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2022 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 2022 Formularies
PDPs MAPDs
ACTHIB VACCINE WITH DILUENT
(Haemophilus B Polysaccharide Conjugate Vaccine)
    49281054503 63
PDPs
402
MAPDs
ADEFOVIR DIPIVOXIL 10 MG TABLET [Hepsera]
()
30 EA   42794000308 56
PDPs
399
MAPDs
ADMELOG 100 UNIT/ML VIAL [Humalog]
(Insulin Lispro)
10 mls   00024592410 0
PDPs
7
MAPDs
ADMELOG SOLOSTAR 100 UNIT/ML INSULIN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   00024592505 0
PDPs
7
MAPDs
ALA-CORT 2.5% CREAM (G) [Proctozone-HC]
(Hydrocortisone)
28 GRAMS   00316012830 50
PDPs
272
MAPDs
ALA-SCALP 2% LOTION [Scalacort]
(Hydrocortisone)
29.6 MLS   77052001002 0
PDPs
26
MAPDs
ALKINDI SPRINKLE 0.5 MG CAPSULE SPRINK
(Hydrocortisone)
UNITS   71863010950 1
PDPs
5
MAPDs
ALKINDI SPRINKLE 1 MG CAPSULE SPRINK
(Hydrocortisone)
UNITS   71863011050 1
PDPs
5
MAPDs
ALKINDI SPRINKLE 2 MG CAPSULE SPRINK
(Hydrocortisone)
UNITS   71863011150 1
PDPs
5
MAPDs
ALKINDI SPRINKLE 5 MG CAPSULE SPRINK
(Hydrocortisone)
UNITS   71863011250 1
PDPs
5
MAPDs
ANUSOL-HC 2.5% CREAM
(Hydrocortisone)
    65649040130 1
PDPs
18
MAPDs
BRYHALI 0.01% LOTION
(Halobetasol Propionate)
60 mls   00187000260 0
PDPs
5
MAPDs
CORTEF 10MG TABLET
(Hydrocortisone)
100 BOT 00009003101 2
PDPs
1
MAPDs
CORTEF 20MG TABLET
(Hydrocortisone)
100 BOT 00009004401 2
PDPs
1
MAPDs
CORTEF 5MG TABLET
(Hydrocortisone)
50 BOT 00009001201 2
PDPs
1
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 17
PDPs
244
MAPDs
DOXERCALCIFEROL 1 MCG CAPSULE [Hectorol]
()
CAPSULES   00955172150 17
PDPs
242
MAPDs
DOXERCALCIFEROL 2.5 MCG CAPSULE [Hectorol]
()
30 CAPSULES   00955172250 17
PDPs
242
MAPDs
DROXIA 200MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633517 44
PDPs
354
MAPDs
DROXIA 300MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633617 44
PDPs
354
MAPDs
DROXIA 400MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633717 44
PDPs
354
MAPDs
DUOBRII 0.01%-0.045% LOTION
(Halobetasol Propionate, Tazarotene)
mls   00187065301 1
PDPs
12
MAPDs
ENGERIX B INJECTION
(Hepatitis B Vaccine (Recombinant))
10 SYR CRTN 58160082052 63
PDPs
402
MAPDs
ENGERIX-B 20 MCG/ML SYRINGE
(Hepatitis B Vaccine (Recombinant))
    58160082152 63
PDPs
402
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)
5 ML   63004871001 9
PDPs
87
MAPDs
HAEGARDA 2,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082802 49
PDPs
293
MAPDs
HAEGARDA 3,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082902 49
PDPs
293
MAPDs
HAILEY 24 FE 1 MG-20 MCG TABLET [Tarina Fe 1/20]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)
28 tablets   68462073129 42
PDPs
265
MAPDs
HALCINONIDE 0.1% CREAM (g) [Halog -E]
(Halcinonide)
60 grams   00378805660 3
PDPs
27
MAPDs
HALCION 0.25 MG TABLET
(Triazolam)
    00009001758 0
PDPs
1
MAPDs
HALDOL DECANOATE 100MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 5 AMP BOX 50458025414 2
