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2021 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 2021 Formularies
PDPs MAPDs
ACTHIB VACCINE WITH DILUENT
(Haemophilus B Polysaccharide Conjugate Vaccine)
    49281054503 70
PDPs
392
MAPDs
ADALIMUMAB 50 MG/ML PREFILLED SYRINGE [HUMIRA]
(Adalimumab)
0.4 ML   00074937402 69
PDPs
392
MAPDs
ADEFOVIR DIPIVOXIL 10 MG TABLET [Hepsera]
()
30 EA   42794000308 60
PDPs
390
MAPDs
ADMELOG 100 UNIT/ML VIAL [Humalog]
(Insulin Lispro)
10 mls   00024592410 0
PDPs
8
MAPDs
ADMELOG SOLOSTAR 100 UNIT/ML INSULIN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   00024592505 0
PDPs
8
MAPDs
ANUSOL-HC 2.5% CREAM
(Hydrocortisone)
    65649040130 1
PDPs
17
MAPDs
BRYHALI 0.01% LOTION
(Halobetasol Propionate)
60 mls   00187000260 0
PDPs
8
MAPDs
CORTEF 10MG TABLET
(Hydrocortisone)
100 BOT 00009003101 3
PDPs
8
MAPDs
CORTEF 20MG TABLET
(Hydrocortisone)
100 BOT 00009004401 3
PDPs
8
MAPDs
CORTEF 5MG TABLET
(Hydrocortisone)
50 BOT 00009001201 3
PDPs
8
MAPDs
DILAUDID 2 MG TABLET
(Hydromorphone HCl)
    42858012201 0
PDPs
1
MAPDs
DILAUDID 4 MG TABLET
(Hydromorphone HCl)
100 EA   42858023401 0
PDPs
1
MAPDs
DILAUDID 5 MG/5 ML ORAL LIQUID
(Hydromorphone HCl)
    42858041616 0
PDPs
1
MAPDs
DILAUDID 8 MG TABLET
(Hydromorphone HCl)
    42858033801 0
PDPs
1
MAPDs
DOXERCALCIFEROL 0.5 MCG CAPSULE [Hectorol]
()
36 CAPSULES   00955172050 21
PDPs
236
MAPDs
DOXERCALCIFEROL 1 MCG CAPSULE [Hectorol]
()
CAPSULES   00955172150 19
PDPs
234
MAPDs
DOXERCALCIFEROL 2.5 MCG CAPSULE [Hectorol]
()
30 CAPSULES   00955172250 19
PDPs
234
MAPDs
DROXIA 200MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633517 51
PDPs
337
MAPDs
DROXIA 300MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633617 51
PDPs
337
MAPDs
DROXIA 400MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633717 51
PDPs
337
MAPDs
DUOBRII 0.01%-0.045% LOTION
(Halobetasol Propionate, Tazarotene)
mls   00187065301 5
PDPs
33
MAPDs
ENGERIX B INJECTION
(Hepatitis B Vaccine (Recombinant))
10 SYR CRTN 58160082052 70
PDPs
392
MAPDs
ENGERIX-B 20 MCG/ML SYRINGE
(Hepatitis B Vaccine (Recombinant))
    58160082152 70
PDPs
392
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)
5 ML   63004871001 15
PDPs
103
MAPDs
HAEGARDA 2,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082802 51
PDPs
318
MAPDs
HAEGARDA 3,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082902 51
PDPs
318
MAPDs
HAILEY 24 FE 1 MG-20 MCG TABLET [Tarina Fe 1/20]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)
28 tablets   68462073129 48
PDPs
276
MAPDs
HALCINONIDE 0.1% CREAM (g) [Halog -E]
(Halcinonide)
60 grams   00378805660 3
PDPs
33
MAPDs
HALCION 0.25 MG TABLET
(Triazolam)
    00009001758 0
PDPs
1
MAPDs
HALDOL 5MG/ML INJECTION
(Haloperidol Lactate)
1ML X 1 AMP X 10 BOX 50458025501 3
PDPs
9
MAPDs
HALDOL DECANOATE 100MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 5 AMP BOX 50458025414 3
PDPs
10
MAPDs
HALDOL DECANOATE 50MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 3 AMP BOX 50458025303 3
PDPs
10
MAPDs
