Powered by Q1Group LLC
Education and Decision Support Tools for the Medicare Community
  • Home
  • Contact
  • MAPD
  • PDP
  • 2020
  • FAQs
  • Articles
  • Search
  • Contact
  • 2020
  • FAQs
  • Articles
  • Latest Medicare News
  • Search


2019 Medicare Part D Formulary Search 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 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 2019 Formularies
PDPs MAPDs
ACTHIB VACCINE WITH DILUENT
(Haemophilus B Polysaccharide Conjugate Vaccine)
    49281054503 62
PDPs
352
MAPDs
ADALIMUMAB 50 MG/ML PREFILLED SYRINGE [HUMIRA]
(Adalimumab)
0.4 ML   00074937402 62
PDPs
352
MAPDs
ADEFOVIR DIPIVOXIL 10 MG TAB [Hepsera]
()
30 EA   42794000308 53
PDPs
350
MAPDs
ADMELOG 100 UNIT/ML VIAL [Humalog]
(Insulin Lispro)
10 mls   00024592410 1
PDPs
16
MAPDs
ADMELOG SOLOSTAR 100 UNIT/ML INSULN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   00024592505 1
PDPs
16
MAPDs
Ala-cort 2.5% cream
(Hydrocortisone)
    00316012830 50
PDPs
276
MAPDs
ALA-SCALP HP 2% LOTION
(Hydrocortisone)
1 OZ BOT 00316014001 0
PDPs
21
MAPDs
ANUSOL-HC 2.5% CREAM
(Hydrocortisone)
    65649040130 2
PDPs
16
MAPDs
BRYHALI 0.01% LOTION
(Halobetasol Propionate)
60 mls   00187000201 1
PDPs
14
MAPDs
COLOCORT 100MG ENEMA
(Hydrocortisone)
7 X 60 ML BOTAP 00574202007 56
PDPs
315
MAPDs
CORTEF 10MG TABLET
(Hydrocortisone)
100 BOT 00009003101 3
PDPs
8
MAPDs
CORTEF 20MG TABLET
(Hydrocortisone)
100 BOT 00009004401 2
PDPs
7
MAPDs
CORTEF 5MG TABLET
(Hydrocortisone)
50 BOT 00009001201 2
PDPs
7
MAPDs
DILAUDID 2 MG TABLET
(Hydromorphone HCl)
    42858012201 0
PDPs
4
MAPDs
DILAUDID 4 MG TABLET
(Hydromorphone HCl)
100 EA   42858023401 0
PDPs
4
MAPDs
DILAUDID 5 MG/5 ML ORAL LIQUID
(Hydromorphone HCl)
    42858041616 0
PDPs
4
MAPDs
DILAUDID 8 MG TABLET
(Hydromorphone HCl)
    42858033801 0
PDPs
4
MAPDs
Doxercalciferol 0.5 mcg capsule [HECTOROL]
()
    00054033819 25
PDPs
207
MAPDs
Doxercalciferol 1 mcg capsule [HECTOROL]
()
    00054038819 21
PDPs
205
MAPDs
Doxercalciferol 2.5 mcg capsule [HECTOROL]
()
    00054033919 21
PDPs
205
MAPDs
DROXIA 200MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633517 47
PDPs
309
MAPDs
DROXIA 300MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633617 47
PDPs
309
MAPDs
DROXIA 400MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633717 47
PDPs
309
MAPDs
DUOBRII 0.01%-0.045% LOTION
(Halobetasol Propionate, Tazarotene)
mls   00187065301 1
PDPs
16
MAPDs
ENGERIX B INJECTION
(Hepatitis B Vaccine (Recombinant))
10 SYR CRTN 58160082052 62
PDPs
352
MAPDs
ENGERIX-B 20 MCG/ML SYRN
(Hepatitis B Vaccine (Recombinant))
    58160082152 62
PDPs
352
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)
5 ML   63004871001 18
