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2021 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:
A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z
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 68
PDPs		 397
MAPDs
ADEFOVIR DIPIVOXIL 10 MG TABLET [Hepsera]
()		 30 EA   42794000308 58
PDPs		 395
MAPDs
ADMELOG 100 UNIT/ML VIAL [Humalog]
(Insulin Lispro)		 10 mls   00024592410 0
PDPs		 9
MAPDs
ADMELOG SOLOSTAR 100 UNIT/ML INSULIN PEN [Humalog KwikPen]
(Insulin Lispro)		 15 mls   00024592505 0
PDPs		 9
MAPDs
ALA-CORT 2.5% CREAM (G) [Proctozone-HC]
(Hydrocortisone)		 28 GRAMS   00316012830 50
PDPs		 275
MAPDs
ALA-SCALP 2% LOTION [Scalacort]
(Hydrocortisone)		 29.6 MLS   77052001002 1
PDPs		 24
MAPDs
ALKINDI SPRINKLE 0.5 MG CAPSULE SPRINK
(Hydrocortisone)		 UNITS   71863010950 5
PDPs		 33
MAPDs
ALKINDI SPRINKLE 1 MG CAPSULE SPRINK
(Hydrocortisone)		 UNITS   71863011050 5
PDPs		 33
MAPDs
ALKINDI SPRINKLE 2 MG CAPSULE SPRINK
(Hydrocortisone)		 UNITS   71863011150 5
PDPs		 33
MAPDs
ALKINDI SPRINKLE 5 MG CAPSULE SPRINK
(Hydrocortisone)		 UNITS   71863011250 5
PDPs		 33
MAPDs
ANUSOL-HC 2.5% CREAM
(Hydrocortisone)		     65649040130 1
PDPs		 17
MAPDs
BRYHALI 0.01% LOTION
(Halobetasol Propionate)		 60 mls   00187000260 0
PDPs		 7
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 20
PDPs		 239
MAPDs
DOXERCALCIFEROL 1 MCG CAPSULE [Hectorol]
()		 CAPSULES   00955172150 18
PDPs		 237
MAPDs
DOXERCALCIFEROL 2.5 MCG CAPSULE [Hectorol]
()		 30 CAPSULES   00955172250 18
PDPs		 237
MAPDs
DROXIA 200MG CAPSULE
(Hydroxyurea)		 60 BOTPL 00003633517 49
PDPs		 342
MAPDs
DROXIA 300MG CAPSULE
(Hydroxyurea)		 60 BOTPL 00003633617 49
PDPs		 342
MAPDs
DROXIA 400MG CAPSULE
(Hydroxyurea)		 60 BOTPL 00003633717 49
PDPs		 342
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 68
PDPs		 397
MAPDs
ENGERIX-B 20 MCG/ML SYRINGE
(Hepatitis B Vaccine (Recombinant))		     58160082152 68
PDPs		 397
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)		 5 ML   63004871001 16
PDPs		 103
MAPDs
HAEGARDA 2,000 UNIT VIAL
(C1 esterase inhibitor)		 ml   63833082802 49
PDPs		 322
MAPDs
HAEGARDA 3,000 UNIT VIAL
(C1 esterase inhibitor)		 ml   63833082902 49
PDPs		 322
MAPDs
HAILEY 24 FE 1 MG-20 MCG TABLET [Tarina Fe 1/20]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)		 28 tablets   68462073129 46
PDPs		 280
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		 13
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 60
PDPs		 373
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 62
PDPs		 372
MAPDs
HALOG 0.1% SOLUTION
(Halcinonide)		 MLS   10631009510 2
PDPs		 18
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 68
PDPs		 397
MAPDs
HALOPERIDOL 1 MG TABLET [Haldol]
(Haloperidol)		 60 TABLETS   00378025701 68
PDPs		 397
MAPDs
HALOPERIDOL 10 MG TABLET
(Haloperidol)		 100.000 EA   68382008001 68
PDPs		 397
MAPDs