HALOBETASOL PROP 0.05% CREAM
(Halobetasol Propionate)
50 GM   45802012932 62
PDPs
368
MAPDs
HALOBETASOL PROP 0.05% FOAM [LEXETTE]
(Halobetasol Propionate)
50 grams   51862060650 0
PDPs
11
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 64
PDPs
367
MAPDs
Halog 1mg/g 60 g in 1 TUBE
(Halcinonide)
60 g in 1 TUBE   10631009430 2
PDPs
8
MAPDs
HALOG OINTMENT 1mg/g 60 g in 1 TUBE [HALOG]
(Halcinonide)
60 g in 1 TUBE   10631009630 2
PDPs
27
MAPDs
HALOPERIDOL 0.5 MG TABLET
(Haloperidol)
100.000 EA   00378035101 70
PDPs
392
MAPDs
HALOPERIDOL 1 MG TABLET [Haldol]
(Haloperidol)
60 TABLETS   00378025701 70
PDPs
392
MAPDs
HALOPERIDOL 10 MG TABLET
(Haloperidol)
100.000 EA   68382008001 70
PDPs
392
MAPDs
HALOPERIDOL 20MG TABLET (100 CT)
(Haloperidol)
100 BOT 68382008101 70
PDPs
392
MAPDs
HALOPERIDOL 2MG TABLET (100 CT)
(Haloperidol)
100 BOT 00378021401 70
PDPs
392
MAPDs
HALOPERIDOL 5 MG TABLET [Haldol]
(Haloperidol)
30 tablets   68382007901 70
PDPs
392
MAPDs
HALOPERIDOL DEC 100 MG/ML AMPUL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ml   10147092205 70
PDPs
376
MAPDs
HALOPERIDOL DEC 100 MG/ML VIAL
(Haloperidol Decanoate IM)
5 ML   63323047105 70
PDPs
392
MAPDs
HALOPERIDOL DEC 250 MG/5 ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ml   00703712301 70
PDPs
388
MAPDs
HALOPERIDOL DECAN 50 MG/ML AMPUL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ml   10147092103 70
PDPs
392
MAPDs
HALOPERIDOL LAC 2 MG/ML CONC
(Haloperidol Lactate)
120.000 ML   00121058104 70
PDPs
392
MAPDs
HALOPERIDOL LAC 5 MG/ML VIAL
(Haloperidol Lactate)
10.000 ML   63323047410 70
PDPs
392
MAPDs
HARVONI 33.75-150 MG PELLET PACKET
(Ledipasvir and Sofosbuvir)
UNITS   61958180501 63
PDPs
247
MAPDs
HARVONI 45-200 MG PELLET PACKET
(Ledipasvir and Sofosbuvir)
UNITS   61958180401 63
PDPs
247
MAPDs
HARVONI 90-400 MG TABLET
(Ledipasvir and Sofosbuvir)
  61958180101 65
PDPs
247
MAPDs
HAVRIX 1,440 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    58160082652 70
PDPs
392
MAPDs
HAVRIX HEPATITIS A VACCINE INACTIVATED INJECTION SOLUTION 1440UNITS 10 X 1ML VIALSD
(Hepatitis A Vaccine)
10 X 1 ML VIALSD 58160082611 70
PDPs
392
MAPDs
HAVRIX HEPATITIS A VACCINE INJECTION
(Hepatitis A Vaccine)
10 SYR CRTN 58160082552 70
PDPs
392
MAPDs
HELIDAC THERAPY PACK COMBO PKG
(Bismuth Subsalicylate;Metronidazole;Tetracycline)
UNITS   70199002114 0
PDPs
8
MAPDs
HEPARIN 30,000 UNIT/30 ML VIAL
(Heparin Sodium)
20 MLS   67457038431 68
PDPs
378
MAPDs
HEPARIN SOD 5,000 UNIT/ML VIAL
(Heparin Sodium)
60 MLS   67457037499 70
PDPs
392
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 1 VIALSD X 25 VIAL TRAY 00409272101 68
PDPs
376
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 25 VIAL CRTN 25021040401 68
PDPs
372
MAPDs
HEPATAMINE INJECTION 8%
(Amino Acid Infusion)
6 X 500 ML BOTGL 00264937155 65
PDPs
345
MAPDs
Hepatitis B Surface Antigen Vaccine 0.01 MG/ML Prefilled 0.5 ML Syringe [Recombivax]
(Hepatitis B Vaccine (Recombinant))
    00006409302 70
PDPs
392
MAPDs
HEPSERA 10MG TABLET
(Adefovir Dipivoxil)
