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2018 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 2018 Formularies
PDPs MAPDs
ACTHIB VACCINE WITH DILUENT
(Haemophilus B Polysaccharide Conjugate Vaccine)
    49281054503 63
PDPs
339
MAPDs
ADALIMUMAB 50 MG/ML PREFILLED SYRINGE [HUMIRA]
(Adalimumab)
0.4 ML   00074937402 63
PDPs
339
MAPDs
ADEFOVIR DIPIVOXIL 10 MG TAB [Hepsera]
()
30 EA   42794000308 55
PDPs
337
MAPDs
ADMELOG SOLOSTAR 100 UNIT/ML INSULN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   00024592505 2
PDPs
15
MAPDs
ADMELOG 100 UNIT/ML VIAL [Humalog]
(Insulin Lispro)
10 mls   00024592410 2
PDPs
17
MAPDs
Ala-cort 2.5% cream
(Hydrocortisone)
    00316012830 50
PDPs
262
MAPDs
ALA-SCALP HP 2% LOTION
(Hydrocortisone)
1 OZ BOT 00316014001 5
PDPs
27
MAPDs
ANUSOL-HC 2.5% CREAM
(Hydrocortisone)
    65649040130 5
PDPs
19
MAPDs
COLOCORT 100MG ENEMA
(Hydrocortisone)
7 X 60 ML BOTAP 00574202007 60
PDPs
293
MAPDs
CORTEF 10MG TABLET
(Hydrocortisone)
100 BOT 00009003101 6
PDPs
10
MAPDs
CORTEF 20MG TABLET
(Hydrocortisone)
100 BOT 00009004401 6
PDPs
10
MAPDs
CORTEF 5MG TABLET
(Hydrocortisone)
50 BOT 00009001201 6
PDPs
10
MAPDs
DILAUDID 2 MG TABLET
(Hydromorphone HCl)
    42858012201 4
PDPs
7
MAPDs
DILAUDID 4 MG TABLET
(Hydromorphone HCl)
100 EA   42858023401 4
PDPs
7
MAPDs
DILAUDID 5 MG/5 ML ORAL LIQUID
(Hydromorphone HCl)
    42858041616 4
PDPs
7
MAPDs
DILAUDID 8 MG TABLET
(Hydromorphone HCl)
    42858033801 4
PDPs
7
MAPDs
Doxercalciferol 0.5 mcg capsule [HECTOROL]
()
    00054033819 30
PDPs
222
MAPDs
Doxercalciferol 1 mcg capsule [HECTOROL]
()
    00054038819 24
PDPs
222
MAPDs
Doxercalciferol 2.5 mcg capsule [HECTOROL]
()
    00054033919 24
PDPs
222
MAPDs
Doxercalciferol 4 mcg/2 ml amp [HECTOROL]
()
    00641615425 23
PDPs
211
MAPDs
DROXIA 200MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633517 51
PDPs
288
MAPDs
DROXIA 300MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633617 51
PDPs
287
MAPDs
DROXIA 400MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633717 51
PDPs
287
MAPDs
ENGERIX B INJECTION
(Hepatitis B Vaccine (Recombinant))
10 SYR CRTN 58160082052 63
PDPs
339
MAPDs
ENGERIX-B 20 MCG/ML SYRN
(Hepatitis B Vaccine (Recombinant))
    58160082152 63
PDPs
339
MAPDs
EXALGO 12mg/1 100 TABLET, ER in 1 BOTTLE
(HYDROMORPHONE HYDROCHLORIDE)
100 TABLET, EXTENDED RELE   23635041201 4
PDPs
7
MAPDs
EXALGO 16mg/1 100 TABLET, ER in 1 BOTTLE
(HYDROMORPHONE HYDROCHLORIDE)
100 TABLET, EXTENDED RELE   23635041601 4
PDPs
7
MAPDs
EXALGO ER 32 MG TABLET
(HYDROMORPHONE HYDROCHLORIDE)
100 EA   23635043201 4
PDPs
8
MAPDs
EXALGO 8mg/1 100 TABLET, ERE in 1 BOTTLE
(HYDROMORPHONE HYDROCHLORIDE)
100 TABLET, EXTENDED RELE   23635040801 4
PDPs
7
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)
5 ML   63004871001 19
