1 VIALSD X 25 VIAL TRAY 00409272101 59
PDPs
336
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 25 VIAL CRTN 25021040401 59
PDPs
332
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 /   00264956710 57
PDPs
305
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
10 ML X 1 VIALMD TRAY 00409272302 59
PDPs
341
MAPDs
Heparin Sodium in Dextrose 5; 10000g/100mL; [USP'U]/100mL 24 CONTAINER in 1 CASE / 250 mL in 1 CONT
(DEXTROSE (ANHYDROUS)/HEPARIN SODIUM (PORCINE))
24 CONTAINER in 1 CASE /   00264958720 46
PDPs
276
MAPDs
Heparin Sodium in Dextrose 5; 5000g/100mL; [USP'U]/100mL 24 CONTAINER in 1 CASE / 500 mL in 1 CONTA
(DEXTROSE (ANHYDROUS)/HEPARIN SODIUM (PORCINE))
24 CONTAINER in 1 CASE /   00264957710 45
PDPs
243
MAPDs
HEPATAMINE INJECTION 8%
(Amino Acid Infusion)
6 X 500 ML BOTGL 00264937155 59
PDPs
298
MAPDs
HEPATITIS B VACCINE RECOMBIANT ADULT FORMULATION INJECTION 10MCG 1ML VIALSD
(Hepatitis B Vaccine)
1 ML VIALSD 00006499500 59
PDPs
341
MAPDs
HEPSERA 10MG TABLET
(Adefovir Dipivoxil)
    61958050101 2
PDPs
25
MAPDs
HERCEPTIN 440MG VIAL
(Trastuzumab For IV)
1 X VIAL AND DILUENT PKGCOM 50242013468 59
PDPs
339
MAPDs
HETLIOZ 20 MG CAPSULE
(tasimelteon)
    43068022001 59
PDPs
341
MAPDs
HEXALEN 50MG CAPSULES
(Altretamine)
100 BOT 62856000110 59
PDPs
341
MAPDs
HIBERIX VACCINE WITH DILUENT
(Haemophilus B Conjugate Vaccine)
    58160081811 59
PDPs
328
MAPDs
HIPREX 1 GM TABLET
(Methenamine Hippurate)
    30698027701 4
PDPs
9
MAPDs
HORIZANT ER 300 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010301 3
PDPs
56
MAPDs
HORIZANT ER 600 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010101 3
PDPs
55
MAPDs
Humalog 100[iU]/mL 1 VIAL in 1 CARTON / 3 mL in 1 VIAL
(Insulin Lispro (Human))
1 VIAL in 1 CARTON / 3 mL   00002751017 38
PDPs
208
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
3 ML   00002751659 38
PDPs
200
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 00002879959 38
PDPs
204
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL 00002751201 38
PDPs
209
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL 00002751101 38
PDPs
209
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879859 38
PDPs
206
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879759 38
PDPs
206
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
    00002771227 38
PDPs
202
MAPDs
HUMATROPE 12MG CARTRIDGE
(Somatropin For)
1 PKGCOM 00002814801 7
PDPs
133
MAPDs
HUMATROPE 24MG CARTRIDGE
(Somatropin For)
1 CARTRIDGE VIAL 00002814901 7
PDPs
133
MAPDs
HUMATROPE 5 MG VIAL
(Somatropin For)
1 EA   00002733511 7
PDPs
121
MAPDs
HUMATROPE 6MG CARTRIDGE
(Somatropin For)
1 CTG 00002814701 7
PDPs
124
MAPDs
HUMIRA PEDIATRIC CROHN'S START
(ADALIMUMAB)