PDPs
6
MAPDs
HALDOL DECANOATE 50MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 3 AMP BOX 50458025303 2
PDPs
6
MAPDs
HALOBETASOL PROP 0.05% CREAM
(Halobetasol Propionate)
50 GM   45802012932 56
PDPs
379
MAPDs
HALOBETASOL PROP 0.05% FOAM [LEXETTE]
(Halobetasol Propionate)
50 grams   51862060650 0
PDPs
4
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 60
PDPs
378
MAPDs
HALOG 0.1% SOLUTION
(Halcinonide)
MLS   10631009510 0
PDPs
3
MAPDs
Halog 1mg/g 60 g in 1 TUBE
(Halcinonide)
60 g in 1 TUBE   10631009430 2
PDPs
1
MAPDs
HALOG OINTMENT 1mg/g 60 g in 1 TUBE [HALOG]
(Halcinonide)
60 g in 1 TUBE   10631009630 2
PDPs
22
MAPDs
HALOPERIDOL 0.5 MG TABLET
(Haloperidol)
100.000 EA   00378035101 63
PDPs
402
MAPDs
HALOPERIDOL 1 MG TABLET [Haldol]
(Haloperidol)
60 TABLETS   00378025701 63
PDPs
402
MAPDs
HALOPERIDOL 10 MG TABLET
(Haloperidol)
100.000 EA   68382008001 63
PDPs
402
MAPDs
HALOPERIDOL 20MG TABLET (100 CT)
(Haloperidol)
100 BOT 68382008101 63
PDPs
402
MAPDs
HALOPERIDOL 2MG TABLET (100 CT)
(Haloperidol)
100 BOT 00378021401 63
PDPs
402
MAPDs
HALOPERIDOL 5 MG TABLET [Haldol]
(Haloperidol)
30 tablets   68382007901 63
PDPs
402
MAPDs
HALOPERIDOL DEC 100 MG/ML AMPUL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ml   10147092205 63
PDPs
395
MAPDs
HALOPERIDOL DEC 100 MG/ML VIAL
(Haloperidol Decanoate IM)
5 ML   63323047105 63
PDPs
402
MAPDs
HALOPERIDOL DEC 50 MG/ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)
2 MLS   63323046905 63
PDPs
396
MAPDs
HALOPERIDOL DECAN 50 MG/ML AMPUL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ml   10147092103 63
PDPs
402
MAPDs
HALOPERIDOL LAC 2 MG/ML CONC
(Haloperidol Lactate)
120.000 ML   00121058104 63
PDPs
402
MAPDs
HALOPERIDOL LAC 5 MG/ML VIAL
(Haloperidol Lactate)
10.000 ML   63323047410 63
PDPs
402
MAPDs
HARVONI 33.75-150 MG PELLET PACKET
(Ledipasvir and Sofosbuvir)
UNITS   61958180501 55
PDPs
264
MAPDs
HARVONI 45-200 MG PELLET PACKET
(Ledipasvir and Sofosbuvir)
UNITS   61958180401 55
PDPs
264
MAPDs
HARVONI 90-400 MG TABLET
(Ledipasvir and Sofosbuvir)
  61958180101 56
PDPs
261
MAPDs
HAVRIX 1,440 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    58160082652 63
PDPs
402
MAPDs
HAVRIX HEPATITIS A VACCINE INJECTION
(Hepatitis A Vaccine)
10 SYR CRTN 58160082552 63
PDPs
402
MAPDs
HELIDAC THERAPY PACK COMBO PKG
(Bismuth Subsalicylate;Metronidazole;Tetracycline)
UNITS   70199002114 0
PDPs
4
MAPDs
HEMADY 20 MG TABLET
(Dexamethasone)
8 TABLETS   72893001524 28
PDPs
96
MAPDs
HEPARIN 10,000 UNIT/10 ML VIAL
(Heparin Sodium)
30 MLS   00409272002 59
PDPs
387
MAPDs
HEPARIN SOD 5,000 UNIT/ML VIAL
(Heparin Sodium)
60 MLS   63739095325 63
PDPs
402
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 1 VIALSD X 25 VIAL TRAY 00409272101 59
PDPs
387
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 25 VIAL CRTN 25021040401 59
PDPs
382
MAPDs
HEPATAMINE INJECTION 8%