HALOPERIDOL 20MG TABLET (100 CT)
(Haloperidol)		 100 BOT 68382008101 68
PDPs		 397
MAPDs
HALOPERIDOL 2MG TABLET (100 CT)
(Haloperidol)		 100 BOT 00378021401 68
PDPs		 397
MAPDs
HALOPERIDOL 5 MG TABLET [Haldol]
(Haloperidol)		 30 tablets   68382007901 68
PDPs		 397
MAPDs
HALOPERIDOL DEC 100 MG/ML AMPUL [Haldol Decanoate]
(Haloperidol Decanoate IM)		 1 ml   10147092205 68
PDPs		 385
MAPDs
HALOPERIDOL DEC 100 MG/ML VIAL
(Haloperidol Decanoate IM)		 5 ML   63323047105 68
PDPs		 397
MAPDs
HALOPERIDOL DEC 250 MG/5 ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)		 1 ml   00703712301 68
PDPs		 395
MAPDs
HALOPERIDOL DECAN 50 MG/ML AMPUL [Haldol Decanoate]
(Haloperidol Decanoate IM)		 1 ml   10147092103 68
PDPs		 397
MAPDs
HALOPERIDOL LAC 2 MG/ML CONC
(Haloperidol Lactate)		 120.000 ML   00121058104 68
PDPs		 397
MAPDs
HALOPERIDOL LAC 5 MG/ML VIAL
(Haloperidol Lactate)		 10.000 ML   63323047410 68
PDPs		 397
MAPDs
HARVONI 33.75-150 MG PELLET PACKET
(Ledipasvir and Sofosbuvir)		 UNITS   61958180501 61
PDPs		 246
MAPDs
HARVONI 45-200 MG PELLET PACKET
(Ledipasvir and Sofosbuvir)		 UNITS   61958180401 61
PDPs		 246
MAPDs
HARVONI 90-400 MG TABLET
(Ledipasvir and Sofosbuvir)		   61958180101 63
PDPs		 246
MAPDs
HAVRIX 1,440 UNITS/ML SYRINGE
(Hepatitis A Vaccine)		     58160082652 68
PDPs		 397
MAPDs
HAVRIX HEPATITIS A VACCINE INJECTION
(Hepatitis A Vaccine)		 10 SYR CRTN 58160082552 68
PDPs		 397
MAPDs
HELIDAC THERAPY PACK COMBO PKG
(Bismuth Subsalicylate;Metronidazole;Tetracycline)		 UNITS   70199002114 0
PDPs		 8
MAPDs
HEMADY 20 MG TABLET
(Dexamethasone)		 3 TABLETS   72893001506 34
PDPs		 123
MAPDs
HEPARIN 30,000 UNIT/30 ML VIAL
(Heparin Sodium)		 20 MLS   67457038431 66
PDPs		 383
MAPDs
HEPARIN SOD 5,000 UNIT/ML VIAL
(Heparin Sodium)		 60 MLS   67457037499 68
PDPs		 397
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)		 1 ML X 1 VIALSD X 25 VIAL TRAY 00409272101 66
PDPs		 381
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)		 1 ML X 25 VIAL CRTN 25021040401 66
PDPs		 377
MAPDs
HEPATAMINE INJECTION 8%
(Amino Acid Infusion)		 6 X 500 ML BOTGL 00264937155 63
PDPs		 350
MAPDs
Hepatitis B Surface Antigen Vaccine 0.01 MG/ML Prefilled 0.5 ML Syringe [Recombivax]
(Hepatitis B Vaccine (Recombinant))		     00006409302 68
PDPs		 397
MAPDs
HEPSERA 10MG TABLET
(Adefovir Dipivoxil)		     61958050101 0
PDPs		 3
MAPDs
HETLIOZ 20 MG CAPSULE
(tasimelteon)		     43068022001 66
PDPs		 381
MAPDs
HETLIOZ LQ 4 MG/ML ORAL SUSPENSION
(tasimelteon)		 48 MLS   43068030406 17
PDPs		 133
MAPDs
HIBERIX VACCINE WITH DILUENT
(Haemophilus B Conjugate Vaccine)		     58160081811 68
PDPs		 397
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 43
PDPs		 152
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))		 3 ML   00002751659 43
PDPs		 153
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))		     00002771227 43