PDPs
118
MAPDs
HAEGARDA 2,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082802 47
PDPs
267
MAPDs
HAEGARDA 3,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082902 47
PDPs
267
MAPDs
HAILEY 24 FE 1 MG-20 MCG TABLET [Tarina Fe 1/20]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)
28 tablets   68462073129 35
PDPs
237
MAPDs
HALCION 0.25 MG TABLET
(Triazolam)
    00009001758 0
PDPs
4
MAPDs
HALDOL 5MG/ML INJECTION
(Haloperidol Lactate)
1ML X 1 AMP X 10 BOX 50458025501 2
PDPs
13
MAPDs
HALDOL DECANOATE 100MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 5 AMP BOX 50458025414 2
PDPs
13
MAPDs
HALDOL DECANOATE 50MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 3 AMP BOX 50458025303 2
PDPs
13
MAPDs
HALOBETASOL PROP 0.05% CREAM
(Halobetasol Propionate)
50 GM   45802012932 50
PDPs
318
MAPDs
HALOBETASOL PROP 0.05% FOAM [LEXETTE]
(Halobetasol Propionate)
50 grams   51862060650 2
PDPs
17
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 50
PDPs
312
MAPDs
Halog 1mg/g 60 g in 1 TUBE
(Halcinonide)
60 g in 1 TUBE   10631009430 3
PDPs
41
MAPDs
HALOG OINTMENT 1mg/g 60 g in 1 TUBE [HALOG]
(Halcinonide)
60 g in 1 TUBE   10631009630 3
PDPs
40
MAPDs
HALOPERIDOL 0.5 MG TABLET
(Haloperidol)
100.000 EA   00378035101 62
PDPs
352
MAPDs
HALOPERIDOL 1 MG TABLET
(Haloperidol)
100.000 EA   00378025701 62
PDPs
352
MAPDs
HALOPERIDOL 10 MG TABLET
(Haloperidol)
100.000 EA   68382008001 62
PDPs
352
MAPDs
HALOPERIDOL 20MG TABLET (100 CT)
(Haloperidol)
100 BOT 68382008101 62
PDPs
352
MAPDs
HALOPERIDOL 2MG TABLET (100 CT)
(Haloperidol)
100 BOT 00378021401 62
PDPs
352
MAPDs
HALOPERIDOL 5 MG TABLET
(Haloperidol)
100.000 EA   00378032701 62
PDPs
352
MAPDs
HALOPERIDOL DEC 100 MG/ML VIAL
(Haloperidol Decanoate IM)
    00703702101 62
PDPs
335
MAPDs
HALOPERIDOL DEC 100 MG/ML VIAL
(Haloperidol Decanoate IM)
5 ML   63323047105 62
PDPs
352
MAPDs
HALOPERIDOL DEC 50MG 10 X 1ML PKG
(Haloperidol Decanoate IM)
10 X 1 ML PKG 00703701103 62
PDPs
352
MAPDs
HALOPERIDOL LAC 2 MG/ML CONC
(Haloperidol Lactate)
120.000 ML   00121058104 62
PDPs
352
MAPDs
HALOPERIDOL LAC 5 MG/ML SYRING
(Haloperidol Lactate)
1   51991093317 62
PDPs
341
MAPDs
HALOPERIDOL LAC 5 MG/ML VIAL
(Haloperidol Lactate)
10.000 ML   63323047410 62
PDPs
350
MAPDs
HARVONI 90-400 MG TABLET
(Ledipasvir and Sofosbuvir)
  61958180101 60
PDPs
273
MAPDs
HAVRIX 1,440 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    58160082652 62
PDPs
352
MAPDs
HAVRIX 720 UNITS/0.5 ML VIAL
(Hepatitis A Vaccine)
0.5 ml   58160082501 62
PDPs
352
MAPDs
HAVRIX HEPATITIS A VACCINE INACTIVATED INJECTION SOLUTION 1440UNITS 10 X 1ML VIALSD
(Hepatitis A Vaccine)
10 X 1 ML VIALSD 58160082611 62
PDPs
352
MAPDs
HAVRIX HEPATITIS A VACCINE INJECTION