3 EA   00074379903 58
PDPs
318
MAPDs
HUMIRA PEDIATRIC CROHN'S START
(ADALIMUMAB)
6 EA   00074379906 58
PDPs
314
MAPDs
Humira 2 KIT per CARTON / 1 KIT in 1 KIT
(Adalimumab)
2 KIT in 1 CARTON / 1 KIT   00074379902 59
PDPs
341
MAPDs
HUMIRA 10 MG/0.2 ML SYRINGE
(Adalimumab)
2 EA   00074634702 59
PDPs
338
MAPDs
HUMIRA PEN KIT 40MG-70% 1 PKGCOM
(Adalimumab)
1 PKGCOM 00074433906 59
PDPs
340
MAPDs
HUMIRA 40 MG/0.8 ML PEN
(ADALIMUMAB)
2 EA   00074433902 59
PDPs
338
MAPDs
HUMIRA PEN PSORIASIS-UVEITIS
(Adalimumab)
    00074433907 59
PDPs
335
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 38
PDPs
205
MAPDs
HUMULIN 70-30 PEN
(Insulin Isophane & Regular (Human))
    00002880301 36
PDPs
203
MAPDs
HUMULIN N 100 UNITS/ML PEN
(Insulin Isophane (Human))
    00002880501 36
PDPs
203
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 38
PDPs
206
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL 00002821501 38
PDPs
212
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
    00002882427 51
PDPs
278
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL 00002850101 55
PDPs
299
MAPDs
HYCAMTIN 4 MG VIAL
(Topotecan HCl For)
    00078067461 4
PDPs
38
MAPDs
HYCET 7.5 MG-325 MG/15 ML SOLN
(Hydrocodone-Acetaminophen)
473 ML   00713070389 2
PDPs
20
MAPDs
HYDRALAZINE 10 MG TABLET
(Hydralazine HCl)
1000 EA   23155000110 59
PDPs
341
MAPDs
HYDRALAZINE 100 MG TABLET
(Hydralazine HCl)
100 EA   23155000401 59
PDPs
341
MAPDs
HYDRALAZINE 20 MG/ML VIAL
(Hydralazine HCl)
1 ML   63323061401 48
PDPs
276
MAPDs
HYDRALAZINE 25 MG TABLET
(Hydralazine HCl)
1000 EA   23155000210 59
PDPs
341
MAPDs
HYDRALAZINE 50 MG TABLET
(Hydralazine HCl)
1000 EA   23155000310 59
PDPs
341
MAPDs
HYDREA 500MG CAPSULE
(Hydroxyurea)
100 BOT 00003083050 4
PDPs
12
MAPDs
HYDROCHLOROTHIAZIDE 12.5MG TABLET
(Hydrochlorothiazide)
100 BOT 00228282011 59
PDPs
338
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG CP
(Hydrochlorothiazide)
500 EA   29300013005 59
PDPs
339
MAPDs
Hydrochlorothiazide 25 mg tab
(Hydrochlorothiazide)
    43547039711 59
PDPs
341
MAPDs
Hydrochlorothiazide 50mg/1 1000 TABLET BOTTLE
(Hydrochlorothiazide)
1000 TABLET in 1 BOTTLE   23155004610 59
PDPs
341
MAPDs
Hydrocodone Acetaminophen 2.5-325
(Hydrocodone-Acetaminophen)
    13811065710 25
PDPs
231
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 10mg/1; mg/1
(Hydrocodone-Acetaminophen)
    64376064301 26
PDPs
201
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 5mg/1; mg/1
(Hydrocodone-Acetaminophen)
    64376064801 26
PDPs
204
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 7.5mg/1; mg/1
(Hydrocodone-Acetaminophen)
    64376064901 26
PDPs
209
MAPDs
Hydrocodone Acetaminophen 325; 10mg/1; mg/1 500 TABLET BOTTLE
(Hydrocodone-Acetaminophen)