PDPs		 150
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))		 3 ML   00002771459 43
PDPs		 148
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))		 3 ML X 5 SYR CRTN 00002879959 43
PDPs		 150
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))		 1 X 10 ML VIAL 00002751201 43
PDPs		 157
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))		 1 X 10ML VIAL 00002751101 43
PDPs		 157
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))		 3 ML X 5 SYR CRTN 00002879859 43
PDPs		 154
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))		 3 ML X 5 SYR CRTN 00002879759 43
PDPs		 152
MAPDs
HUMATIN 250 MG CAPSULE
(Paromomycin Sulfate)		 42 CAPSULES   80725025001 0
PDPs		 2
MAPDs
HUMATROPE 12MG CARTRIDGE
(Somatropin For)		 1 PKGCOM 00002814801 3
PDPs		 87
MAPDs
HUMATROPE 24MG CARTRIDGE
(Somatropin For)		 1 CARTRIDGE VIAL 00002814901 3
PDPs		 87
MAPDs
HUMATROPE 5 MG VIAL
(Somatropin For)		 1 EA   00002733511 3
PDPs		 85
MAPDs
HUMATROPE 6MG CARTRIDGE
(Somatropin For)		 1 CTG 00002814701 3
PDPs		 83
MAPDs
HUMIRA 10 MG/0.1 ML SYRINGEKIT
(Adalimumab)		 units   00074081702 68
PDPs		 394
MAPDs
Humira 2 KIT per CARTON / 1 KIT in 1 KIT
(Adalimumab)		 2 KIT in 1 CARTON / 1 KIT   00074379902 68
PDPs		 397
MAPDs
HUMIRA 20 MG/0.2 ML SYRINGEKIT
(Adalimumab)		 units   00074061602 68
PDPs		 394
MAPDs
HUMIRA 40 MG/0.4 ML PEN IJ KIT
(Adalimumab)		 2 units   00074055402 68
PDPs		 397
MAPDs
HUMIRA 40 MG/0.4 ML SYRINGEKIT
(Adalimumab)		 2 units   00074024302 68
PDPs		 397
MAPDs
HUMIRA 40 MG/0.8 ML PEN
(ADALIMUMAB)		 2 EA   00074433902 68
PDPs		 394
MAPDs
HUMIRA PED CROHNS 80 MG/0.8 ML SYRINGEKIT
(Adalimumab)		 units   00074254003 68
PDPs		 389
MAPDs
HUMIRA PEDIATR CROHN'S 80-40MG SYRINGEKIT
(Adalimumab)		 units   00074006702 68
PDPs		 389
MAPDs
HUMIRA PEN KIT 40MG-70% 1 PKGCOM
(Adalimumab)		 1 PKGCOM 00074433906 68
PDPs		 397
MAPDs
HUMIRA PEN PSORIASIS-UVEITIS
(Adalimumab)		     00074433907 68
PDPs		 397
MAPDs
HUMIRA(CF) PEN 80 MG/0.8 ML PEN IJ KIT
(Adalimumab)		 3 UNITS   00074012402 68
PDPs		 394
MAPDs
HUMIRA(CF) PEN CRHN-UC-HS 80MG PEN IJ KIT
(Adalimumab)		 units   00074012403 68
PDPs		 394
MAPDs
HUMIRA(CF) PEN PEDI UC 80 MG PEN IJ KIT
(Adalimumab)		 3 UNITS   00074012404 62
PDPs		 380
MAPDs
HUMIRA(CF) PEN PS-UV-AHS 80-40 PEN IJ KIT
(Adalimumab)		 units   00074153903 68
PDPs		 394
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))		 3.000 ML   00002880359 43
PDPs		 151
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))		 1 X 10 ML VIAL 00002871501 43
PDPs		 158
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))		 3.000 ML   00002880559 43
PDPs		 150
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))		 10 ML VIAL 00002831501 43
PDPs		 158
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))		 1 X 10 ML VIAL 00002821501 43
PDPs		 158
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))		     00002882427 56