    61958050101 0
PDPs
3
MAPDs
HETLIOZ 20 MG CAPSULE
(tasimelteon)
    43068022001 68
PDPs
377
MAPDs
HIBERIX VACCINE WITH DILUENT
(Haemophilus B Conjugate Vaccine)
    58160081811 70
PDPs
392
MAPDs
HIPREX 1 GM TABLET
(Methenamine Hippurate)
    30698027701 3
PDPs
8
MAPDs
HORIZANT ER 300 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010301 1
PDPs
17
MAPDs
HORIZANT ER 600 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010101 1
PDPs
17
MAPDs
HUMALOG 100 UNIT/ML VIAL
(Insulin Lispro (Human))
10 mls   00002751001 37
PDPs
147
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
3 ML   00002751659 43
PDPs
152
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
    00002771227 43
PDPs
149
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))
3 ML   00002771459 43
PDPs
144
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 00002879959 37
PDPs
143
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL 00002751201 43
PDPs
156
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL 00002751101 43
PDPs
156
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879859 43
PDPs
153
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879759 43
PDPs
151
MAPDs
HUMATROPE 12MG CARTRIDGE
(Somatropin For)
1 PKGCOM 00002814801 5
PDPs
89
MAPDs
HUMATROPE 24MG CARTRIDGE
(Somatropin For)
1 CARTRIDGE VIAL 00002814901 5
PDPs
89
MAPDs
HUMATROPE 5 MG VIAL
(Somatropin For)
1 EA   00002733511 5
PDPs
87
MAPDs
HUMATROPE 6MG CARTRIDGE
(Somatropin For)
1 CTG 00002814701 5
PDPs
85
MAPDs
HUMIRA 10 MG/0.1 ML SYRINGEKIT
(Adalimumab)
units   00074081702 69
PDPs
389
MAPDs
HUMIRA 10 MG/0.2 ML SYRINGE
(Adalimumab)
2 EA   00074634702 69
PDPs
389
MAPDs
Humira 2 KIT per CARTON / 1 KIT in 1 KIT
(Adalimumab)
2 KIT in 1 CARTON / 1 KIT   00074379902 69
PDPs
392
MAPDs
HUMIRA 20 MG/0.2 ML SYRINGEKIT
(Adalimumab)
units   00074061602 69
PDPs
389
MAPDs
HUMIRA 40 MG/0.4 ML PEN IJ KIT
(Adalimumab)
2 units   00074055402 68
PDPs
387
MAPDs
HUMIRA 40 MG/0.4 ML SYRINGEKIT
(Adalimumab)
2 units   00074024302 69
PDPs
389
MAPDs
HUMIRA 40 MG/0.8 ML PEN
(ADALIMUMAB)
2 EA   00074433902 70
PDPs
389
MAPDs
HUMIRA PED CROHNS 80 MG/0.8 ML SYRINGEKIT
(Adalimumab)
units   00074254003 70
PDPs
384
MAPDs
HUMIRA PEDIATR CROHN'S 80-40MG SYRINGEKIT
(Adalimumab)
units   00074006702 70
PDPs
384
MAPDs
HUMIRA PEN KIT 40MG-70% 1 PKGCOM
(Adalimumab)
1 PKGCOM 00074433906 70
PDPs
392
MAPDs
HUMIRA PEN PSORIASIS-UVEITIS
(Adalimumab)
    00074433907 70
PDPs
392
MAPDs
HUMIRA(CF) PEN CRHN-UC-HS 80MG PEN IJ KIT
(Adalimumab)
units   00074012403 70
PDPs
389
MAPDs
HUMIRA(CF) PEN PS-UV-AHS 80-40 PEN IJ KIT
(Adalimumab)
units   00074153903 70
PDPs
389
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))
3.000 ML   00002880359 43
PDPs
150
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 43
PDPs
157
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))
3.000 ML   00002880559 43
PDPs
149
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 43
PDPs
157
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL 00002821501 43
PDPs
157