PDPs
135
MAPDs
HAEGARDA 2,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082802 37
PDPs
225
MAPDs
HAEGARDA 3,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082902 37
PDPs
225
MAPDs
Halaven 0.5mg/mL
(Eribulin)
    62856038901 43
PDPs
230
MAPDs
HALOG OINTMENT 1mg/g 60 g in 1 TUBE [HALOG]
(Halcinonide)
60 g in 1 TUBE   10631009630 9
PDPs
50
MAPDs
HALCION 0.25 MG TABLET
(Triazolam)
    00009001758 3
PDPs
7
MAPDs
HALDOL 5MG/ML INJECTION
(Haloperidol Lactate)
1ML X 1 AMP X 10 BOX 50458025501 6
PDPs
18
MAPDs
HALDOL DECANOATE 100MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 5 AMP BOX 50458025414 6
PDPs
18
MAPDs
HALDOL DECANOATE 50MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 3 AMP BOX 50458025303 6
PDPs
18
MAPDs
HALOBETASOL PROP 0.05% CREAM
(Halobetasol Propionate)
50 GM   45802012932 55
PDPs
302
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 55
PDPs
296
MAPDs
Halog 1mg/g 60 g in 1 TUBE
(Halcinonide)
60 g in 1 TUBE   10631009430 9
PDPs
53
MAPDs
HALOPERIDOL 0.5 MG TABLET
(Haloperidol)
100.000 EA   00378035101 63
PDPs
339
MAPDs
HALOPERIDOL 1 MG TABLET
(Haloperidol)
100.000 EA   00378025701 63
PDPs
339
MAPDs
HALOPERIDOL 10 MG TABLET
(Haloperidol)
100.000 EA   68382008001 63
PDPs
339
MAPDs
HALOPERIDOL 5 MG TABLET
(Haloperidol)
100.000 EA   00378032701 63
PDPs
339
MAPDs
HALOPERIDOL DEC 100 MG/ML VIAL
(Haloperidol Decanoate IM)
    00703702101 63
PDPs
334
MAPDs
HALOPERIDOL DEC 100 MG/ML VIAL
(Haloperidol Decanoate IM)
5 ML   63323047105 63
PDPs
339
MAPDs
HALOPERIDOL DEC 50MG 10 X 1ML PKG
(Haloperidol Decanoate IM)
10 X 1 ML PKG 00703701103 63
PDPs
339
MAPDs
HALOPERIDOL LAC 2 MG/ML CONC
(Haloperidol Lactate)
120.000 ML   00121058104 63
PDPs
339
MAPDs
HALOPERIDOL LAC 5 MG/ML SYRING
(Haloperidol Lactate)
1   51991093317 63
PDPs
331
MAPDs
HALOPERIDOL LAC 5 MG/ML VIAL
(Haloperidol Lactate)
10.000 ML   63323047410 63
PDPs
339
MAPDs
HALOPERIDOL 2MG TABLET (100 CT)
(Haloperidol)
100 BOT 00378021401 63
PDPs
339
MAPDs
HALOPERIDOL 20MG TABLET (100 CT)
(Haloperidol)
100 BOT 68382008101 63
PDPs
339
MAPDs
HARVONI 90-400 MG TABLET
(Ledipasvir and Sofosbuvir)
  61958180101 62
PDPs
290
MAPDs
HAVRIX 1,440 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    58160082652 63
PDPs
330
MAPDs
HAVRIX HEPATITIS A VACCINE INACTIVATED INJECTION SOLUTION 1440UNITS 10 X 1ML VIALSD
(Hepatitis A Vaccine)
10 X 1 ML VIALSD 58160082611 63
PDPs
339
MAPDs
HAVRIX HEPATITIS A VACCINE INJECTION
(Hepatitis A Vaccine)
10 SYR CRTN 58160082552 63
PDPs
339
MAPDs
HAVRIX 720 UNITS/0.5 ML VIAL
(Hepatitis A Vaccine)
    58160082511 63
PDPs
330
MAPDs
Hectorol 4ug/2mL
(Doxercalciferol)
    58468012301 4
PDPs
10
MAPDs
HEPARIN SOD 1,000 UNIT/ML VIAL
(Heparin Sodium)
30 mls   00409272001 63
PDPs
338