PDPs		 340
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))		 1 X 20 ML VIAL 00002850101 56
PDPs		 347
MAPDs
HYDRALAZINE 10 MG TABLET [Apresoline]
(Hydralazine HCl)		 90 TABLETS   31722051901 68
PDPs		 397
MAPDs
HYDRALAZINE 100 MG TABLET [Apresoline]
(Hydralazine HCl)		 90 tablets   23155000401 68
PDPs		 397
MAPDs
HYDRALAZINE 25 MG TABLET
(Hydralazine HCl)		 100 EA   31722052001 68
PDPs		 397
MAPDs
HYDRALAZINE 50 MG TABLET
(Hydralazine HCl)		 100 EA   31722052101 68
PDPs		 397
MAPDs
HYDREA 500MG CAPSULE
(Hydroxyurea)		 100 BOT 00003083050 3
PDPs		 8
MAPDs
Hydrochlorothiazide 12.5 MG Oral Capsule
(Hydrochlorothiazide)		     00378081005 68
PDPs		 397
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG TABLET
(Hydrochlorothiazide)		 100.000 EA   16729018201 68
PDPs		 396
MAPDs
HYDROCHLOROTHIAZIDE 25 MG TABLET
(Hydrochlorothiazide)		 1000.000 EA   16729018317 68
PDPs		 397
MAPDs
HYDROCHLOROTHIAZIDE 50 MG TABLET [Zide]
(Hydrochlorothiazide)		 90 tablets   16729018417 68
PDPs		 397
MAPDs
HYDROCODON-ACETAMINOPH 7.5-325
(Hydrocodone-Acetaminophen)		 100.000 EA   00406012401 68
PDPs		 397
MAPDs
HYDROCODON-ACETAMINOPHEN 5-325
(Hydrocodone-Acetaminophen)		 100.000 EA   00406012301 68
PDPs		 397
MAPDs
HYDROCODONE ER 10 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)		 30 CAPSULES   47781040960 9
PDPs		 126
MAPDs
HYDROCODONE ER 100 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)		 30 TABLETS   47781039760 8
PDPs		 79
MAPDs
HYDROCODONE ER 120 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)		 TABLETS   47781039860 8
PDPs		 79
MAPDs
HYDROCODONE ER 15 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)		 60 CAPSULES   47781041060 9
PDPs		 126
MAPDs
HYDROCODONE ER 20 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)		 60 CAPSULES   47781041160 9
PDPs		 126
MAPDs
HYDROCODONE ER 20 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)		 30 TABLETS   47781039260 8
PDPs		 79
MAPDs
HYDROCODONE ER 30 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)		 60 CAPSULES   47781041260 9
PDPs		 126
MAPDs
HYDROCODONE ER 30 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)		 30 TABLETS   47781039360 8
PDPs		 79
MAPDs
HYDROCODONE ER 40 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)		 60 CAPSULES   47781041360 9
PDPs		 126
MAPDs
HYDROCODONE ER 40 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)		 30 TABLETS   47781039460 8
PDPs		 79
MAPDs
HYDROCODONE ER 50 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)		 30 CAPSULES   47781041460 9
PDPs		 126
MAPDs
HYDROCODONE ER 60 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)		 14 TABLETS   47781039560 8
PDPs		 77
MAPDs
HYDROCODONE ER 80 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)		 TABLETS   47781039660 8
PDPs		 79
MAPDs
HYDROCODONE-ACETAMIN 10-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)		 90 TABLETS   27808011601 18