(Amino Acid Infusion)
6 X 500 ML BOTGL 00264937155 56
PDPs
359
MAPDs
Hepatitis B Surface Antigen Vaccine 0.01 MG/ML Prefilled 0.5 ML Syringe [Recombivax]
(Hepatitis B Vaccine (Recombinant))
    00006409302 63
PDPs
402
MAPDs
HEPSERA 10MG TABLET
(Adefovir Dipivoxil)
    61958050101 0
PDPs
2
MAPDs
HETLIOZ 20 MG CAPSULE
(tasimelteon)
    43068022001 57
PDPs
361
MAPDs
HETLIOZ LQ 4 MG/ML ORAL SUSPENSION
(tasimelteon)
48 MLS   43068030406 11
PDPs
161
MAPDs
HIBERIX VACCINE WITH DILUENT
(Haemophilus B Conjugate Vaccine)
    58160081811 63
PDPs
402
MAPDs
HIPREX 1 GM TABLET
(Methenamine Hippurate)
    30698027701 2
PDPs
1
MAPDs
HORIZANT ER 300 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010301 1
PDPs
13
MAPDs
HORIZANT ER 600 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010101 1
PDPs
13
MAPDs
HUMALOG 100 UNIT/ML VIAL
(Insulin Lispro (Human))
10 mls   00002751001 42
PDPs
163
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
3 ML   00002751659 42
PDPs
163
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
    00002771227 42
PDPs
159
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))
3 ML   00002771459 42
PDPs
158
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 00002879959 42
PDPs
162
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL 00002751201 42
PDPs
164
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL 00002751101 42
PDPs
164
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879859 42
PDPs
163
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879759 42
PDPs
161
MAPDs
HUMATIN 250 MG CAPSULE
(Paromomycin Sulfate)
42 CAPSULES   80725025001 0
PDPs
3
MAPDs
HUMATROPE 12MG CARTRIDGE
(Somatropin For)
1 PKGCOM 00002814801 2
PDPs
47
MAPDs
HUMATROPE 24MG CARTRIDGE
(Somatropin For)
1 CARTRIDGE VIAL 00002814901 2
PDPs
47
MAPDs
HUMATROPE 6MG CARTRIDGE
(Somatropin For)
1 CTG 00002814701 2
PDPs
43
MAPDs
HUMIRA 10 MG/0.1 ML SYRINGEKIT
(Adalimumab)
units   00074081702 63
PDPs
399
MAPDs
Humira 2 KIT per CARTON / 1 KIT in 1 KIT
(Adalimumab)
2 KIT in 1 CARTON / 1 KIT   00074379902 63
PDPs
402
MAPDs
HUMIRA 20 MG/0.2 ML SYRINGEKIT
(Adalimumab)
units   00074061602 63
PDPs
399
MAPDs
HUMIRA 40 MG/0.4 ML PEN IJ KIT
(Adalimumab)
2 units   00074055402 63
PDPs
402
MAPDs
HUMIRA 40 MG/0.4 ML SYRINGEKIT
(Adalimumab)
2 units   00074024302 63
PDPs
402
MAPDs
HUMIRA 40 MG/0.8 ML PEN
(ADALIMUMAB)
2 EA   00074433902 63
PDPs
399
MAPDs
HUMIRA PED CROHNS 80 MG/0.8 ML SYRINGEKIT
(Adalimumab)
units   00074254003 63
PDPs
395
MAPDs
HUMIRA PEDIATR CROHN'S 80-40MG SYRINGEKIT
(Adalimumab)
units   00074006702 63
PDPs
395
MAPDs
HUMIRA PEN KIT 40MG-70% 1 PKGCOM
(Adalimumab)
1 PKGCOM 00074433906 63
PDPs
402
MAPDs
HUMIRA PEN PSORIASIS-UVEITIS
(Adalimumab)
    00074433907 63
PDPs
402
MAPDs
HUMIRA(CF) PEN 80 MG/0.8 ML PEN IJ KIT
(Adalimumab)
3 UNITS   00074012402 63
PDPs
398
MAPDs
HUMIRA(CF) PEN CRHN-UC-HS 80MG PEN IJ KIT
(Adalimumab)
