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2020 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 2020 Formularies
PDPs MAPDs
ACTHIB VACCINE WITH DILUENT
(Haemophilus B Polysaccharide Conjugate Vaccine)
    49281054503 69
PDPs
396
MAPDs
ADALIMUMAB 50 MG/ML PREFILLED SYRINGE [HUMIRA]
(Adalimumab)
0.4 ML   00074937402 69
PDPs
396
MAPDs
ADEFOVIR DIPIVOXIL 10 MG TAB [Hepsera]
()
30 EA   42794000308 60
PDPs
394
MAPDs
ADMELOG 100 UNIT/ML VIAL [Humalog]
(Insulin Lispro)
10 mls   00024592410 1
PDPs
10
MAPDs
ADMELOG SOLOSTAR 100 UNIT/ML INSULN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   00024592505 1
PDPs
10
MAPDs
Ala-cort 2.5% cream
(Hydrocortisone)
    00316012830 54
PDPs
257
MAPDs
ALA-SCALP HP 2% LOTION
(Hydrocortisone)
1 OZ BOT 00316014001 0
PDPs
22
MAPDs
ANUSOL-HC 2.5% CREAM
(Hydrocortisone)
    65649040130 1
PDPs
16
MAPDs
BRYHALI 0.01% LOTION
(Halobetasol Propionate)
60 mls   00187000260 0
PDPs
12
MAPDs
COLOCORT 100MG ENEMA
(Hydrocortisone)
7 X 60 ML BOTAP 00574202007 61
PDPs
356
MAPDs
CORTEF 10MG TABLET
(Hydrocortisone)
100 BOT 00009003101 3
PDPs
7
MAPDs
CORTEF 20MG TABLET
(Hydrocortisone)
100 BOT 00009004401 3
PDPs
7
MAPDs
CORTEF 5MG TABLET
(Hydrocortisone)
50 BOT 00009001201 3
PDPs
7
MAPDs
DILAUDID 2 MG TABLET
(Hydromorphone HCl)
    42858012201 0
PDPs
3
MAPDs
DILAUDID 4 MG TABLET
(Hydromorphone HCl)
100 EA   42858023401 0
PDPs
3
MAPDs
DILAUDID 5 MG/5 ML ORAL LIQUID
(Hydromorphone HCl)
    42858041616 0
PDPs
3
MAPDs
DILAUDID 8 MG TABLET
(Hydromorphone HCl)
    42858033801 0
PDPs
3
MAPDs
Doxercalciferol 0.5 mcg capsule [HECTOROL]
()
    00054033819 23
PDPs
245
MAPDs
Doxercalciferol 1 mcg capsule [HECTOROL]
()
    00054038819 21
PDPs
243
MAPDs
Doxercalciferol 2.5 mcg capsule [HECTOROL]
()
    00054033919 21
PDPs
243
MAPDs
DROXIA 200MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633517 51
PDPs
345
MAPDs
DROXIA 300MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633617 51
PDPs
345
MAPDs
DROXIA 400MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633717 51
PDPs
345
MAPDs
DUOBRII 0.01%-0.045% LOTION
(Halobetasol Propionate, Tazarotene)
mls   00187065301 3
PDPs
28
MAPDs
ENGERIX B INJECTION
(Hepatitis B Vaccine (Recombinant))
10 SYR CRTN 58160082052 69
PDPs
396
MAPDs
ENGERIX-B 20 MCG/ML SYRN
(Hepatitis B Vaccine (Recombinant))
    58160082152 69
PDPs
396
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)
5 ML   63004871001 16
PDPs
121
MAPDs
HAEGARDA 2,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082802 50
PDPs
300
MAPDs
HAEGARDA 3,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082902 50
PDPs
300
MAPDs
HAILEY 24 FE 1 MG-20 MCG TABLET [Tarina Fe 1/20]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)
28 tablets   68462073129 39
PDPs
275
MAPDs
HALCINONIDE 0.1% CREAM (g) [Halog -E]
(Halcinonide)
60 grams   00378805660 2
PDPs
36
MAPDs
HALCION 0.25 MG TABLET
(Triazolam)
    00009001758 0
PDPs
3
MAPDs
HALDOL 5MG/ML INJECTION
(Haloperidol Lactate)
1ML X 1 AMP X 10 BOX 50458025501 3