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
    00002882427 58
PDPs
335
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL 00002850101 58
PDPs
342
MAPDs
HYDRALAZINE 10 MG TABLET [Apresoline]
(Hydralazine HCl)
90 TABLETS   31722051901 70
PDPs
392
MAPDs
HYDRALAZINE 100 MG TABLET [Apresoline]
(Hydralazine HCl)
90 tablets   23155000401 70
PDPs
392
MAPDs
HYDRALAZINE 25 MG TABLET
(Hydralazine HCl)
100 EA   31722052001 70
PDPs
392
MAPDs
HYDRALAZINE 50 MG TABLET
(Hydralazine HCl)
100 EA   31722052101 70
PDPs
392
MAPDs
HYDREA 500MG CAPSULE
(Hydroxyurea)
100 BOT 00003083050 3
PDPs
8
MAPDs
Hydrochlorothiazide 12.5 MG Oral Capsule
(Hydrochlorothiazide)
    00378081005 70
PDPs
392
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG TABLET
(Hydrochlorothiazide)
100.000 EA   16729018201 70
PDPs
391
MAPDs
HYDROCHLOROTHIAZIDE 25 MG TABLET
(Hydrochlorothiazide)
1000.000 EA   16729018317 70
PDPs
392
MAPDs
HYDROCHLOROTHIAZIDE 50 MG TABLET [Zide]
(Hydrochlorothiazide)
90 tablets   16729018417 70
PDPs
392
MAPDs
HYDROCODON-ACETAMINOPH 7.5-325
(Hydrocodone-Acetaminophen)
100.000 EA   00406012401 70
PDPs
392
MAPDs
HYDROCODON-ACETAMINOPHEN 5-325
(Hydrocodone-Acetaminophen)
100.000 EA   00406012301 70
PDPs
392
MAPDs
HYDROCODONE BITARTRATE AND IBUPROFEN TABLET 7.5-200MG (100 CT)
(Hydrocodone-Ibuprofen)
100 BOT 53746014501 53
PDPs
352
MAPDs
HYDROCODONE ER 10 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
30 CAPSULES   47781040960 9
PDPs
119
MAPDs
HYDROCODONE ER 15 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041060 9
PDPs
119
MAPDs
HYDROCODONE ER 20 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041160 9
PDPs
119
MAPDs
HYDROCODONE ER 30 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041260 9
PDPs
119
MAPDs
HYDROCODONE ER 40 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041360 9
PDPs
119
MAPDs
HYDROCODONE ER 50 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
30 CAPSULES   47781041460 9
PDPs
119
MAPDs
HYDROCODONE-ACETAMIN 10-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
90 TABLETS   27808011601 19
PDPs
208
MAPDs
HYDROCODONE-ACETAMIN 10-325 MG TABLET [Norco]
(Hydrocodone Bitartrate, Acetaminophen)
120 tablets   00406012501 70
PDPs
392
MAPDs
HYDROCODONE-ACETAMIN 5-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
12 tablets   43386035101 19
PDPs
208
MAPDs
HYDROCODONE-ACETAMIN 7.5-300 TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
12 tablets   43386035201 19
PDPs
212
MAPDs
HYDROCODONE-ACETAMN 7.5-325/15 SOLUTION [Hycet]
(Hydrocodone Bitartrate, Acetaminophen)
120 mls   00121077216 66
PDPs
367
MAPDs
HYDROCODONE-IBUPROFEN 10-200
(Hydrocodone-Ibuprofen)
100.000 EA   53746011701 18
PDPs
231
MAPDs
HYDROCODONE-IBUPROFEN 5-200 MG
(Hydrocodone-Ibuprofen)
100.000 EA   53746014601 18
PDPs
235
MAPDs
HYDROCORT-PRAMOXINE 1%-1% CREAM w/APPL [Zone A]
(Hydrocortisone, Pramoxine)
30 grams   45802014464 10
PDPs
130
MAPDs
HYDROCORTISON-ACETIC ACID SOLUTION DROPS [VoSoL HC]
(Hydrocortisone, Acetic Acid)
10 MLS   50383090110 50
PDPs
291
MAPDs
HYDROCORTISONE 1% CREAM