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 1 VIALSD X 25 VIAL TRAY 00409272101 63
PDPs
335
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 25 VIAL CRTN 25021040401 63
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 58
PDPs
288
MAPDs
HEPARIN SOD 5,000 UNIT/ML VIAL
(Heparin Sodium)
1 ML   63739095325 63
PDPs
339
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
248
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
210
MAPDs
HEPATAMINE INJECTION 8%
(Amino Acid Infusion)
6 X 500 ML BOTGL 00264937155 63
PDPs
294
MAPDs
Hepatitis B Surface Antigen Vaccine 0.01 MG/ML Prefilled 0.5 ML Syringe [Recombivax]
(Hepatitis B Vaccine (Recombinant))
    00006409302 63
PDPs
339
MAPDs
HEPATITIS B VACCINE RECOMBIANT ADULT FORMULATION INJECTION 10MCG 1ML VIALSD
(Hepatitis B Vaccine)
1 ML VIALSD 00006499500 63
PDPs
339
MAPDs
HEPSERA 10MG TABLET
(Adefovir Dipivoxil)
    61958050101 1
PDPs
13
MAPDs
HERCEPTIN 440MG VIAL
(Trastuzumab For IV)
1 X VIAL AND DILUENT PKGCOM 50242013468 63
PDPs
338
MAPDs
HERCEPTIN 150 MG VIAL
(Trastuzumab For IV)
    50242013201 63
PDPs
338
MAPDs
HETLIOZ 20 MG CAPSULE
(tasimelteon)
    43068022001 63
PDPs
328
MAPDs
HEXALEN 50MG CAPSULES
(Altretamine)
100 BOT 62856000110 63
PDPs
339
MAPDs
HIBERIX VACCINE WITH DILUENT
(Haemophilus B Conjugate Vaccine)
    58160081811 62
PDPs
332
MAPDs
HIPREX 1 GM TABLET
(Methenamine Hippurate)
    30698027701 6
PDPs
10
MAPDs
HORIZANT ER 300 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010301 3
PDPs
48
MAPDs
HORIZANT ER 600 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010101 3
PDPs
46
MAPDs
HUMALOG 100 UNITS/ML VIAL
(Insulin Lispro (Human))
10.000 ML   00002751001 39
PDPs
180
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
3 ML   00002751659 39
PDPs
173
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 00002879959 39
PDPs
176
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL 00002751201 37
PDPs
178
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL 00002751101 39
PDPs
180
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879859 37
PDPs
174
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879759 39
PDPs
176
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))
3 ML   00002771459 39
PDPs
162
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
    00002771227 39
PDPs
173
MAPDs
HUMATROPE 12MG CARTRIDGE
(Somatropin For)
1 PKGCOM 00002814801 5
PDPs
128
MAPDs
HUMATROPE 24MG CARTRIDGE
(Somatropin For)
1 CARTRIDGE VIAL 00002814901 5
PDPs
128
MAPDs
HUMATROPE 5 MG VIAL
(Somatropin For)
1 EA   00002733511 5
PDPs
119
MAPDs
HUMATROPE 6MG CARTRIDGE
(Somatropin For)
1 CTG 00002814701 5
PDPs
121
MAPDs
HUMIRA PEDIATRIC CROHN'S START
(ADALIMUMAB)
3 EA   00074379903 63
PDPs
330
MAPDs
HUMIRA PEDIATRIC CROHN'S START
(ADALIMUMAB)
6 EA   00074379906 63
PDPs