PDPs
8
MAPDs
HALDOL DECANOATE 100MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 5 AMP BOX 50458025414 3
PDPs
8
MAPDs
HALDOL DECANOATE 50MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 3 AMP BOX 50458025303 3
PDPs
8
MAPDs
HALOBETASOL PROP 0.05% CREAM
(Halobetasol Propionate)
50 GM   45802012932 60
PDPs
368
MAPDs
HALOBETASOL PROP 0.05% FOAM [LEXETTE]
(Halobetasol Propionate)
50 grams   51862060650 2
PDPs
21
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 62
PDPs
366
MAPDs
Halog 1mg/g 60 g in 1 TUBE
(Halcinonide)
60 g in 1 TUBE   10631009430 0
PDPs
24
MAPDs
HALOG OINTMENT 1mg/g 60 g in 1 TUBE [HALOG]
(Halcinonide)
60 g in 1 TUBE   10631009630 2
PDPs
29
MAPDs
HALOPERIDOL 0.5 MG TABLET
(Haloperidol)
100.000 EA   00378035101 69
PDPs
396
MAPDs
HALOPERIDOL 1 MG TABLET [Haldol]
(Haloperidol)
30 tablets   00781139201 69
PDPs
396
MAPDs
HALOPERIDOL 10 MG TABLET
(Haloperidol)
100.000 EA   68382008001 69
PDPs
396
MAPDs
HALOPERIDOL 20MG TABLET (100 CT)
(Haloperidol)
100 BOT 68382008101 69
PDPs
396
MAPDs
HALOPERIDOL 2MG TABLET (100 CT)
(Haloperidol)
100 BOT 00378021401 69
PDPs
396
MAPDs
HALOPERIDOL 5 MG TABLET [Haldol]
(Haloperidol)
30 tablets   68382007901 69
PDPs
396
MAPDs
HALOPERIDOL DEC 100 MG/ML AMPUL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ml   10147092205 69
PDPs
378
MAPDs
HALOPERIDOL DEC 100 MG/ML VIAL
(Haloperidol Decanoate IM)
5 ML   63323047105 69
PDPs
396
MAPDs
HALOPERIDOL DECAN 50 MG/ML AMPUL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ml   10147092103 69
PDPs
396
MAPDs
HALOPERIDOL LAC 2 MG/ML CONC
(Haloperidol Lactate)
120.000 ML   00121058104 69
PDPs
396
MAPDs
HALOPERIDOL LAC 5 MG/ML VIAL
(Haloperidol Lactate)
10.000 ML   63323047410 69
PDPs
396
MAPDs
HARVONI 90-400 MG TABLET
(Ledipasvir and Sofosbuvir)
  61958180101 63
PDPs
254
MAPDs
HAVRIX 1,440 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    58160082652 69
PDPs
396
MAPDs
HAVRIX 720 UNITS/0.5 ML VIAL
(Hepatitis A Vaccine)
0.5 ml   58160082501 69
PDPs
396
MAPDs
HAVRIX HEPATITIS A VACCINE INACTIVATED INJECTION SOLUTION 1440UNITS 10 X 1ML VIALSD
(Hepatitis A Vaccine)
10 X 1 ML VIALSD 58160082611 69
PDPs
396
MAPDs
HAVRIX HEPATITIS A VACCINE INJECTION
(Hepatitis A Vaccine)
10 SYR CRTN 58160082552 69
PDPs
396
MAPDs
HEPARIN 30,000 UNIT/30 ML VIAL
(Heparin Sodium (Porcine))
30 mls   63739094215 69
PDPs
394
MAPDs
HEPARIN SOD 5,000 UNIT/ML VIAL
(Heparin Sodium)
1 ML   63739095325 69
PDPs
396
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 1 VIALSD X 25 VIAL TRAY 00409272101 69
PDPs
392
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 25 VIAL CRTN 25021040401 69
PDPs
388
MAPDs
HEPATAMINE INJECTION 8%
(Amino Acid Infusion)
6 X 500 ML BOTGL 00264937155 67
PDPs
354
MAPDs
Hepatitis B Surface Antigen Vaccine 0.01 MG/ML Prefilled 0.5 ML Syringe [Recombivax]
(Hepatitis B Vaccine (Recombinant))
    00006409302 69
PDPs
396
MAPDs
HEPSERA 10MG TABLET
(Adefovir Dipivoxil)
    61958050101 0
PDPs
7
MAPDs
HETLIOZ 20 MG CAPSULE
(tasimelteon)