(Hepatitis A Vaccine)
10 SYR CRTN 58160082552 62
PDPs
352
MAPDs
HEPARIN 30,000 UNIT/30 ML VIAL
(Heparin Sodium (Porcine))
30 mls   63739094215 62
PDPs
349
MAPDs
HEPARIN SOD 5,000 UNIT/ML VIAL
(Heparin Sodium)
1 ML   63739095325 62
PDPs
352
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 1 VIALSD X 25 VIAL TRAY 00409272101 62
PDPs
348
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 25 VIAL CRTN 25021040401 62
PDPs
345
MAPDs
HEPATAMINE INJECTION 8%
(Amino Acid Infusion)
6 X 500 ML BOTGL 00264937155 62
PDPs
311
MAPDs
Hepatitis B Surface Antigen Vaccine 0.01 MG/ML Prefilled 0.5 ML Syringe [Recombivax]
(Hepatitis B Vaccine (Recombinant))
    00006409302 62
PDPs
352
MAPDs
HEPATITIS B VACCINE RECOMBIANT ADULT FORMULATION INJECTION 10MCG 1ML VIALSD
(Hepatitis B Vaccine)
1 ML VIALSD 00006499500 62
PDPs
352
MAPDs
HEPSERA 10MG TABLET
(Adefovir Dipivoxil)
    61958050101 0
PDPs
6
MAPDs
HETLIOZ 20 MG CAPSULE
(tasimelteon)
    43068022001 62
PDPs
335
MAPDs
HIBERIX VACCINE WITH DILUENT
(Haemophilus B Conjugate Vaccine)
    58160081811 62
PDPs
346
MAPDs
HIPREX 1 GM TABLET
(Methenamine Hippurate)
    30698027701 2
PDPs
7
MAPDs
HORIZANT ER 300 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010301 2
PDPs
32
MAPDs
HORIZANT ER 600 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010101 2
PDPs
30
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
3 ML   00002751659 37
PDPs
150
MAPDs
HUMALOG 100 UNITS/ML VIAL
(Insulin Lispro)
10 mls   00002751017 37
PDPs
149
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
    00002771227 37
PDPs
148
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))
3 ML   00002771459 37
PDPs
144
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 00002879959 37
PDPs
145
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL 00002751201 37
PDPs
155
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL 00002751101 37
PDPs
155
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879859 37
PDPs
151
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879759 37
PDPs
151
MAPDs
HUMATROPE 12MG CARTRIDGE
(Somatropin For)
1 PKGCOM 00002814801 3
PDPs
107
MAPDs
HUMATROPE 24MG CARTRIDGE
(Somatropin For)
1 CARTRIDGE VIAL 00002814901 3
PDPs
107
MAPDs
HUMATROPE 5 MG VIAL
(Somatropin For)
1 EA   00002733511 3
PDPs
100
MAPDs
HUMATROPE 6MG CARTRIDGE
(Somatropin For)
1 CTG 00002814701 3
PDPs
102
MAPDs
HUMIRA 10 MG/0.1 ML SYRINGEKIT
(Adalimumab)
units   00074081702 62
PDPs
349
MAPDs
HUMIRA 10 MG/0.2 ML SYRINGE
(Adalimumab)
2 EA   00074634702 62
PDPs
350
MAPDs
Humira 2 KIT per CARTON / 1 KIT in 1 KIT
(Adalimumab)
2 KIT in 1 CARTON / 1 KIT   00074379902 62
PDPs
352
MAPDs
HUMIRA 20 MG/0.2 ML SYRINGEKIT
(Adalimumab)