321
MAPDs
Humira 2 KIT per CARTON / 1 KIT in 1 KIT
(Adalimumab)
2 KIT in 1 CARTON / 1 KIT   00074379902 63
PDPs
339
MAPDs
HUMIRA 10 MG/0.2 ML SYRINGE
(Adalimumab)
2 EA   00074634702 63
PDPs
337
MAPDs
HUMIRA 10 MG/0.1 ML SYRINGEKIT
(Adalimumab)
units   00074081702 63
PDPs
337
MAPDs
HUMIRA 20 MG/0.2 ML SYRINGEKIT
(Adalimumab)
units   00074061602 63
PDPs
336
MAPDs
HUMIRA PEN KIT 40MG-70% 1 PKGCOM
(Adalimumab)
1 PKGCOM 00074433906 63
PDPs
338
MAPDs
HUMIRA 40 MG/0.4 ML SYRINGEKIT
(Adalimumab)
2 units   00074024302 63
PDPs
337
MAPDs
HUMIRA 40 MG/0.4 ML PEN IJ KIT
(Adalimumab)
2 units   00074055402 63
PDPs
337
MAPDs
HUMIRA 40 MG/0.8 ML PEN
(ADALIMUMAB)
2 EA   00074433902 63
PDPs
337
MAPDs
HUMIRA PEDIATR CROHN'S 80-40MG SYRINGEKIT
(Adalimumab)
units   00074006702 63
PDPs
331
MAPDs
HUMIRA PED CROHNS 80 MG/0.8 ML SYRINGEKIT
(Adalimumab)
units   00074254003 63
PDPs
331
MAPDs
HUMIRA PEN PSORIASIS-UVEITIS
(Adalimumab)
    00074433907 63
PDPs
338
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 37
PDPs
176
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))
3.000 ML   00002880359 37
PDPs
177
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 37
PDPs
176
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))
3.000 ML   00002880559 37
PDPs
177
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL 00002821501 37
PDPs
181
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
    00002882427 56
PDPs
285
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL 00002850101 56
PDPs
300
MAPDs
HYCAMTIN 4 MG VIAL
(Topotecan HCl For)
    00078067461 1
PDPs
19
MAPDs
HYCET 7.5 MG-325 MG/15 ML SOLN
(Hydrocodone-Acetaminophen)
473 ML   00713070389 1
PDPs
11
MAPDs
HYDRALAZINE 10 MG TABLET
(Hydralazine HCl)
100 EA   31722051901 63
PDPs
339
MAPDs
HYDRALAZINE 100 MG TABLET
(Hydralazine HCl)
100.000 EA   50111039701 63
PDPs
339
MAPDs
HYDRALAZINE 20 MG/ML VIAL
(Hydralazine HCl)
1 ML   63323061401 45
PDPs
273
MAPDs
HYDRALAZINE 25 MG TABLET
(Hydralazine HCl)
100 EA   31722052001 63
PDPs
339
MAPDs
HYDRALAZINE 50 MG TABLET
(Hydralazine HCl)
100 EA   31722052101 63
PDPs
339
MAPDs
HYDREA 500MG CAPSULE
(Hydroxyurea)
100 BOT 00003083050 6
PDPs
17
MAPDs
Hydrochlorothiazide 12.5 MG Oral Capsule
(Hydrochlorothiazide)
    00378081005 63
PDPs
337
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG TB
(Hydrochlorothiazide)
100.000 EA   16729018201 63
PDPs
337
MAPDs
HYDROCHLOROTHIAZIDE 25 MG TAB
(Hydrochlorothiazide)
1000.000 EA   16729018317 63
PDPs
339
MAPDs
HYDROCHLOROTHIAZIDE 50 MG TAB
(Hydrochlorothiazide)
100 EA   16729018401 63
PDPs
339
MAPDs
HYDROCODON-ACETAMINOPHN 10-325
(Hydrocodone-Acetaminophen)
500.000 EA   00591261205 63
PDPs
339
MAPDs
HYDROCODON-ACETAMINOPH 2.5-325
(Hydrocodone-Acetaminophen)
100.000 EA   00591217101 24
PDPs
220