    43068022001 69
PDPs
373
MAPDs
HIBERIX VACCINE WITH DILUENT
(Haemophilus B Conjugate Vaccine)
    58160081811 69
PDPs
396
MAPDs
HIPREX 1 GM TABLET
(Methenamine Hippurate)
    30698027701 3
PDPs
7
MAPDs
HORIZANT ER 300 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010301 1
PDPs
25
MAPDs
HORIZANT ER 600 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010101 1
PDPs
22
MAPDs
HUMALOG 100 UNIT/ML VIAL
(Insulin Lispro (Human))
10 mls   00002751001 36
PDPs
152
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
3 ML   00002751659 42
PDPs
165
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
    00002771227 42
PDPs
165
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))
3 ML   00002771459 42
PDPs
159
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 00002879959 36
PDPs
150
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL 00002751201 42
PDPs
172
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL 00002751101 42
PDPs
172
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879859 42
PDPs
169
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879759 42
PDPs
169
MAPDs
HUMATROPE 12MG CARTRIDGE
(Somatropin For)
1 PKGCOM 00002814801 2
PDPs
104
MAPDs
HUMATROPE 24MG CARTRIDGE
(Somatropin For)
1 CARTRIDGE VIAL 00002814901 2
PDPs
104
MAPDs
HUMATROPE 5 MG VIAL
(Somatropin For)
1 EA   00002733511 2
PDPs
100
MAPDs
HUMATROPE 6MG CARTRIDGE
(Somatropin For)
1 CTG 00002814701 2
PDPs
102
MAPDs
HUMIRA 10 MG/0.1 ML SYRINGEKIT
(Adalimumab)
units   00074081702 69
PDPs
393
MAPDs
HUMIRA 10 MG/0.2 ML SYRINGE
(Adalimumab)
2 EA   00074634702 69
PDPs
394
MAPDs
Humira 2 KIT per CARTON / 1 KIT in 1 KIT
(Adalimumab)
2 KIT in 1 CARTON / 1 KIT   00074379902 69
PDPs
396
MAPDs
HUMIRA 20 MG/0.2 ML SYRINGEKIT
(Adalimumab)
units   00074061602 69
PDPs
393
MAPDs
HUMIRA 40 MG/0.4 ML PEN IJ KIT
(Adalimumab)
2 units   00074055402 69
PDPs
393
MAPDs
HUMIRA 40 MG/0.4 ML SYRINGEKIT
(Adalimumab)
2 units   00074024302 69
PDPs
393
MAPDs
HUMIRA 40 MG/0.8 ML PEN
(ADALIMUMAB)
2 EA   00074433902 69
PDPs
394
MAPDs
HUMIRA PED CROHNS 80 MG/0.8 ML SYRINGEKIT
(Adalimumab)
units   00074254003 69
PDPs
389
MAPDs
HUMIRA PEDIATR CROHN'S 80-40MG SYRINGEKIT
(Adalimumab)
units   00074006702 69
PDPs
389
MAPDs
HUMIRA PEDIATRIC CROHN'S START
(ADALIMUMAB)
3 EA   00074379903 69
PDPs
387
MAPDs
HUMIRA PEDIATRIC CROHN'S START
(ADALIMUMAB)
6 EA   00074379906 69
PDPs
378
MAPDs
HUMIRA PEN KIT 40MG-70% 1 PKGCOM
(Adalimumab)
1 PKGCOM 00074433906 69
PDPs
396
MAPDs
HUMIRA PEN PSORIASIS-UVEITIS
(Adalimumab)
    00074433907 69
PDPs
396
MAPDs
HUMIRA(CF) PEN CRHN-UC-HS 80MG PEN IJ KIT
(Adalimumab)
units   00074012403 69
PDPs
393
MAPDs
HUMIRA(CF) PEN PS-UV-AHS 80-40 PEN IJ KIT
(Adalimumab)
units   00074153903 69
PDPs
393
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))
3.000 ML   00002880359 42
PDPs
161
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 42
PDPs
170
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))
3.000 ML   00002880559 42
PDPs
161