units   00074061602 62
PDPs
349
MAPDs
HUMIRA 40 MG/0.4 ML PEN IJ KIT
(Adalimumab)
2 units   00074055402 62
PDPs
349
MAPDs
HUMIRA 40 MG/0.4 ML SYRINGEKIT
(Adalimumab)
2 units   00074024302 62
PDPs
349
MAPDs
HUMIRA 40 MG/0.8 ML PEN
(ADALIMUMAB)
2 EA   00074433902 62
PDPs
350
MAPDs
HUMIRA PED CROHNS 80 MG/0.8 ML SYRINGEKIT
(Adalimumab)
units   00074254003 62
PDPs
345
MAPDs
HUMIRA PEDIATR CROHN'S 80-40MG SYRINGEKIT
(Adalimumab)
units   00074006702 62
PDPs
345
MAPDs
HUMIRA PEDIATRIC CROHN'S START
(ADALIMUMAB)
3 EA   00074379903 62
PDPs
343
MAPDs
HUMIRA PEDIATRIC CROHN'S START
(ADALIMUMAB)
6 EA   00074379906 62
PDPs
330
MAPDs
HUMIRA PEN KIT 40MG-70% 1 PKGCOM
(Adalimumab)
1 PKGCOM 00074433906 62
PDPs
352
MAPDs
HUMIRA PEN PSORIASIS-UVEITIS
(Adalimumab)
    00074433907 62
PDPs
352
MAPDs
HUMIRA(CF) PEN CRHN-UC-HS 80MG PEN IJ KIT
(Adalimumab)
units   00074012403 62
PDPs
349
MAPDs
HUMIRA(CF) PEN PS-UV-AHS 80-40 PEN IJ KIT
(Adalimumab)
units   00074153903 62
PDPs
349
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))
3.000 ML   00002880359 37
PDPs
145
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 37
PDPs
149
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))
3.000 ML   00002880559 37
PDPs
145
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 37
PDPs
149
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL 00002821501 37
PDPs
149
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
    00002882427 56
PDPs
308
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL 00002850101 56
PDPs
319
MAPDs
HYDRALAZINE 10 MG TABLET
(Hydralazine HCl)
100 EA   31722051901 62
PDPs
352
MAPDs
HYDRALAZINE 100 MG TABLET
(Hydralazine HCl)
100.000 EA   50111039701 62
PDPs
352
MAPDs
HYDRALAZINE 25 MG TABLET
(Hydralazine HCl)
100 EA   31722052001 62
PDPs
352
MAPDs
HYDRALAZINE 50 MG TABLET
(Hydralazine HCl)
100 EA   31722052101 62
PDPs
352
MAPDs
HYDREA 500MG CAPSULE
(Hydroxyurea)
100 BOT 00003083050 2
PDPs
13
MAPDs
Hydrochlorothiazide 12.5 MG Oral Capsule
(Hydrochlorothiazide)
    00378081005 62
PDPs
352
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG TB
(Hydrochlorothiazide)
100.000 EA   16729018201 62
PDPs
350
MAPDs
HYDROCHLOROTHIAZIDE 25 MG TAB
(Hydrochlorothiazide)
1000.000 EA   16729018317 62
PDPs
352
MAPDs
HYDROCHLOROTHIAZIDE 50 MG TAB
(Hydrochlorothiazide)
100 EA   16729018401 62
PDPs
352
MAPDs
HYDROCODON-ACETAMINOPH 7.5-325
(Hydrocodone-Acetaminophen)
100.000 EA   00406012401 62
PDPs
352
MAPDs
HYDROCODON-ACETAMINOPHEN 5-325
(Hydrocodone-Acetaminophen)
100.000 EA   00406012301 62
PDPs
352
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 10mg/1; mg/1
(Hydrocodone-Acetaminophen)
    64376064301 19
PDPs
169
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 5mg/1; mg/1