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 10mg/1; mg/1
(Hydrocodone-Acetaminophen)
    64376064301 22
PDPs
177
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 5mg/1; mg/1
(Hydrocodone-Acetaminophen)
    64376064801 22
PDPs
180
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 7.5mg/1; mg/1
(Hydrocodone-Acetaminophen)
    64376064901 22
PDPs
180
MAPDs
Hydrocodone Bitartrate and Acetaminophen 325; 7.5mg/15mL; mg/15mL
(Hydrocodone-Acetaminophen)
    64376064016 60
PDPs
292
MAPDs
HYDROCODON-ACETAMINOPHEN 5-325
(Hydrocodone-Acetaminophen)
100.000 EA   00406012301 63
PDPs
339
MAPDs
HYDROCODON-ACETAMINOPH 7.5-325
(Hydrocodone-Acetaminophen)
100.000 EA   00406012401 63
PDPs
339
MAPDs
HYDROCODONE-IBUPROFEN 10-200
(Hydrocodone-Ibuprofen)
100.000 EA   53746011701 28
PDPs
184
MAPDs
HYDROCODONE-IBUPROFEN 5-200 MG
(Hydrocodone-Ibuprofen)
100.000 EA   53746014601 28
PDPs
198
MAPDs
HYDROCODONE BITARTRATE AND IBUPROFEN TABLET 7.5-200MG (100 CT)
(Hydrocodone-Ibuprofen)
100 BOT 53746014501 56
PDPs
315
MAPDs
HYDROCORT-PRAMOXINE 1%-1% CREAM/APPL [Zone A]
(Hydrocortisone, Pramoxine)
30 grams   45802014464 9
PDPs
89
MAPDs
HYDROCORTISONE BUTYR 0.1% OINT
(Hydrocortisone)
15.000 GM   51672408301 51
PDPs
245
MAPDs
HYDROCORTISONE 0.1% SOLN
(Hydrocortisone)
60 ML   51672406104 46
PDPs
238
MAPDs
HYDROCORTISONE VAL 0.2% OINTMT
(Hydrocortisone)
15.000 GM   51672129201 47
PDPs
277
MAPDs
HYDROCORTISONE 1% CREAM
(Hydrocortisone)
28.350 GM   00168001531 59
PDPs
315
MAPDs
HYDROCORTISONE 1% OINTMENT
(Hydrocortisone)
28.350 GM   00168002031 61
PDPs
316
MAPDs
Hydrocortisone 10 MG/ML Topical Cream [Ala-Cort]
(Hydrocortisone)
    00316012601 45
PDPs
249
MAPDs
HYDROCORTISONE 10MG TABLET
(Hydrocortisone)
100 BOT 00603390021 63
PDPs
339
MAPDs
HYDROCORTISONE 100 MG/60 ML
(Hydrocortisone)
60.000 ML   62559013807 63
PDPs
333
MAPDs
HYDROCORTISONE 2.5% OINTMENT
(Hydrocortisone)
28.350 GM   00168014630 63
PDPs
339
MAPDs
HYDROCORTISONE 2.5% CREAM
(Hydrocortisone)
30.000 GM   00168008031 63
PDPs
339
MAPDs
Hydrocortisone 20mg 100 TABLET BOTTLE
(Hydrocortisone)
100 TABLET BOTTLE   00603390121 60
PDPs
335
MAPDs
HYDROCORTISONE 5MG TABLET
(Hydrocortisone)
50 BOT 00603389919 60
PDPs
335
MAPDs
HYDROCORTISONE-ACETIC ACID SOLN
(Hydrocortisone Acetate-Aloe Vera)
    51672300701 46
PDPs
252
MAPDs
HYDROCORTISONE BUTY 0.1% CREAM
(Hydrocortisone Butyrate)
45 GM   51672407406 42
PDPs
208
MAPDs
HYDROCORTISONE 2.5% LOTION
(Hydrocortisone)
59.000 ML   45802093716 63
PDPs
335
MAPDs
HYDROCORTISONE VAL 0.2% CREAM
(Hydrocortisone Valerate)
15 GM   51672129001 47
PDPs
282
MAPDs
HYDROMORPHONE 10 MG/ML VIAL [Dilaudid-HP]
(Hydromorphone HCl)
1 ML   00703011003 55
PDPs
286
MAPDs
HYDROMORPHONE 50 MG/5 ML VIAL [Dilaudid-HP]
(Hydromorphone HCl)
5 ML   00703011303 52
PDPs
275