500 TABLET in 1 BOTTLE   53746011005 59
PDPs
341
MAPDs
Hydrocodone Bitartrate and Acetaminophen 325; 7.5mg/15mL; mg/15mL
(Hydrocodone-Acetaminophen)
    64376064016 56
PDPs
290
MAPDs
HYDROCODONE-ACETAMINOPHEN 5MG-325MG TABLET
(Hydrocodone-Acetaminophen)
100 BOT 00603389021 59
PDPs
341
MAPDs
HYDROCODONE-ACETAMINOPHEN 7.5-325MG TABLET
(Hydrocodone-Acetaminophen)
100 BOT 00603389121 59
PDPs
341
MAPDs
HYDROCODONE-IBUPROFEN 10-200
(Hydrocodone-Ibuprofen)
100 EA   00603358621 34
PDPs
219
MAPDs
HYDROCODONE-IBUPROFEN 5-200 MG
(Hydrocodone-Ibuprofen)
100 EA   00603358421 34
PDPs
222
MAPDs
HYDROCODONE BITARTRATE AND IBUPROFEN TABLET 7.5-200MG (100 CT)
(Hydrocodone-Ibuprofen)
100 BOT 53746014501 56
PDPs
310
MAPDs
HYDROCORTISONE BUTYR 0.1% OINT
(Hydrocortisone)
45 GM   51672408306 55
PDPs
297
MAPDs
HYDROCORTISONE 0.1% SOLN
(Hydrocortisone)
60 ML   51672406104 49
PDPs
290
MAPDs
HYDROCORTISONE 0.2% CREAM
(Hydrocortisone)
    51672129003 46
PDPs
319
MAPDs
HYDROCORTISONE 0.2% OINTMENT
(Hydrocortisone)
    51672129203 46
PDPs
313
MAPDs
HYDROCORTISONE CREAM 1% 1 LB JAR
(Hydrocortisone)
1 LB JAR 00168001516 56
PDPs
319
MAPDs
HYDROCORTISONE OINTMENT 1% 1 LB JAR
(Hydrocortisone)
1 LB JAR 00168002016 58
PDPs
315
MAPDs
HYDROCORTISONE 10MG TABLET
(Hydrocortisone)
100 BOT 00603390021 59
PDPs
337
MAPDs
HYDROCORTISONE 100 MG/60 ML
(Hydrocortisone)
60.000 ML   62559013807 59
PDPs
329
MAPDs
Hydrocortisone and Acetic Acid 2.41; 3.15g/100mL; g/100mL 1 BOTTLE per CARTON / 10 mL in 1 BOTTLE
(Hydrocortisone)
1 BOTTLE in 1 CARTON / 10   45963041261 43
PDPs
259
MAPDs
HYDROCORTISONE OINTMENT USP 2.5% 20GM TUBE BOX
(Hydrocortisone)
20 GM TUBE BOX 45802001402 59
PDPs
341
MAPDs
Hydrocortisone 20mg 100 TABLET BOTTLE
(Hydrocortisone)
100 TABLET BOTTLE   00603390121 57
PDPs
327
MAPDs
Hydrocortisone 25mg/g 1 TUBE in 1 TUBE / 30 g in 1 TUBE
(Hydrocortisone)
1 TUBE in 1 TUBE / 30 g i   00603778178 59
PDPs
341
MAPDs
HYDROCORTISONE 5MG TABLET
(Hydrocortisone)
50 BOT 00603389919 57
PDPs
332
MAPDs
HYDROCORTISONE BUTYRATE 0.1% lipo cream
(Hydrocortisone Butyrate)
    68462046465 20
PDPs
175
MAPDs
HYDROCORTISONE 2.5% LOTION
(Hydrocortisone)
59 ML   00168028802 59
PDPs
337
MAPDs
HYDROMORPHONE 1 MG/ML SOLUTION
(Hydromorphone HCl)
473 ML   00054038663 52
PDPs
267
MAPDs
HYDROMORPHONE 10 MG/ML VIAL
(Hydromorphone HCl)
1 ML   00703011003 55
PDPs
289
MAPDs
HYDROMORPHONE 10 MG/ML 5ML
(Hydromorphone HCl)
    00703011301 51
PDPs
279
MAPDs
Hydromorphone hcl er 12 mg tab
(Hydromorphone HCl)
    00591373901 8
PDPs
94
MAPDs
Hydromorphone hcl er 16 mg tab
(Hydromorphone HCl)
    00591363001 9
PDPs
100
MAPDs
Hydromorphone 2 mg/ml Syringe
(Hydromorphone HCl)
    00409131210 31
PDPs
206
MAPDs