(Hydrocortisone)
28.350 GM   00168001531 66
PDPs
366
MAPDs
HYDROCORTISONE 1% OINTMENT
(Hydrocortisone)
28.350 GM   00168002031 50
PDPs
233
MAPDs
HYDROCORTISONE 10 MG TABLET [Hydrocortone]
(Hydrocortisone)
90 tablets   59762007401 70
PDPs
392
MAPDs
Hydrocortisone 10 MG/ML Topical Cream [Ala-Cort]
(Hydrocortisone)
    00316012601 53
PDPs
307
MAPDs
HYDROCORTISONE 100 MG/60 ML
(Hydrocortisone)
60.000 ML   62559013807 70
PDPs
391
MAPDs
HYDROCORTISONE 2.5% CREAM (g) [Proctozone-HC]
(Hydrocortisone)
28 grams   51672300302 70
PDPs
392
MAPDs
HYDROCORTISONE 2.5% LOTION
(Hydrocortisone)
59.000 ML   45802093716 70
PDPs
387
MAPDs
HYDROCORTISONE 2.5% OINTMENT
(Hydrocortisone)
28.350 GM   00168014630 70
PDPs
392
MAPDs
HYDROCORTISONE 20 MG TABLET [Cortef]
(Hydrocortisone)
30 tablets   59762007501 70
PDPs
392
MAPDs
HYDROCORTISONE 5 MG TABLET [Cortef]
(Hydrocortisone)
90 tablets   59762007301 70
PDPs
392
MAPDs
HYDROCORTISONE BUTY 0.1% CREAM
(Hydrocortisone Butyrate)
45 GM   51672407406 31
PDPs
156
MAPDs
HYDROCORTISONE BUTYR 0.1% LOTION [Locoid]
(Hydrocortisone)
59 mls   52565008702 5
PDPs
73
MAPDs
HYDROCORTISONE BUTYR 0.1% OINTMENT [Locoid]
(Hydrocortisone)
15 GRAMS   68682027145 38
PDPs
186
MAPDs
HYDROCORTISONE BUTYR 0.1% SOLUTION [Locoid]
(Hydrocortisone)
MLS   51672406104 23
PDPs
165
MAPDs
HYDROCORTISONE VAL 0.2% CREAM (g) [Westcort]
(Hydrocortisone Valerate)
15 grams   51672129003 45
PDPs
206
MAPDs
HYDROCORTISONE VAL 0.2% OINTMENT
(Hydrocortisone)
15.000 GM   51672129201 44
PDPs
205
MAPDs
HYDROMORPHONE 10 MG/ML VIAL [Dilaudid-HP]
(Hydromorphone Hydrochloride)
1 ML   00409263401 48
PDPs
265
MAPDs
HYDROMORPHONE 2 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)
100.000 EA   00406324301 70
PDPs
389
MAPDs
HYDROMORPHONE 4 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)
100.000 EA   00406324401 70
PDPs
389
MAPDs
HYDROMORPHONE 5 MG/5 ML SOLUTION LIQUID [Dilaudid]
(Hydromorphone Hydrochloride)
120 MLS   42858030416 59
PDPs
335
MAPDs
HYDROMORPHONE 50 MG/5 ML AMPUL [Dilaudid-HP]
(Hydromorphone Hydrochloride)
1 ML   17478054005 45
PDPs
252
MAPDs
HYDROMORPHONE 8 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)
100 BOT 00406324901 70
PDPs
389
MAPDs
HYDROMORPHONE HCL ER 12 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070210 3
PDPs
65
MAPDs
HYDROMORPHONE HCL ER 16 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070310 3
PDPs
65
MAPDs
HYDROMORPHONE HCL ER 32 MG Tablet 24H [Exalgo]
(Hydromorphone HCl)
    13811070410 3
PDPs
64
MAPDs
HYDROMORPHONE HCL ER 8 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070110 3
PDPs
65
MAPDs
HYDROXYCHLOROQUINE 200 MG TABLET
(Hydroxychloroquine Sulfate)
100 EA   68382009601 70
PDPs
392
MAPDs
HYDROXYUREA 500 MG CAPSULE
(Hydroxyurea)
100.000 EA   49884072401 70
PDPs
392
MAPDs
HYDROXYZINE 10 MG/5 ML SOLUTION
(Hydroxyzine HCl)
473 ML   60432015016 45
PDPs
319
MAPDs
HYDROXYZINE HCL 10 MG TABLET [Rezine]
(Hydroxyzine HCl)
30 tablets   00093506001 59
PDPs
376
MAPDs
HYDROXYZINE HCL 25 MG TABLET [Atarax]
(Hydroxyzine HCl)