MAPDs
HYDROMORPHONE 1 MG/ML SOLUTION [Dilaudid]
(Hydromorphone HCl)
473 ML   00054038663 56
PDPs
275
MAPDs
HYDROMORPHONE 2 MG TABLET [Dilaudid]
(Hydromorphone HCl)
100.000 EA   00406324301 63
PDPs
334
MAPDs
HYDROMORPHONE 4 MG TABLET [Dilaudid]
(Hydromorphone HCl)
100.000 EA   00406324401 63
PDPs
334
MAPDs
HYDROMORPHONE 8 MG TABLET [Dilaudid]
(Hydromorphone HCl)
100 BOT 00406324901 63
PDPs
334
MAPDs
HYDROMORPHONE HCL ER 12 MG Tablet 24H [Exalgo]
(Hydromorphone HCl)
    00591373901 10
PDPs
105
MAPDs
HYDROMORPHONE HCL ER 16 MG Tablet 24H [Exalgo]
(Hydromorphone HCl)
    00591363001 11
PDPs
109
MAPDs
HYDROMORPHONE HCL ER 32 MG Tablet 24H [Exalgo]
(Hydromorphone HCl)
    13811070410 11
PDPs
106
MAPDs
HYDROMORPHONE HCL ER 8 MG Tablet 24H [Exalgo]
(Hydromorphone HCl)
    00591362901 10
PDPs
105
MAPDs
HYDROMORPHONE 2 MG/ML ISECURE Syringe [Simplist Dilaudid]
(Hydromorphone HCl)
    00409131210 30
PDPs
207
MAPDs
HYDROXYCHLOROQUINE 200 MG TAB
(Hydroxychloroquine Sulfate)
100 EA   68382009601 63
PDPs
339
MAPDs
HYDROXYPROGESTERONE 1.25 G/5ML [MAKENA]
(Hydroxyprogesterone Caproate)
    67457088605 59
PDPs
286
MAPDs
HYDROXYUREA 500 MG CAPSULE
(Hydroxyurea)
100.000 EA   49884072401 63
PDPs
339
MAPDs
HYDROXYZINE 10 MG/5 ML SOLN
(Hydroxyzine HCl)
473 ML   60432015016 51
PDPs
276
MAPDs
HYDROXYZINE HCL 10 MG TABLET
(Hydroxyzine HCl)
100.000 EA   10702001001 58
PDPs
311
MAPDs
HYDROXYZINE HCL 25 MG TABLET
(Hydroxyzine HCl)
100 EA   16714008210 58
PDPs
315
MAPDs
HYDROXYZINE 25MG/ML VIAL
(Hydroxyzine HCl)
25 X 1 ML VIALSD 00517420125 36
PDPs
227
MAPDs
HYDROXYZINE HCL 50 MG TABLET
(Hydroxyzine HCl)
100.000 EA   10702001201 58
PDPs
315
MAPDs
HYDROXYZINE 50MG/ML VIAL
(Hydroxyzine HCl)
25 X 1 ML VIALSD 00517560125 35
PDPs
231
MAPDs
HYDROXYZINE PAM 100MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00555032402 20
PDPs
187
MAPDs
HYDROXYZINE PAM 25 MG CAP
(Hydroxyzine Pamoate)
100.000 EA   00185067401 34
PDPs
254
MAPDs
HYDROXYZINE PAM 50 MG CAP
(Hydroxyzine Pamoate)
100.000 EA   00185061501 34
PDPs
252
MAPDs
HYPERRAB S-D 150 UNITS/ML VIAL
(Human Rabies Virus Immune Globulin)
    13533061802 6
PDPs
163
MAPDs
HYPERRAB S-D 150 UNITS/ML VIAL
(Human Rabies Virus Immune Globulin)
    13533061810 6
PDPs
158
MAPDs
HYSINGLA ER 100 MG TABLET
(Hydrocodone Bitartrate)
    59011027660 27
PDPs
164
MAPDs
HYSINGLA ER 120 MG TABLET
(Hydrocodone Bitartrate)
    59011027760 27
PDPs
164
MAPDs
HYSINGLA ER 20 MG TABLET
(Hydrocodone Bitartrate)
    59011027160 27
PDPs
164
MAPDs
HYSINGLA ER 30 MG TABLET
(Hydrocodone Bitartrate)
    59011027260 27
PDPs
164
MAPDs
HYSINGLA ER 40 MG TABLET
(Hydrocodone Bitartrate)
    59011027360 27
PDPs
164
MAPDs
HYSINGLA ER 60 MG TABLET
(Hydrocodone Bitartrate)
    59011027460 27
PDPs
164
MAPDs
HYSINGLA ER 80 MG TABLET