(Hydrocodone-Acetaminophen)
    64376064801 19
PDPs
173
MAPDs
Hydrocodone Bitartrate and Acetaminophen 300; 7.5mg/1; mg/1
(Hydrocodone-Acetaminophen)
    64376064901 19
PDPs
172
MAPDs
HYDROCODONE BITARTRATE AND IBUPROFEN TABLET 7.5-200MG (100 CT)
(Hydrocodone-Ibuprofen)
100 BOT 53746014501 53
PDPs
330
MAPDs
HYDROCODONE-ACETAMIN 10-325 MG Tablet [Norco]
(Hydrocodone Bitartrate, Acetaminophen)
120 tablets   00406012510 62
PDPs
352
MAPDs
HYDROCODONE-ACETAMIN 7.5-325/15 Solution [Hycet]
(Hydrocodone-Acetaminophen)
120 mls   64950034047 62
PDPs
323
MAPDs
HYDROCODONE-IBUPROFEN 10-200
(Hydrocodone-Ibuprofen)
100.000 EA   53746011701 23
PDPs
194
MAPDs
HYDROCODONE-IBUPROFEN 5-200 MG
(Hydrocodone-Ibuprofen)
100.000 EA   53746014601 23
PDPs
201
MAPDs
HYDROCORT-PRAMOXINE 1%-1% CREAM/APPL [Zone A]
(Hydrocortisone, Pramoxine)
30 grams   45802014464 8
PDPs
100
MAPDs
HYDROCORTISONE 0.1% SOLN
(Hydrocortisone)
60 ML   51672406104 24
PDPs
155
MAPDs
HYDROCORTISONE 1% CREAM
(Hydrocortisone)
28.350 GM   00168001531 58
PDPs
328
MAPDs
HYDROCORTISONE 1% OINTMENT
(Hydrocortisone)
28.350 GM   00168002031 43
PDPs
263
MAPDs
HYDROCORTISONE 10 MG TABLET [Hydrocortone]
(Hydrocortisone)
90 tablets   42543014101 62
PDPs
352
MAPDs
Hydrocortisone 10 MG/ML Topical Cream [Ala-Cort]
(Hydrocortisone)
    00316012601 43
PDPs
262
MAPDs
HYDROCORTISONE 100 MG/60 ML
(Hydrocortisone)
60.000 ML   62559013807 62
PDPs
348
MAPDs
HYDROCORTISONE 2.5% CREAM
(Hydrocortisone)
30.000 GM   00168008031 62
PDPs
352
MAPDs
HYDROCORTISONE 2.5% LOTION
(Hydrocortisone)
59.000 ML   45802093716 62
PDPs
347
MAPDs
HYDROCORTISONE 2.5% OINTMENT
(Hydrocortisone)
28.350 GM   00168014630 62
PDPs
352
MAPDs
HYDROCORTISONE 20 MG TABLET [Cortef]
(Hydrocortisone)
90 tablets   42543014201 57
PDPs
347
MAPDs
HYDROCORTISONE 5 MG TABLET [Cortef]
(Hydrocortisone)
90 tablets   42543014050 57
PDPs
347
MAPDs
HYDROCORTISONE BUTY 0.1% CREAM
(Hydrocortisone Butyrate)
45 GM   51672407406 37
PDPs
206
MAPDs
HYDROCORTISONE BUTYR 0.1% LOTION [Locoid]
(Hydrocortisone Butyrate)
59 mls   68180095102 7
PDPs
81
MAPDs
HYDROCORTISONE BUTYR 0.1% OINT
(Hydrocortisone)
15.000 GM   51672408301 44
PDPs
235
MAPDs
HYDROCORTISONE VAL 0.2% CREAM
(Hydrocortisone Valerate)
15 GM   51672129001 37
PDPs
286
MAPDs
HYDROCORTISONE VAL 0.2% OINTMT
(Hydrocortisone)
15.000 GM   51672129201 35
PDPs
283
MAPDs
HYDROCORTISONE-ACETIC ACID SOLN
(Hydrocortisone Acetate-Aloe Vera)
    51672300701 43
PDPs
249
MAPDs
HYDROMORPHONE 1 MG/ML SOLUTION [Dilaudid]
(Hydromorphone HCl)
473 ML   00054038663 55
PDPs
292
MAPDs
HYDROMORPHONE 10 MG/ML VIAL [Dilaudid-HP]
(Hydromorphone HCl)
1 ML   00703011003 55
PDPs
299
MAPDs
HYDROMORPHONE 2 MG TABLET [Dilaudid]