30 tablets   10702001150 59
PDPs
378
MAPDs
HYDROXYZINE HCL 50 MG TABLET [Atarax]
(Hydroxyzine HCl)
30 tablets   16714008310 59
PDPs
378
MAPDs
HYDROXYZINE PAM 100MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00555032402 24
PDPs
226
MAPDs
HYDROXYZINE PAM 25 MG CAPSULE
(Hydroxyzine Pamoate)
100.000 EA   00185067401 38
PDPs
310
MAPDs
HYDROXYZINE PAM 50 MG CAPSULE
(Hydroxyzine Pamoate)
100.000 EA   00185061501 38
PDPs
306
MAPDs
HYSINGLA ER 100 MG TABLET
(Hydrocodone Bitartrate)
    59011027660 11
PDPs
86
MAPDs
HYSINGLA ER 120 MG TABLET
(Hydrocodone Bitartrate)
    59011027760 11
PDPs
86
MAPDs
HYSINGLA ER 20 MG TABLET
(Hydrocodone Bitartrate)
    59011027160 11
PDPs
86
MAPDs
HYSINGLA ER 30 MG TABLET
(Hydrocodone Bitartrate)
    59011027260 11
PDPs
86
MAPDs
HYSINGLA ER 40 MG TABLET
(Hydrocodone Bitartrate)
    59011027360 11
PDPs
86
MAPDs
HYSINGLA ER 60 MG TABLET
(Hydrocodone Bitartrate)
    59011027460 11
PDPs
86
MAPDs
HYSINGLA ER 80 MG TABLET
(Hydrocodone Bitartrate)
    59011027560 11
PDPs
86
MAPDs
HYZAAR 100-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
30.000 EA   00006074531 3
PDPs
10
MAPDs
HYZAAR 100-25 TABLET
(Losartan Potassium & Hydrochlorothiazide)
30.000 EA   00006074731 3
PDPs
10
MAPDs
HYZAAR 50-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
30.000 EA   00006071731 3
PDPs
10
MAPDs
INSULIN LISPRO 100 UNIT/ML INSULN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   66733082259 13
PDPs
70
MAPDs
INSULIN LISPRO 100 UNIT/ML VIAL [Humalog KwikPen]
(Insulin Lispro)
10 mls   66733077301 13
PDPs
70
MAPDs
INSULIN LISPRO MIX 75-25 KWIKPEN INSULN PEN [Humalog KwikPen Mix 75/25]
()
15 mls   00002823305 13
PDPs
68
MAPDs
LEDIPASVIR-SOFOSBUVIR 90-400MG TABLET [Harvoni]
(Ledipasvir and Sofosbuvir)
28 tablets   72626260101 28
PDPs
142
MAPDs
LEXETTE 0.05% FOAM
(Halobetasol Propionate)
50 grams   51862060450 0
PDPs
11
MAPDs
LOCOID 0.1% LIPOCREAM
(Hydrocortisone Butyrate Hydrophilic Lipo Base)
    16781038445 3
PDPs
20
MAPDs
LOCOID 0.1% LOTION
(Hydrocortisone Butyrate)
    16781039204 0
PDPs
2
MAPDs
LORCET HD 10-325 MG TABLET
(acetaminophen / hydrocodone)
500 EA   51862058705 55
PDPs
316
MAPDs
Lorcet plus 7.5-325 mg tablet
(Hydrocodone-Acetaminophen)
    51862058601 55
PDPs
315
MAPDs
LOSARTAN-HCTZ 100-12.5 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)
30 tablets   65862046990 70
PDPs
392
MAPDs
LOSARTAN-HCTZ 100-25 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)
30 TABLETS   65862047090 70
PDPs
392
MAPDs
LOSARTAN-HCTZ 50-12.5 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)
30 TABLETS   65862046890 70
PDPs
392
MAPDs
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT
(Neomycin-Polymyxin-HC)
10 ML BOT 24208063110 70
PDPs
392
MAPDs
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS
(Neomycin-Polymyxin-HC)
7.5 ML BOTPL 61314064175 45
PDPs
332
MAPDs
NORCO 10-325 TABLET
(Hydrocodone-Acetaminophen)
120 tablets   00023602201 0
PDPs
3
MAPDs
NORCO 5-325 TABLET
(Hydrocodone Bitartrate, Acetaminophen)
12 tablets   00023600201 0
PDPs
3
MAPDs