HYDROMORPHONE HYDROCHLORIDE 2MG TABLETS
(Hydromorphone HCl)
100 BOTPL 00527135301 59
PDPs
336
MAPDs
24 HR Hydromorphone Hydrochloride 32 MG Extended Release Oral Tablet
(Hydromorphone HCl)
    13811070410 9
PDPs
95
MAPDs
HYDROMORPHONE HYDROCHLORIDE 4MG TABLETS
(Hydromorphone HCl)
100 BOT 00527135401 59
PDPs
336
MAPDs
Hydromorphone hcl er 8 mg tab
(Hydromorphone HCl)
    00591362901 8
PDPs
94
MAPDs
HYDROMORPHONE HCL 8MG TABLET (100 CT)
(Hydromorphone HCl)
100 BOT 00406324901 58
PDPs
336
MAPDs
HYDROXYCHLOROQUINE 200MG TABLET (500 CT)
(Hydroxychloroquine Sulfate)
500 BOT 68382009605 59
PDPs
341
MAPDs
Hydroxyprogesterone 1.25 g/5ml [MAKENA]
(Hydroxyprogesterone Caproate)
    62559054015 56
PDPs
282
MAPDs
Hydroxyurea 500 mg capsule
(Hydroxyurea)
    68084028401 59
PDPs
341
MAPDs
HYDROXYZINE 10 MG/5 ML SOLN
(Hydroxyzine HCl)
473 ML   60432015016 39
PDPs
262
MAPDs
HYDROXYZINE HCL 10 MG TABLET
(Hydroxyzine HCl)
500 EA   68462035205 51
PDPs
300
MAPDs
HYDROXYZINE 25MG/ML VIAL
(Hydroxyzine HCl)
25 X 1 ML VIALSD 00517420125 33
PDPs
232
MAPDs
HYDROXYZINE HCL 25 MG TABLET
(Hydroxyzine HCl)
500 EA   00093506105 45
PDPs
308
MAPDs
Hydroxyzine hcl 50 mg tablet
(Hydroxyzine HCl)
    42806016110 45
PDPs
311
MAPDs
HYDROXYZINE 50MG/ML VIAL
(Hydroxyzine HCl)
25 X 1 ML VIALSD 00517560125 32
PDPs
235
MAPDs
HYDROXYZINE PAM 100MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00555032402 27
PDPs
231
MAPDs
Hydroxyzine pam 25 mg cap
(Hydroxyzine Pamoate)
    64980016905 29
PDPs
241
MAPDs
Hydroxyzine pam 50 mg cap
(Hydroxyzine Pamoate)
    64980017005 28
PDPs
237
MAPDs
HYPERRAB S-D 150 UNITS/ML VIAL
(Human Rabies Virus Immune Globulin)
    13533061802 9
PDPs
150
MAPDs
HYPERRAB S-D 150 UNITS/ML VIAL
(Human Rabies Virus Immune Globulin)
    13533061810 9
PDPs
143
MAPDs
HYSINGLA ER 100 MG TABLET
(Hydrocodone Bitartrate)
    59011027660 8
PDPs
80
MAPDs
HYSINGLA ER 120 MG TABLET
(Hydrocodone Bitartrate)
    59011027760 8
PDPs
80
MAPDs
HYSINGLA ER 20 MG TABLET
(Hydrocodone Bitartrate)
    59011027160 8
PDPs
80
MAPDs
HYSINGLA ER 30 MG TABLET
(Hydrocodone Bitartrate)
    59011027260 8
PDPs
80
MAPDs
HYSINGLA ER 40 MG TABLET
(Hydrocodone Bitartrate)
    59011027360 8
PDPs
80
MAPDs
HYSINGLA ER 60 MG TABLET
(Hydrocodone Bitartrate)
    59011027460 8
PDPs
80
MAPDs
HYSINGLA ER 80 MG TABLET
(Hydrocodone Bitartrate)
    59011027560 8
PDPs
80
MAPDs
HYZAAR 100-12.5MG TABLET (90 CT)
(Losartan Potassium & Hydrochlorothiazide)
90 BOT 00006074554 7
PDPs
14
MAPDs
HYZAAR 100-25MG TABLET (90 CT)
(Losartan Potassium & Hydrochlorothiazide)
90 BOT 00006074754 7
PDPs
14
MAPDs
HYZAAR 50-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
90 EA   00006071754 7
PDPs
14
MAPDs