(Hydromorphone HCl)
100.000 EA   00406324301 62
PDPs
349
MAPDs
HYDROMORPHONE 2 MG/ML ISECURE Syringe [Simplist Dilaudid]
(Hydromorphone HCl)
    00409131210 38
PDPs
191
MAPDs
HYDROMORPHONE 4 MG TABLET [Dilaudid]
(Hydromorphone HCl)
100.000 EA   00406324401 62
PDPs
349
MAPDs
HYDROMORPHONE 50 MG/5 ML VIAL [Dilaudid-HP]
(Hydromorphone HCl)
5 ML   00703011303 55
PDPs
296
MAPDs
HYDROMORPHONE 8 MG TABLET [Dilaudid]
(Hydromorphone HCl)
100 BOT 00406324901 62
PDPs
349
MAPDs
HYDROMORPHONE HCL ER 12 MG TABLET ER 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070210 4
PDPs
76
MAPDs
HYDROMORPHONE HCL ER 16 MG TABLET ER 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070310 5
PDPs
78
MAPDs
HYDROMORPHONE HCL ER 32 MG Tablet 24H [Exalgo]
(Hydromorphone HCl)
    13811070410 5
PDPs
76
MAPDs
HYDROMORPHONE HCL ER 8 MG TABLET ER 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070110 4
PDPs
76
MAPDs
HYDROXYCHLOROQUINE 200 MG TAB
(Hydroxychloroquine Sulfate)
100 EA   68382009601 62
PDPs
352
MAPDs
HYDROXYUREA 500 MG CAPSULE
(Hydroxyurea)
100.000 EA   49884072401 62
PDPs
352
MAPDs
HYDROXYZINE 10 MG/5 ML SOLN
(Hydroxyzine HCl)
473 ML   60432015016 44
PDPs
291
MAPDs
HYDROXYZINE HCL 10 MG TABLET
(Hydroxyzine HCl)
100.000 EA   10702001001 53
PDPs
332
MAPDs
HYDROXYZINE HCL 25 MG TABLET
(Hydroxyzine HCl)
100 EA   16714008210 53
PDPs
335
MAPDs
HYDROXYZINE HCL 50 MG TABLET
(Hydroxyzine HCl)
100.000 EA   10702001201 53
PDPs
335
MAPDs
HYDROXYZINE PAM 100MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00555032402 13
PDPs
199
MAPDs
HYDROXYZINE PAM 25 MG CAP
(Hydroxyzine Pamoate)
100.000 EA   00185067401 31
PDPs
282
MAPDs
HYDROXYZINE PAM 50 MG CAP
(Hydroxyzine Pamoate)
100.000 EA   00185061501 31
PDPs
280
MAPDs
HYSINGLA ER 100 MG TABLET
(Hydrocodone Bitartrate)
    59011027660 22
PDPs
164
MAPDs
HYSINGLA ER 120 MG TABLET
(Hydrocodone Bitartrate)
    59011027760 22
PDPs
164
MAPDs
HYSINGLA ER 20 MG TABLET
(Hydrocodone Bitartrate)
    59011027160 22
PDPs
164
MAPDs
HYSINGLA ER 30 MG TABLET
(Hydrocodone Bitartrate)
    59011027260 22
PDPs
164
MAPDs
HYSINGLA ER 40 MG TABLET
(Hydrocodone Bitartrate)
    59011027360 22
PDPs
164
MAPDs
HYSINGLA ER 60 MG TABLET
(Hydrocodone Bitartrate)
    59011027460 22
PDPs
164
MAPDs
HYSINGLA ER 80 MG TABLET
(Hydrocodone Bitartrate)
    59011027560 22
PDPs
164
MAPDs
HYZAAR 100-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
30.000 EA   00006074531 4
PDPs
16
MAPDs
HYZAAR 100-25 TABLET
(Losartan Potassium & Hydrochlorothiazide)
30.000 EA   00006074731 4
PDPs
16
MAPDs
HYZAAR 50-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
30.000 EA   00006071731 4
PDPs
16
MAPDs
INSULIN LISPRO 100 UNIT/ML INSULN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   66733082259 10