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 42
PDPs
170
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL 00002821501 42
PDPs
169
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
    00002882427 57
PDPs
327
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL 00002850101 57
PDPs
336
MAPDs
HYDRALAZINE 10 MG TABLET [Apresoline]
(Hydralazine HCl)
90 tablets   50111039801 69
PDPs
396
MAPDs
HYDRALAZINE 100 MG TABLET [Apresoline]
(Hydralazine HCl)
90 tablets   23155000401 69
PDPs
396
MAPDs
HYDRALAZINE 25 MG TABLET
(Hydralazine HCl)
100 EA   31722052001 69
PDPs
396
MAPDs
HYDRALAZINE 50 MG TABLET
(Hydralazine HCl)
100 EA   31722052101 69
PDPs
396
MAPDs
HYDREA 500MG CAPSULE
(Hydroxyurea)
100 BOT 00003083050 3
PDPs
7
MAPDs
Hydrochlorothiazide 12.5 MG Oral Capsule
(Hydrochlorothiazide)
    00378081005 69
PDPs
396
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG TB
(Hydrochlorothiazide)
100.000 EA   16729018201 69
PDPs
394
MAPDs
HYDROCHLOROTHIAZIDE 25 MG TAB
(Hydrochlorothiazide)
1000.000 EA   16729018317 69
PDPs
396
MAPDs
HYDROCHLOROTHIAZIDE 50 MG TABLET [Zide]
(Hydrochlorothiazide)
90 tablets   16729018417 69
PDPs
396
MAPDs
HYDROCODON-ACETAMINOPH 7.5-325
(Hydrocodone-Acetaminophen)
100.000 EA   00406012401 69
PDPs
396
MAPDs
HYDROCODON-ACETAMINOPHEN 5-325
(Hydrocodone-Acetaminophen)
100.000 EA   00406012301 69
PDPs
396
MAPDs
HYDROCODONE BITARTRATE AND IBUPROFEN TABLET 7.5-200MG (100 CT)
(Hydrocodone-Ibuprofen)
100 BOT 53746014501 55
PDPs
367
MAPDs
HYDROCODONE-ACETAMIN 10-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
60 tablets   43386035301 18
PDPs
207
MAPDs
HYDROCODONE-ACETAMIN 10-325 MG TABLET [Norco]
(Hydrocodone Bitartrate, Acetaminophen)
120 tablets   00406012501 69
PDPs
396
MAPDs
HYDROCODONE-ACETAMIN 5-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
12 tablets   43386035101 18
PDPs
210
MAPDs
HYDROCODONE-ACETAMIN 7.5-300 TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
12 tablets   43386035201 18
PDPs
209
MAPDs
HYDROCODONE-ACETAMN 7.5-325/15 SOLUTION [Hycet]
(Hydrocodone Bitartrate, Acetaminophen)
120 mls   00121077216 66
PDPs
369
MAPDs
HYDROCODONE-IBUPROFEN 10-200
(Hydrocodone-Ibuprofen)
100.000 EA   53746011701 17
PDPs
235
MAPDs
HYDROCODONE-IBUPROFEN 5-200 MG
(Hydrocodone-Ibuprofen)
100.000 EA   53746014601 17
PDPs
245
MAPDs
HYDROCORT-PRAMOXINE 1%-1% CREAM/APPL [Zone A]
(Hydrocortisone, Pramoxine)
30 grams   45802014464 10
PDPs
135
MAPDs
HYDROCORTISONE 1% CREAM
(Hydrocortisone)
28.350 GM   00168001531 64
PDPs
370
MAPDs
HYDROCORTISONE 1% OINTMENT
(Hydrocortisone)
28.350 GM   00168002031 40
PDPs
243
MAPDs
HYDROCORTISONE 10 MG TABLET [Hydrocortone]
(Hydrocortisone)
90 tablets   59762007401 69
PDPs
396
MAPDs
Hydrocortisone 10 MG/ML Topical Cream [Ala-Cort]
(Hydrocortisone)
    00316012601 50
PDPs
293
MAPDs
HYDROCORTISONE 100 MG/60 ML
(Hydrocortisone)
60.000 ML   62559013807 69
PDPs
392
MAPDs
HYDROCORTISONE 2.5% CREAM (g) [Proctozone-HC]
(Hydrocortisone)
28 grams   51672300302 69
PDPs
396
MAPDs
HYDROCORTISONE 2.5% LOTION