IBUDONE 10; 200mg/1; mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Hydrocodone Bitartrate and Ibuprofen)
100 TABLET, FILM COATED i   50991057901 2
PDPs
23
MAPDs
LOCOID 0.1% OINTMENT
(Hydrocortisone Butyrate)
    16781038915 1
PDPs
8
MAPDs
LOCOID 0.1% SOLUTION
(Hydrocortisone Butyrate)
    16781039160 1
PDPs
8
MAPDs
LOCOID 0.1% LOTION
(Hydrocortisone Butyrate)
    16781039204 4
PDPs
49
MAPDs
LOCOID 0.1% CREAM
(Hydrocortisone Butyrate Hydrophilic Lipo Base)
    16781038215 5
PDPs
11
MAPDs
Lorcet 5-325 mg tablet
(acetaminophen / hydrocodone)
    68308022401 46
PDPs
244
MAPDs
Lorcet hd 10-325 mg tablet
(acetaminophen / hydrocodone)
    51862058701 44
PDPs
242
MAPDs
Lorcet plus 7.5-325 mg tablet
(Hydrocodone-Acetaminophen)
    51862058601 44
PDPs
242
MAPDs
MAKENA 250 MG/ML VIAL
(Hydroxyprogesterone Caproate)
    64011024702 17
PDPs
83
MAPDs
MENHIBRIX VACCINE VIAL
(haemophilus b conjugate (prp-t) vaccine / meningococcal conjugate vaccine)
    58160080111 59
PDPs
341
MAPDs
MICORT HC 2.5% CREAM
(HYDROCORTISONE ACETATE)
28.400 GM   54766083504 4
PDPs
28
MAPDs
MICROZIDE 12.5MG CAPSULE
(Hydrochlorothiazide)
100 BOTPL 52544062201 6
PDPs
11
MAPDs
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT
(Neomycin-Polymyxin-HC)
10 ML BOT 24208063110 59
PDPs
341
MAPDs
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS
(Neomycin-Polymyxin-HC)
7.5 ML BOTPL 61314064175 41
PDPs
306
MAPDs
NORCO 10-325 TABLET
(Hydrocodone-Acetaminophen)
500 EA   52544016105 2
PDPs
20
MAPDs
NORCO 5-325 TABLET
(Hydrocodone-Acetaminophen)
    52544007101 2
PDPs
20
MAPDs
NORCO 7.5-325 TABLET
(Hydrocodone-Acetaminophen)
    52544016201 2
PDPs
20
MAPDs
OLMESARTAN-HCTZ 20-12.5 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
90.000 EA   00378141377 44
PDPs
258
MAPDs
OLMESARTAN-HCTZ 40-12.5 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
90.000 EA   00378142277 44
PDPs
258
MAPDs
OLMESARTAN-HCTZ 40-25 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
90.000 EA   00378142577 44
PDPs
258
MAPDs
PANDEL 0.1% CREAM
(Hydrocortisone Probutate)
    10337015380 9
PDPs
60
MAPDs
PEDVAXHIB VACCINE VIAL
(Haemophilus B Polysaccharide Conjugate Vaccine)
10 X .5ML SINGLE DOSE VIL BOX 00006489700 59
PDPs
341
MAPDs
PLAQUENIL 200 MG TABLET
(Hydroxychloroquine Sulfate)
    59212056210 4
PDPs
10
MAPDs
procto-pak 1% cream
(Hydrocortisone)
    64980030230 56
PDPs
306
MAPDs
PROCTOSOL-HC 2.5% CREAM
(Hydrocortisone)
1 OUNCE TUBE 10631040701 58
PDPs
324
MAPDs
proctozone-hc 2.5% cream
(Hydrocortisone)
    64980030130 59
PDPs
340
MAPDs
RECOMBIVAX HB 10 MCG/ML SYR
(Hepatitis B Vaccine (Recombinant))
    00006409402 59
PDPs
341
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
1 ML VIALSD 00006499200 59
PDPs
341
MAPDs
RECOMBIVAX HB 5 MCG/0.5 ML SYR