PDPs
57
MAPDs
INSULIN LISPRO 100 UNIT/ML VIAL [Humalog KwikPen]
(Insulin Lispro)
10 mls   66733077301 10
PDPs
56
MAPDs
LEDIPASVIR-SOFOSBUVIR 90-400MG TABLET [Harvoni]
(Ledipasvir and Sofosbuvir)
28 tablets   72626260101 11
PDPs
124
MAPDs
LEXETTE 0.05% FOAM
(Halobetasol Propionate)
50 grams   51862060450 1
PDPs
13
MAPDs
LOCOID 0.1% LIPOCREAM
(Hydrocortisone Butyrate Hydrophilic Lipo Base)
    16781038445 2
PDPs
21
MAPDs
LOCOID 0.1% LOTION
(Hydrocortisone Butyrate)
    16781039204 0
PDPs
5
MAPDs
LOCOID 0.1% SOLUTION
(Hydrocortisone Butyrate)
    16781039160 0
PDPs
3
MAPDs
LORCET HD 10-325 MG TABLET
(acetaminophen / hydrocodone)
500 EA   51862058705 47
PDPs
264
MAPDs
Lorcet plus 7.5-325 mg tablet
(Hydrocodone-Acetaminophen)
    51862058601 47
PDPs
268
MAPDs
MICORT HC 2.5% CREAM
(HYDROCORTISONE ACETATE)
28.400 GM   54766083504 4
PDPs
22
MAPDs
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT
(Neomycin-Polymyxin-HC)
10 ML BOT 24208063110 62
PDPs
352
MAPDs
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS
(Neomycin-Polymyxin-HC)
7.5 ML BOTPL 61314064175 37
PDPs
308
MAPDs
NORCO 10-325 TABLET
(Hydrocodone Bitartrate, Acetaminophen)
120 tablets   00023602205 0
PDPs
10
MAPDs
NORCO 5-325 TABLET
(Hydrocodone Bitartrate, Acetaminophen)
12 tablets   00023600201 0
PDPs
10
MAPDs
NORCO 7.5-325 TABLET
(Hydrocodone Bitartrate, Acetaminophen)
60 tablets   00023602101 0
PDPs
10
MAPDs
OLMESARTAN-HCTZ 20-12.5 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
30.000 EA   00378141393 56
PDPs
321
MAPDs
OLMESARTAN-HCTZ 40-25 MG TAB
(OLMESARTAN/HYDROCHLOROTHIAZIDE)
30.000 EA   00378142593 56
PDPs
321
MAPDs
PANDEL 0.1% CREAM
(Hydrocortisone Probutate)
    10337015380 3
PDPs
44
MAPDs
PEDVAXHIB VACCINE VIAL
(Haemophilus B Polysaccharide Conjugate Vaccine)
10 X .5ML SINGLE DOSE VIL BOX 00006489700 62
PDPs
352
MAPDs
PLAQUENIL 200 MG TABLET
(Hydroxychloroquine Sulfate)
    59212056210 2
PDPs
8
MAPDs
procto-pak 1% cream
(Hydrocortisone)
    64980030230 60
PDPs
303
MAPDs
PROCTOSOL-HC 2.5% CREAM
(Hydrocortisone)
1 OUNCE TUBE 10631040701 62
PDPs
346
MAPDs
PROCTOZONE-HC 2.5% CREAM
(Hydrocortisone)
30 GM   64980032430 62
PDPs
348
MAPDs
RECOMBIVAX HB 10 MCG/ML SYR
(Hepatitis B Vaccine (Recombinant))
    00006409402 62
PDPs
352
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
1 ML VIALSD 00006499200 62
PDPs
352
MAPDs
TERAZOSIN 10 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   00378157001 62
PDPs
352
MAPDs
TERAZOSIN 5 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   00378226801 62
PDPs
352
MAPDs
TEXACORT 2.5% SOLUTION
(Hydrocortisone)
30 mls   00178045501 10
PDPs
87
MAPDs
TRIAMTERENE-HCTZ 37.5-25 MG CP