(Hydrocortisone)
59.000 ML   45802093716 69
PDPs
391
MAPDs
HYDROCORTISONE 2.5% OINTMENT
(Hydrocortisone)
28.350 GM   00168014630 69
PDPs
396
MAPDs
HYDROCORTISONE 20 MG TABLET [Cortef]
(Hydrocortisone)
30 tablets   59762007501 63
PDPs
390
MAPDs
HYDROCORTISONE 5 MG TABLET [Cortef]
(Hydrocortisone)
90 tablets   59762007301 63
PDPs
390
MAPDs
HYDROCORTISONE BUTY 0.1% CREAM
(Hydrocortisone Butyrate)
45 GM   51672407406 42
PDPs
221
MAPDs
HYDROCORTISONE BUTYR 0.1% LOTION [Locoid]
(Hydrocortisone)
59 mls   52565008702 4
PDPs
97
MAPDs
HYDROCORTISONE BUTYR 0.1% OINTMENT [Locoid]
(Hydrocortisone Butyrate)
grams   51672408306 47
PDPs
253
MAPDs
HYDROCORTISONE BUTYR 0.1% SOLUTION [Locoid]
(Hydrocortisone Butyrate)
mls   68682027361 19
PDPs
177
MAPDs
HYDROCORTISONE VAL 0.2% CREAM (g) [Westcort]
(Hydrocortisone Valerate)
15 grams   51672129003 40
PDPs
260
MAPDs
HYDROCORTISONE VAL 0.2% OINTMT
(Hydrocortisone)
15.000 GM   51672129201 36
PDPs
259
MAPDs
HYDROCORTISONE-ACETIC ACID SOLN
(Hydrocortisone Acetate-Aloe Vera)
    51672300701 45
PDPs
291
MAPDs
HYDROMORPHONE 1 MG/ML SOLUTION [Dilaudid]
(Hydromorphone HCl)
473 ML   00054038663 59
PDPs
333
MAPDs
HYDROMORPHONE 10 MG/ML VIAL [Dilaudid-HP]
(Hydromorphone HCl)
1 ML   00703011003 62
PDPs
342
MAPDs
HYDROMORPHONE 2 MG TABLET [Dilaudid]
(Hydromorphone HCl)
100.000 EA   00406324301 69
PDPs
393
MAPDs
HYDROMORPHONE 2 MG/ML ISECURE Syringe [Simplist Dilaudid]
(Hydromorphone HCl)
    00409131210 44
PDPs
234
MAPDs
HYDROMORPHONE 4 MG TABLET [Dilaudid]
(Hydromorphone HCl)
100.000 EA   00406324401 69
PDPs
393
MAPDs
HYDROMORPHONE 50 MG/5 ML VIAL [Dilaudid-HP]
(Hydromorphone HCl)
5 ML   00703011303 62
PDPs
336
MAPDs
HYDROMORPHONE 8 MG TABLET [Dilaudid]
(Hydromorphone HCl)
100 BOT 00406324901 69
PDPs
393
MAPDs
HYDROMORPHONE HCL ER 12 MG TABLET ER 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070210 3
PDPs
81
MAPDs
HYDROMORPHONE HCL ER 16 MG TABLET ER 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070310 5
PDPs
86
MAPDs
HYDROMORPHONE HCL ER 32 MG Tablet 24H [Exalgo]
(Hydromorphone HCl)
    13811070410 5
PDPs
83
MAPDs
HYDROMORPHONE HCL ER 8 MG TABLET ER 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070110 3
PDPs
81
MAPDs
HYDROXYCHLOROQUINE 200 MG TAB
(Hydroxychloroquine Sulfate)
100 EA   68382009601 69
PDPs
396
MAPDs
HYDROXYUREA 500 MG CAPSULE
(Hydroxyurea)
100.000 EA   49884072401 69
PDPs
396
MAPDs
HYDROXYZINE 10 MG/5 ML SOLN
(Hydroxyzine HCl)
473 ML   60432015016 48
PDPs
327
MAPDs
HYDROXYZINE HCL 10 MG TABLET [Rezine]
(Hydroxyzine HCl)
30 tablets   00093506001 58
PDPs
375
MAPDs
HYDROXYZINE HCL 25 MG TABLET [Atarax]
(Hydroxyzine HCl)
30 tablets   10702001150 58
PDPs
379
MAPDs
HYDROXYZINE HCL 50 MG TABLET [Atarax]
(Hydroxyzine HCl)
30 tablets   16714008310 58
PDPs
379
MAPDs
HYDROXYZINE PAM 100MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00555032402 15
PDPs
238
MAPDs
HYDROXYZINE PAM 25 MG CAP
(Hydroxyzine Pamoate)
100.000 EA   00185067401 37
PDPs
317
MAPDs
HYDROXYZINE PAM 50 MG CAP