PDPs		 212
MAPDs
HYDROCODONE-ACETAMIN 10-325 MG TABLET [Norco]
(Hydrocodone Bitartrate, Acetaminophen)		 120 tablets   00406012501 68
PDPs		 397
MAPDs
HYDROCODONE-ACETAMIN 5-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)		 12 tablets   43386035101 18
PDPs		 212
MAPDs
HYDROCODONE-ACETAMIN 7.5-300 TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)		 12 tablets   43386035201 18
PDPs		 216
MAPDs
HYDROCODONE-ACETAMN 7.5-325/15 SOLUTION [Hycet]
(Hydrocodone Bitartrate, Acetaminophen)		 120 mls   00121077216 64
PDPs		 372
MAPDs
HYDROCODONE-IBUPROFEN 10-200 TABLET [Xylon 10]
(Hydrocodone Bitartrate, Ibuprofen)		 120 TABLETS   00603358621 17
PDPs		 236
MAPDs
HYDROCODONE-IBUPROFEN 5-200 MG
(Hydrocodone-Ibuprofen)		 100.000 EA   53746014601 17
PDPs		 240
MAPDs
HYDROCODONE-IBUPROFEN 7.5-200 TABLET [Vicoprofen]
(Hydrocodone Bitartrate, Ibuprofen)		 120 TABLETS   13107000401 51
PDPs		 358
MAPDs
HYDROCORT-PRAMOXINE 1%-1% CREAM w/APPL [Zone A]
(Hydrocortisone, Pramoxine)		 30 grams   45802014464 10
PDPs		 138
MAPDs
HYDROCORTISON-ACETIC ACID SOLUTION DROPS [VoSoL HC]
(Hydrocortisone, Acetic Acid)		 10 MLS   50383090110 49
PDPs		 295
MAPDs
HYDROCORTISONE 1% CREAM
(Hydrocortisone)		 28.350 GM   00168001531 64
PDPs		 371
MAPDs
HYDROCORTISONE 1% OINTMENT
(Hydrocortisone)		 28.350 GM   00168002031 48
PDPs		 235
MAPDs
HYDROCORTISONE 10 MG TABLET [Hydrocortone]
(Hydrocortisone)		 90 tablets   59762007401 68
PDPs		 397
MAPDs
Hydrocortisone 10 MG/ML Topical Cream [Ala-Cort]
(Hydrocortisone)		     00316012601 51
PDPs		 310
MAPDs
HYDROCORTISONE 100 MG/60 ML
(Hydrocortisone)		 60.000 ML   62559013807 68
PDPs		 396
MAPDs
HYDROCORTISONE 2.5% CREAM (g) [Proctozone-HC]
(Hydrocortisone)		 28 grams   51672300302 68
PDPs		 397
MAPDs
HYDROCORTISONE 2.5% LOTION
(Hydrocortisone)		 59.000 ML   45802093716 68
PDPs		 392
MAPDs
HYDROCORTISONE 2.5% OINTMENT
(Hydrocortisone)		 28.350 GM   00168014630 68
PDPs		 397
MAPDs
HYDROCORTISONE 20 MG TABLET [Cortef]
(Hydrocortisone)		 30 tablets   59762007501 68
PDPs		 397
MAPDs
HYDROCORTISONE 5 MG TABLET [Cortef]
(Hydrocortisone)		 90 tablets   59762007301 68
PDPs		 397
MAPDs
HYDROCORTISONE BUTY 0.1% CREAM
(Hydrocortisone Butyrate)		 45 GM   51672407406 30
PDPs		 156
MAPDs
HYDROCORTISONE BUTYR 0.1% LOTION [Locoid]
(Hydrocortisone)		 59 mls   52565008702 4
PDPs		 71
MAPDs
HYDROCORTISONE BUTYR 0.1% OINTMENT [Locoid]
(Hydrocortisone)		 15 GRAMS   68682027145 37
PDPs		 186
MAPDs
HYDROCORTISONE BUTYR 0.1% SOLUTION [Locoid]
(Hydrocortisone)		 MLS   51672406104 22
PDPs		 163
MAPDs
HYDROCORTISONE VAL 0.2% CREAM (g) [Westcort]
(Hydrocortisone Valerate)		 15 grams   51672129003 44
PDPs		 205
MAPDs
HYDROCORTISONE VAL 0.2% OINTMENT
(Hydrocortisone)		 15.000 GM   51672129201 43
PDPs		 204
MAPDs
HYDROMORPHONE 1 MG/ML SOLUTION LIQUID [Dilaudid]
(Hydromorphone Hydrochloride)		 30 MLS   00054038663 57