(Hydrocodone Bitartrate)
    59011027560 27
PDPs
164
MAPDs
HYZAAR 100-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
30.000 EA   00006074531 8
PDPs
13
MAPDs
HYZAAR 100-25 TABLET
(Losartan Potassium & Hydrochlorothiazide)
30.000 EA   00006074731 8
PDPs
13
MAPDs
HYZAAR 50-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
30.000 EA   00006071731 8
PDPs
13
MAPDs
IBUDONE 10; 200mg/1; mg/1 100 FILM COATED TABLETS in BOTTLE, PLASTIC
(Hydrocodone Bitartrate and Ibuprofen)
100 TABLET, FILM COATED   50991057901 2
PDPs
13
MAPDs
LOCOID 0.1% SOLUTION
(Hydrocortisone Butyrate)
    16781039160 4
PDPs
8
MAPDs
LOCOID 0.1% LOTION
(Hydrocortisone Butyrate)
    16781039204 7
PDPs
31
MAPDs
LOCOID 0.1% LIPOCREAM
(Hydrocortisone Butyrate Hydrophilic Lipo Base)
    16781038445 8
PDPs
10
MAPDs
LORCET HD 10-325 MG TABLET
(acetaminophen / hydrocodone)
500 EA   51862058705 45
PDPs
260
MAPDs
Lorcet plus 7.5-325 mg tablet
(Hydrocodone-Acetaminophen)
    51862058601 45
PDPs
257
MAPDs
MAKENA 250 MG/ML VIAL
(Hydroxyprogesterone Caproate)
    64011024702 17
PDPs
74
MAPDs
MAKENA 275 MG/1.1 ML AUTO INJCT
(Hydroxyprogesterone Caproate)
4.4   64011030103 15
PDPs
54
MAPDs
MICORT HC 2.5% CREAM
(HYDROCORTISONE ACETATE)
28.400 GM   54766083504 4
PDPs
20
MAPDs
MICROZIDE 12.5MG CAPSULE
(Hydrochlorothiazide)
100 BOTPL 52544062201 8
PDPs
13
MAPDs
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT
(Neomycin-Polymyxin-HC)
10 ML BOT 24208063110 63
PDPs
339
MAPDs
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS
(Neomycin-Polymyxin-HC)
7.5 ML BOTPL 61314064175 44
PDPs
294
MAPDs
NORCO 10-325 TABLET
(Hydrocodone-Acetaminophen)
100.000 EA   52544016101 5
PDPs
15
MAPDs
NORCO 5-325 TABLET
(Hydrocodone-Acetaminophen)
    52544007101 5
PDPs
15
MAPDs
NORCO 7.5-325 TABLET
(Hydrocodone-Acetaminophen)
    52544016201 5
PDPs
15
MAPDs
OLMESARTAN-HCTZ 20-12.5 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
30.000 EA   00378141393 56
PDPs
300
MAPDs
OLMESARTAN-HCTZ 40-12.5 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
30.000 EA   00378142293 56
PDPs
300
MAPDs
OLMESARTAN-HCTZ 40-25 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
30.000 EA   00378142593 56
PDPs
300
MAPDs
PANDEL 0.1% CREAM
(Hydrocortisone Probutate)
    10337015380 6
PDPs
44
MAPDs
PEDVAXHIB VACCINE VIAL
(Haemophilus B Polysaccharide Conjugate Vaccine)
10 X .5ML SINGLE DOSE VIL BOX 00006489700 63
PDPs
339
MAPDs
PLAQUENIL 200 MG TABLET
(Hydroxychloroquine Sulfate)
    59212056210 6
PDPs
11
MAPDs
procto-pak 1% cream
(Hydrocortisone)
    64980030230 59
PDPs
310
MAPDs
PROCTOSOL-HC 2.5% CREAM
(Hydrocortisone)
1 OUNCE TUBE 10631040701 63
PDPs
329
MAPDs
PROCTOZONE-HC 2.5% CREAM
(Hydrocortisone)
30 GM   64980032430 63
PDPs
338
MAPDs
RECOMBIVAX HB 10 MCG/ML SYR
(Hepatitis B Vaccine (Recombinant))