(Hydroxyzine Pamoate)
100.000 EA   00185061501 37
PDPs
316
MAPDs
HYSINGLA ER 100 MG TABLET
(Hydrocodone Bitartrate)
    59011027660 19
PDPs
122
MAPDs
HYSINGLA ER 120 MG TABLET
(Hydrocodone Bitartrate)
    59011027760 19
PDPs
122
MAPDs
HYSINGLA ER 20 MG TABLET
(Hydrocodone Bitartrate)
    59011027160 19
PDPs
122
MAPDs
HYSINGLA ER 30 MG TABLET
(Hydrocodone Bitartrate)
    59011027260 19
PDPs
122
MAPDs
HYSINGLA ER 40 MG TABLET
(Hydrocodone Bitartrate)
    59011027360 19
PDPs
122
MAPDs
HYSINGLA ER 60 MG TABLET
(Hydrocodone Bitartrate)
    59011027460 19
PDPs
122
MAPDs
HYSINGLA ER 80 MG TABLET
(Hydrocodone Bitartrate)
    59011027560 19
PDPs
122
MAPDs
HYZAAR 100-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
30.000 EA   00006074531 4
PDPs
15
MAPDs
HYZAAR 100-25 TABLET
(Losartan Potassium & Hydrochlorothiazide)
30.000 EA   00006074731 4
PDPs
15
MAPDs
HYZAAR 50-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
30.000 EA   00006071731 4
PDPs
15
MAPDs
INSULIN LISPRO 100 UNIT/ML INSULN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   66733082259 13
PDPs
68
MAPDs
INSULIN LISPRO 100 UNIT/ML VIAL [Humalog KwikPen]
(Insulin Lispro)
10 mls   66733077301 13
PDPs
68
MAPDs
LEDIPASVIR-SOFOSBUVIR 90-400MG TABLET [Harvoni]
(Ledipasvir and Sofosbuvir)
28 tablets   72626260101 26
PDPs
150
MAPDs
LEXETTE 0.05% FOAM
(Halobetasol Propionate)
50 grams   51862060450 2
PDPs
20
MAPDs
LOCOID 0.1% LIPOCREAM
(Hydrocortisone Butyrate Hydrophilic Lipo Base)
    16781038445 3
PDPs
17
MAPDs
LOCOID 0.1% LOTION
(Hydrocortisone Butyrate)
    16781039204 0
PDPs
2
MAPDs
LOCOID 0.1% SOLUTION
(Hydrocortisone Butyrate)
    16781039160 0
PDPs
1
MAPDs
LORCET HD 10-325 MG TABLET
(acetaminophen / hydrocodone)
500 EA   51862058705 55
PDPs
304
MAPDs
Lorcet plus 7.5-325 mg tablet
(Hydrocodone-Acetaminophen)
    51862058601 55
PDPs
303
MAPDs
LOSARTAN-HCTZ 100-12.5 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)
30 tablets   65862046990 69
PDPs
396
MAPDs
MICORT HC 2.5% CREAM
(HYDROCORTISONE ACETATE)
28.400 GM   54766083504 1
PDPs
23
MAPDs
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT
(Neomycin-Polymyxin-HC)
10 ML BOT 24208063110 69
PDPs
396
MAPDs
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS
(Neomycin-Polymyxin-HC)
7.5 ML BOTPL 61314064175 44
PDPs
345
MAPDs
NORCO 10-325 TABLET
(Hydrocodone-Acetaminophen)
120 tablets   00023602201 0
PDPs
8
MAPDs
NORCO 5-325 TABLET
(Hydrocodone Bitartrate, Acetaminophen)
12 tablets   00023600201 0
PDPs
8
MAPDs
NORCO 7.5-325 TABLET
(Hydrocodone Bitartrate, Acetaminophen)
60 tablets   00023602101 0
PDPs
8
MAPDs
PANDEL 0.1% CREAM
(Hydrocortisone Probutate)
    10337015380 1
PDPs
48
MAPDs
PEDVAXHIB VACCINE VIAL
(Haemophilus B Polysaccharide Conjugate Vaccine)
10 X .5ML SINGLE DOSE VIL BOX 00006489700 69
PDPs
396
MAPDs
PLAQUENIL 200 MG TABLET
(Hydroxychloroquine Sulfate)
    59212056210 3
PDPs
7
MAPDs
procto-pak 1% cream
(Hydrocortisone)
    64980030230 67
PDPs
349
MAPDs
PROCTOSOL-HC 2.5% CREAM
(Hydrocortisone)