PDPs		 340
MAPDs
HYDROMORPHONE 10 MG/ML VIAL [Dilaudid-HP]
(Hydromorphone Hydrochloride)		 1 ML   00409263401 46
PDPs		 269
MAPDs
HYDROMORPHONE 2 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)		 100.000 EA   00406324301 68
PDPs		 394
MAPDs
HYDROMORPHONE 4 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)		 100.000 EA   00406324401 68
PDPs		 394
MAPDs
HYDROMORPHONE 50 MG/5 ML AMPUL [Dilaudid-HP]
(Hydromorphone Hydrochloride)		 1 ML   17478054005 43
PDPs		 258
MAPDs
HYDROMORPHONE 8 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)		 100 BOT 00406324901 68
PDPs		 394
MAPDs
HYDROMORPHONE HCL ER 12 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)		 30 tablets   13811070210 3
PDPs		 67
MAPDs
HYDROMORPHONE HCL ER 16 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)		 30 tablets   13811070310 3
PDPs		 67
MAPDs
HYDROMORPHONE HCL ER 32 MG Tablet 24H [Exalgo]
(Hydromorphone HCl)		     13811070410 3
PDPs		 66
MAPDs
HYDROMORPHONE HCL ER 8 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)		 30 tablets   13811070110 3
PDPs		 67
MAPDs
HYDROXYCHLOROQUINE 200 MG TABLET
(Hydroxychloroquine Sulfate)		 100 EA   68382009601 68
PDPs		 397
MAPDs
HYDROXYUREA 500 MG CAPSULE
(Hydroxyurea)		 100.000 EA   49884072401 68
PDPs		 397
MAPDs
HYDROXYZINE 10 MG/5 ML SOLUTION
(Hydroxyzine HCl)		 473 ML   60432015016 43
PDPs		 323
MAPDs
HYDROXYZINE HCL 10 MG TABLET [Rezine]
(Hydroxyzine HCl)		 30 tablets   00093506001 57
PDPs		 382
MAPDs
HYDROXYZINE HCL 25 MG TABLET [Atarax]
(Hydroxyzine HCl)		 30 tablets   10702001150 57
PDPs		 384
MAPDs
HYDROXYZINE HCL 50 MG TABLET [Atarax]
(Hydroxyzine HCl)		 30 tablets   16714008310 57
PDPs		 384
MAPDs
HYDROXYZINE PAM 100MG CAPSULE
(Hydroxyzine Pamoate)		 100 BOT 00555032402 22
PDPs		 230
MAPDs
HYDROXYZINE PAM 25 MG CAPSULE
(Hydroxyzine Pamoate)		 100.000 EA   00185067401 36
PDPs		 315
MAPDs
HYDROXYZINE PAM 50 MG CAPSULE
(Hydroxyzine Pamoate)		 100.000 EA   00185061501 36
PDPs		 311
MAPDs
HYSINGLA ER 100 MG TABLET
(Hydrocodone Bitartrate)		     59011027660 11
PDPs		 83
MAPDs
HYSINGLA ER 120 MG TABLET
(Hydrocodone Bitartrate)		     59011027760 11
PDPs		 83
MAPDs
HYSINGLA ER 20 MG TABLET
(Hydrocodone Bitartrate)		     59011027160 11
PDPs		 83
MAPDs
HYSINGLA ER 30 MG TABLET
(Hydrocodone Bitartrate)		     59011027260 11
PDPs		 83
MAPDs
HYSINGLA ER 40 MG TABLET
(Hydrocodone Bitartrate)		     59011027360 11
PDPs		 83
MAPDs
HYSINGLA ER 60 MG TABLET
(Hydrocodone Bitartrate)		     59011027460 11
PDPs		 83
MAPDs
HYSINGLA ER 80 MG TABLET
(Hydrocodone Bitartrate)		     59011027560 11
PDPs		 83
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		 71
MAPDs
INSULIN LISPRO 100 UNIT/ML VIAL [Humalog KwikPen]
(Insulin Lispro)		 10 mls   66733077301 13
PDPs		 71
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 26
PDPs		 139
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