(Triamterene & Hydrochlorothiazide)
100.000 EA   00781207401 62
PDPs
352
MAPDs
TRIAMTERENE-HCTZ 37.5-25 MG TB
(Triamterene & Hydrochlorothiazide)
500 EA   60505265605 62
PDPs
352
MAPDs
TRIAMTERENE-HCTZ 75-50 MG TAB
(Triamterene & Hydrochlorothiazide)
500.000 EA   60505265705 62
PDPs
352
MAPDs
TRIAZOLAM 0.125 MG TABLET [Halcion]
(Triazolam)
30 tablets   59762371709 6
PDPs
119
MAPDs
TRIAZOLAM 0.25 MG TABLET [Halcion]
(Triazolam)
30 tablets   59762371803 6
PDPs
115
MAPDs
TWINRIX VACCINE SYRINGE
(Hepatitis A (Inact)-Hep B (Recomb) Vac)
    58160081552 62
PDPs
352
MAPDs
ULTRAVATE 0.05 % 60 ML
(Halobetasol Propionate)
    10631012204 1
PDPs
20
MAPDs
Ultravate 0.5mg/g 50 g in 1 TUBE
(Halobetasol Propionate)
50 g in 1 TUBE   10631010250 2
PDPs
7
MAPDs
Ultravate 0.5mg/g 50 g in 1 TUBE
(Halobetasol Propionate)
50 g in 1 TUBE   10631010350 2
PDPs
7
MAPDs
VALSARTAN-HCTZ 80-12.5 MG Tablet [Diovan HCT]
(Hydrochlorothiazide)
    65862054790 61
PDPs
350
MAPDs
VAQTA 25 UNITS/0.5 ML SYRINGE
(Hepatitis A Vaccine)
    00006409502 62
PDPs
352
MAPDs
VAQTA 50 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    00006409602 62
PDPs
352
MAPDs
Vaqta Hepatitis A Vaccine Adult 50 Unit / mL Injection Single Dose Vial 1 mL
(Hepatitis A Vaccine)
    00006484100 62
PDPs
352
MAPDs
Vaqta Hepatitis A Vaccine Pediatric / Adolescent 25 Unit / 0.5 mL Injection Single Dose Vial 0.5 mL
(Hepatitis A Vaccine)
    00006483141 62
PDPs
352
MAPDs
VICODIN 5-300 MG TABLET
(Hydrocodone-Acetaminophen)
500 EA   00074304153 15
PDPs
134
MAPDs
VICODIN ES 7.5-300 MG TABLET
(Hydrocodone-Acetaminophen)
500.000 EA   00074304353 15
PDPs
134
MAPDs
VICODIN HP 10-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
60 tablets   00074305413 15
PDPs
133
MAPDs
VISTARIL 25MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00069541066 0
PDPs
4
MAPDs
VISTARIL 50MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00069542066 0
PDPs
4
MAPDs
ZOHYDRO ER 10 MG CAPSULE
(hydrocodone bitartrate)
    65224031060 13
PDPs
58
MAPDs
ZOHYDRO ER 15 MG CAPSULE
(hydrocodone bitartrate)
    65224031560 13
PDPs
58
MAPDs
ZOHYDRO ER 20 MG CAPSULE
(hydrocodone bitartrate)
    65224032060 13
PDPs
58
MAPDs
ZOHYDRO ER 30 MG CAPSULE
(hydrocodone bitartrate)
    65224033060 13
PDPs
57
MAPDs
ZOHYDRO ER 40 MG CAPSULE
(hydrocodone bitartrate)
    65224034060 13
PDPs
57
MAPDs
ZOHYDRO ER 50 MG CAPSULE
(hydrocodone bitartrate)
    65224035060 13
PDPs
57
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2019)




Tips & Disclaimers
  • 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 PDP-Compare.com and MA-Compare.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.
  • 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.