    00006409402 63
PDPs
339
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
1 ML VIALSD 00006499200 63
PDPs
339
MAPDs
SOLU CORTEF INJECTION 100 MG/VIAL
(Hydrocortisone Sodium Succinate For)
2 ML X 1 VIALSD 00009001103 19
PDPs
149
MAPDs
SOLU CORTEF 250MG/VIAL INJECTION
(Hydrocortisone Sodium Succinate For)
2ML X 1 VIALSD 00009001305 34
PDPs
195
MAPDs
TERAZOSIN 10 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   00378157001 63
PDPs
339
MAPDs
TERAZOSIN 5 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   00378226801 63
PDPs
339
MAPDs
TEXACORT 2.5% SOLUTION
(Hydrocortisone)
30 mls   00178045501 8
PDPs
72
MAPDs
TRIAMTERENE-HCTZ 37.5-25 MG CP
(Triamterene & Hydrochlorothiazide)
100.000 EA   00781207401 63
PDPs
339
MAPDs
TRIAMTERENE-HCTZ 37.5-25 MG TB
(Triamterene & Hydrochlorothiazide)
500 EA   60505265605 63
PDPs
339
MAPDs
TRIAMTERENE-HCTZ 75-50 MG TAB
(Triamterene & Hydrochlorothiazide)
500.000 EA   60505265705 63
PDPs
339
MAPDs
TWINRIX VACCINE SYRINGE
(Hepatitis A (Inact)-Hep B (Recomb) Vac)
    58160081552 63
PDPs
335
MAPDs
ULTRAVATE 0.05 % 60 ML
(Halobetasol Propionate)
    10631012204 5
PDPs
22
MAPDs
Ultravate 0.5mg/g 50 g in 1 TUBE
(Halobetasol Propionate)
50 g in 1 TUBE   10631010250 6
PDPs
10
MAPDs
Ultravate 0.5mg/g 50 g in 1 TUBE
(Halobetasol Propionate)
50 g in 1 TUBE   10631010350 6
PDPs
10
MAPDs
VALSARTAN-HCTZ 80-12.5 MG Tablet [Diovan HCT]
(Hydrochlorothiazide)
    65862054790 62
PDPs
337
MAPDs
VAQTA 25 UNITS/0.5 ML SYRINGE
(Hepatitis A Vaccine)
    00006409502 63
PDPs
339
MAPDs
Vaqta Hepatitis A Vaccine Pediatric / Adolescent 25 Unit / 0.5 mL Injection Single Dose Vial 0.5 mL
(Hepatitis A Vaccine)
    00006483141 63
PDPs
330
MAPDs
VAQTA 50 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    00006409602 63
PDPs
339
MAPDs
Vaqta Hepatitis A Vaccine Adult 50 Unit / mL Injection Single Dose Vial 1 mL
(Hepatitis A Vaccine)
    00006484100 63
PDPs
330
MAPDs
VICODIN 5-300 MG TABLET
(Hydrocodone-Acetaminophen)
500 EA   00074304153 22
PDPs
142
MAPDs
VICODIN ES 7.5-300 MG TABLET
(Hydrocodone-Acetaminophen)
500.000 EA   00074304353 22
PDPs
143
MAPDs
VICODIN HP 10-300 MG TABLET
(Hydrocodone-Acetaminophen)
500 EA   00074305453 22
PDPs
142
MAPDs
VISTARIL 25MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00069541066 3
PDPs
7
MAPDs
VISTARIL 50MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00069542066 3
PDPs
7
MAPDs
ZOHYDRO ER 10 MG CAPSULE
(hydrocodone bitartrate)
    65224031060 14
PDPs
60
MAPDs
ZOHYDRO ER 15 MG CAPSULE
(hydrocodone bitartrate)
    65224031560 14
PDPs
60
MAPDs
ZOHYDRO ER 20 MG CAPSULE
(hydrocodone bitartrate)
    65224032060 14
PDPs
60
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 September 2018)





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