(Hepatitis B Vaccine (Recombinant))
    00006409301 59
PDPs
341
MAPDs
SOLU CORTEF INJECTION 100 MG/VIAL
(Hydrocortisone Sodium Succinate For)
2 ML X 1 VIALSD 00009001103 18
PDPs
133
MAPDs
SOLU CORTEF 250MG/VIAL INJECTION
(Hydrocortisone Sodium Succinate For)
2ML X 1 VIALSD 00009001305 30
PDPs
184
MAPDs
Triamterene and Hydrochlorothiazide 25; 37.5mg 100 CAPSULE BOTTLE
(Triamterene & Hydrochlorothiazide)
100 CAPSULE BOTTLE   00378253701 59
PDPs
337
MAPDs
TRIAMTERENE-HCTZ 37.5-25 MG TB
(Triamterene & Hydrochlorothiazide)
500 EA   00781506805 59
PDPs
341
MAPDs
TRIAMTERENE/HCTZ 50-25 MG CAP
(Triamterene & Hydrochlorothiazide)
100 EA   00781271501 35
PDPs
247
MAPDs
TRIAMTERENE/HCTZ 75/50 TABLET
(Triamterene & Hydrochlorothiazide)
500 BOT 00781100805 59
PDPs
341
MAPDs
TWINRIX TF PF VACCINE 720UNT/20ML 10 X 1ML VIALSD
(Hepatitis A (Inact)-Hep B (Recomb) Vac)
10 X 1ML VIALSD 58160081511 59
PDPs
341
MAPDs
ULTRAVATE 0.05 % 60 ML
(Halobetasol Propionate)
    10631012204 2
PDPs
28
MAPDs
Ultravate 0.5mg/g 50 g in 1 TUBE
(Halobetasol Propionate)
50 g in 1 TUBE   10631010250 4
PDPs
9
MAPDs
Ultravate 0.5mg/g 50 g in 1 TUBE
(Halobetasol Propionate)
50 g in 1 TUBE   10631010350 4
PDPs
9
MAPDs
VAQTA 25 UNITS/0.5 ML SYRINGE
(Hepatitis A Vaccine)
    00006409502 59
PDPs
341
MAPDs
VAQTA 50 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    00006409602 59
PDPs
341
MAPDs
VICODIN 5-300 MG TABLET
(Hydrocodone-Acetaminophen)
500 EA   00074304153 23
PDPs
161
MAPDs
VICODIN ES 7.5-300 MG TABLET
(Hydrocodone-Acetaminophen)
100 EA   00074304313 23
PDPs
160
MAPDs
VICODIN HP 10-300 MG TABLET
(Hydrocodone-Acetaminophen)
500 EA   00074305453 23
PDPs
155
MAPDs
VISTARIL 25MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00069541066 0
PDPs
5
MAPDs
VISTARIL 50MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00069542066 0
PDPs
5
MAPDs
XODOL 10-300MG TABLET
(Hydrocodone-Acetaminophen)
    59630091110 2
PDPs
16
MAPDs
XODOL 5-300 TABLET
(Hydrocodone-Acetaminophen)
    59630091210 2
PDPs
16
MAPDs
XODOL 7.5-300 MG TABLET
(Hydrocodone-Acetaminophen)
    59630091310 2
PDPs
16
MAPDs
ZOHYDRO ER 10 MG CAPSULE
(hydrocodone bitartrate)
    65224031060 14
PDPs
59
MAPDs
ZOHYDRO ER 15 MG CAPSULE
(hydrocodone bitartrate)
    65224031560 14
PDPs
59
MAPDs
ZOHYDRO ER 20 MG CAPSULE
(hydrocodone bitartrate)
    65224032060 14
PDPs
59
MAPDs
ZOHYDRO ER 30 MG CAPSULE
(hydrocodone bitartrate)
    65224033060 14
PDPs
59
MAPDs
ZOHYDRO ER 40 MG CAPSULE
(hydrocodone bitartrate)
    65224034060 14
PDPs
59
MAPDs
ZOHYDRO ER 50 MG CAPSULE
(hydrocodone bitartrate)
    65224035060 14
PDPs
59
MAPDs



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





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