NORCO 7.5-325 TABLET
(Hydrocodone Bitartrate, Acetaminophen)
60 tablets   00023602101 0
PDPs
3
MAPDs
PANDEL 0.1% CREAM
(Hydrocortisone Probutate)
    10337015380 1
PDPs
22
MAPDs
PEDVAXHIB VACCINE VIAL
(Haemophilus B Polysaccharide Conjugate Vaccine)
10 X .5ML SINGLE DOSE VIL BOX 00006489700 70
PDPs
392
MAPDs
PLAQUENIL 200 MG TABLET
(Hydroxychloroquine Sulfate)
    59212056210 5
PDPs
8
MAPDs
procto-pak 1% cream
(Hydrocortisone)
    64980030230 67
PDPs
352
MAPDs
PROCTOSOL-HC 2.5% CREAM
(Hydrocortisone)
1 OUNCE TUBE 10631040701 69
PDPs
383
MAPDs
PROCTOZONE-HC 2.5% CREAM
(Hydrocortisone)
30 GM   64980032430 69
PDPs
380
MAPDs
RECOMBIVAX HB 10 MCG/ML SYR
(Hepatitis B Vaccine (Recombinant))
    00006409402 70
PDPs
392
MAPDs
RECOMBIVAX HB 10 MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
ml   00006499541 70
PDPs
392
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
1 ML VIALSD 00006499200 70
PDPs
392
MAPDs
SIKLOS 1,000 MG TABLET
(Hydroxyurea)
TABLETS   71770012030 6
PDPs
76
MAPDs
SIKLOS 100 MG TABLET
(Hydroxyurea)
TABLETS   71770010060 6
PDPs
74
MAPDs
TERAZOSIN 10 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   59746038606 70
PDPs
392
MAPDs
TERAZOSIN 5 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   59746038506 70
PDPs
392
MAPDs
TEXACORT 2.5% SOLUTION
(Hydrocortisone)
30 mls   00178045501 1
PDPs
20
MAPDs
TRIAMTERENE-HCTZ 75-50 MG TAB
(Triamterene & Hydrochlorothiazide)
500.000 EA   60505265705 70
PDPs
392
MAPDs
TRIAZOLAM 0.125 MG TABLET [Halcion]
(Triazolam)
30 tablets   59762371709 7
PDPs
139
MAPDs
TRIAZOLAM 0.25 MG TABLET [Halcion]
(Triazolam)
30 tablets   59762371809 6
PDPs
140
MAPDs
TWINRIX VACCINE SYRINGE
(Hepatitis A (Inact)-Hep B (Recomb) Vac)
    58160081552 70
PDPs
392
MAPDs
ULTRAVATE 0.05 % 60 ML
(Halobetasol Propionate)
    10631012204 0
PDPs
4
MAPDs
VAQTA 25 UNITS/0.5 ML SYRINGE
(Hepatitis A Vaccine)
    00006409502 70
PDPs
392
MAPDs
VAQTA 50 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    00006409602 70
PDPs
392
MAPDs
VAQTA 50 UNITS/ML VIAL
(Hepatitis A Vaccine)
ml   00006484141 70
PDPs
392
MAPDs
Vaqta Hepatitis A Vaccine Pediatric / Adolescent 25 Unit / 0.5 mL Injection Single Dose Vial 0.5 mL
(Hepatitis A Vaccine)
    00006483141 70
PDPs
392
MAPDs
VISTARIL 25MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00069541066 0
PDPs
1
MAPDs
VISTARIL 50MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00069542066 0
PDPs
1
MAPDs
ZOHYDRO ER 10 MG CAPSULE
(hydrocodone bitartrate)
    65224031060 3
PDPs
8
MAPDs
ZOHYDRO ER 15 MG CAPSULE
(hydrocodone bitartrate)
    65224031560 3
PDPs
8
MAPDs
ZOHYDRO ER 20 MG CAPSULE
(hydrocodone bitartrate)
    65224032060 3
PDPs
8
MAPDs
ZOHYDRO ER 30 MG CAPSULE
(hydrocodone bitartrate)
    65224033060 3
PDPs
8
MAPDs
ZOHYDRO ER 40 MG CAPSULE
(hydrocodone bitartrate)
    65224034060 3
PDPs
8
MAPDs
ZOHYDRO ER 50 MG CAPSULE
(hydrocodone bitartrate)
    65224035060 3
PDPs
8
MAPDs



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




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.