LOSARTAN-HCTZ 100-12.5 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)		 30 tablets   65862046990 68
PDPs		 397
MAPDs
LOSARTAN-HCTZ 100-25 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)		 30 TABLETS   65862047090 68
PDPs		 397
MAPDs
LOSARTAN-HCTZ 50-12.5 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)		 30 TABLETS   65862046890 68
PDPs		 397
MAPDs
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT
(Neomycin-Polymyxin-HC)		 10 ML BOT 24208063110 68
PDPs		 397
MAPDs
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS
(Neomycin-Polymyxin-HC)		 7.5 ML BOTPL 61314064175 43
PDPs		 337
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 68
PDPs		 397
MAPDs
PLAQUENIL 200 MG TABLET
(Hydroxychloroquine Sulfate)		     59212056210 5
PDPs		 8
MAPDs
PROCTO-MED HC 2.5% CREAM CRM/PE APP [Proctozone-HC]
(Hydrocortisone)		 30 GRAMS   69315031228 65
PDPs		 383
MAPDs
procto-pak 1% cream
(Hydrocortisone)		     64980030230 66
PDPs		 357
MAPDs
PROCTOSOL-HC 2.5% CREAM
(Hydrocortisone)		 1 OUNCE TUBE 10631040701 67
PDPs		 388
MAPDs
PROCTOZONE-HC 2.5% CREAM
(Hydrocortisone)		 30 GM   64980032430 67
PDPs		 391
MAPDs
RECOMBIVAX HB 10 MCG/ML SYR
(Hepatitis B Vaccine (Recombinant))		     00006409402 68
PDPs		 397
MAPDs
RECOMBIVAX HB 10 MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))		 ml   00006499541 68
PDPs		 397
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))		 1 ML VIALSD 00006499200 68
PDPs		 397
MAPDs
SIKLOS 1,000 MG TABLET
(Hydroxyurea)		 TABLETS   71770012030 4
PDPs		 74
MAPDs
SIKLOS 100 MG TABLET
(Hydroxyurea)		 30 TABLETS   71770010560 4
PDPs		 72
MAPDs
TERAZOSIN 10 MG CAPSULE [Hytrin]
(Terazosin HCl)		 90 capsules   59746038606 68
PDPs		 397
MAPDs
TERAZOSIN 5 MG CAPSULE [Hytrin]
(Terazosin HCl)		 90 capsules   59746038506 68
PDPs		 397
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 68
PDPs		 397
MAPDs
TRIAZOLAM 0.125 MG TABLET [Halcion]
(Triazolam)		 30 tablets   59762371709 6
PDPs		 143
MAPDs
TRIAZOLAM 0.25 MG TABLET [Halcion]
(Triazolam)		 30 tablets   59762371809 5
PDPs		 144
MAPDs
TWINRIX VACCINE SYRINGE
(Hepatitis A (Inact)-Hep B (Recomb) Vac)		     58160081552 68
PDPs		 397
MAPDs
ULTRAVATE 0.05 % 60 ML
(Halobetasol Propionate)		     10631012204 0
PDPs		 4
MAPDs
VAQTA 25 UNITS/0.5 ML SYRINGE
(Hepatitis A Vaccine)		     00006409502 68
PDPs		 397
MAPDs
VAQTA 50 UNITS/ML SYRINGE
(Hepatitis A Vaccine)		     00006409602 68
PDPs		 397
MAPDs
VAQTA 50 UNITS/ML VIAL
(Hepatitis A Vaccine)		 ml   00006484141 68
PDPs		 397
MAPDs
Vaqta Hepatitis A Vaccine Pediatric / Adolescent 25 Unit / 0.5 mL Injection Single Dose Vial 0.5 mL
(Hepatitis A Vaccine)		     00006483141 68
PDPs		 397
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



(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2021)




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