1 OUNCE TUBE 10631040701 68
PDPs
390
MAPDs
PROCTOZONE-HC 2.5% CREAM
(Hydrocortisone)
30 GM   64980032430 68
PDPs
392
MAPDs
RECOMBIVAX HB 10 MCG/ML SYR
(Hepatitis B Vaccine (Recombinant))
    00006409402 69
PDPs
396
MAPDs
RECOMBIVAX HB 10 MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
ml   00006499541 69
PDPs
396
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
1 ML VIALSD 00006499200 69
PDPs
396
MAPDs
SIKLOS 1,000 MG TABLET
(Hydroxyurea)
TABLETs   71770012030 5
PDPs
84
MAPDs
SIKLOS 100 MG TABLET
(Hydroxyurea)
TABLETs   71770010060 5
PDPs
83
MAPDs
TERAZOSIN 10 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   59746038606 69
PDPs
396
MAPDs
TERAZOSIN 5 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   59746038506 69
PDPs
396
MAPDs
TEXACORT 2.5% SOLUTION
(Hydrocortisone)
30 mls   00178045501 6
PDPs
79
MAPDs
TRIAMTERENE-HCTZ 37.5-25 MG TB
(Triamterene & Hydrochlorothiazide)
500 EA   60505265605 69
PDPs
396
MAPDs
TRIAMTERENE-HCTZ 75-50 MG TAB
(Triamterene & Hydrochlorothiazide)
500.000 EA   60505265705 69
PDPs
396
MAPDs
TRIAZOLAM 0.125 MG TABLET [Halcion]
(Triazolam)
30 tablets   59762371709 4
PDPs
142
MAPDs
TRIAZOLAM 0.25 MG TABLET [Halcion]
(Triazolam)
30 tablets   59762371809 4
PDPs
144
MAPDs
TWINRIX VACCINE SYRINGE
(Hepatitis A (Inact)-Hep B (Recomb) Vac)
    58160081552 69
PDPs
396
MAPDs
ULTRAVATE 0.05 % 60 ML
(Halobetasol Propionate)
    10631012204 0
PDPs
8
MAPDs
Ultravate 0.5mg/g 50 g in 1 TUBE
(Halobetasol Propionate)
50 g in 1 TUBE   10631010250 3
PDPs
7
MAPDs
VAQTA 25 UNITS/0.5 ML SYRINGE
(Hepatitis A Vaccine)
    00006409502 69
PDPs
396
MAPDs
VAQTA 50 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    00006409602 69
PDPs
396
MAPDs
VAQTA 50 UNITS/ML VIAL
(Hepatitis A Vaccine)
ml   00006484141 69
PDPs
396
MAPDs
Vaqta Hepatitis A Vaccine Pediatric / Adolescent 25 Unit / 0.5 mL Injection Single Dose Vial 0.5 mL
(Hepatitis A Vaccine)
    00006483141 69
PDPs
396
MAPDs
VICODIN ES 7.5-300 MG TABLET
(Hydrocodone-Acetaminophen)
500.000 EA   00074304353 11
PDPs
134
MAPDs
VICODIN HP 10-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
60 tablets   00074305413 11
PDPs
134
MAPDs
VISTARIL 25MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00069541066 0
PDPs
3
MAPDs
VISTARIL 50MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00069542066 0
PDPs
3
MAPDs
ZOHYDRO ER 10 MG CAPSULE
(hydrocodone bitartrate)
    65224031060 8
PDPs
54
MAPDs
ZOHYDRO ER 15 MG CAPSULE
(hydrocodone bitartrate)
    65224031560 8
PDPs
54
MAPDs
ZOHYDRO ER 20 MG CAPSULE
(hydrocodone bitartrate)
    65224032060 8
PDPs
54
MAPDs
ZOHYDRO ER 30 MG CAPSULE
(hydrocodone bitartrate)
    65224033060 8
PDPs
54
MAPDs
ZOHYDRO ER 40 MG CAPSULE
(hydrocodone bitartrate)
    65224034060 8
PDPs
54
MAPDs
ZOHYDRO ER 50 MG CAPSULE
(hydrocodone bitartrate)
    65224035060 8
PDPs
54
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data January 2020)


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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.