units   00074012403 63
PDPs
399
MAPDs
HUMIRA(CF) PEN PEDI UC 80 MG PEN IJ KIT
(Adalimumab)
3 UNITS   00074012404 59
PDPs
380
MAPDs
HUMIRA(CF) PEN PS-UV-AHS 80-40 PEN IJ KIT
(Adalimumab)
units   00074153903 63
PDPs
399
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))
3.000 ML   00002880359 42
PDPs
162
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 42
PDPs
163
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))
3.000 ML   00002880559 42
PDPs
162
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 42
PDPs
163
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL 00002821501 42
PDPs
163
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
    00002882427 56
PDPs
355
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL 00002850101 56
PDPs
360
MAPDs
HYDRALAZINE 10 MG TABLET [Apresoline]
(Hydralazine HCl)
90 TABLETS   31722051901 63
PDPs
402
MAPDs
HYDRALAZINE 100 MG TABLET [Apresoline]
(Hydralazine HCl)
90 tablets   23155000401 63
PDPs
402
MAPDs
HYDRALAZINE 25 MG TABLET
(Hydralazine HCl)
100 EA   31722052001 63
PDPs
402
MAPDs
HYDRALAZINE 50 MG TABLET
(Hydralazine HCl)
100 EA   31722052101 63
PDPs
402
MAPDs
HYDREA 500MG CAPSULE
(Hydroxyurea)
100 BOT 00003083050 2
PDPs
1
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [Microzide]
()
90 CAPSULES   29300013005 63
PDPs
402
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG TABLET
(Hydrochlorothiazide)
100.000 EA   16729018201 63
PDPs
402
MAPDs
HYDROCHLOROTHIAZIDE 25 MG TABLET
(Hydrochlorothiazide)
1000.000 EA   16729018317 63
PDPs
402
MAPDs
HYDROCHLOROTHIAZIDE 50 MG TABLET [Zide]
(Hydrochlorothiazide)
90 tablets   16729018417 63
PDPs
402
MAPDs
HYDROCODON-ACETAMINOPH 7.5-325
(Hydrocodone-Acetaminophen)
100.000 EA   00406012401 63
PDPs
402
MAPDs
HYDROCODON-ACETAMINOPHEN 5-325
(Hydrocodone-Acetaminophen)
100.000 EA   00406012301 63
PDPs
402
MAPDs
HYDROCODONE ER 10 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
30 CAPSULES   47781040960 8
PDPs
73
MAPDs
HYDROCODONE ER 100 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)
30 TABLETS   47781039760 7
PDPs
85
MAPDs
HYDROCODONE ER 120 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)
TABLETS   47781039860 7
PDPs
85
MAPDs
HYDROCODONE ER 15 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041060 8
PDPs
73
MAPDs
HYDROCODONE ER 20 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041160 8
PDPs
73
MAPDs
HYDROCODONE ER 20 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)
30 TABLETS   47781039260 7
PDPs
85
MAPDs
HYDROCODONE ER 30 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041260 8
PDPs
73
MAPDs
HYDROCODONE ER 30 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)
30 TABLETS   47781039360 7
PDPs
85
MAPDs
HYDROCODONE ER 40 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041360 8
PDPs
73
MAPDs
HYDROCODONE ER 40 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)
30 TABLETS   47781039460 7
PDPs
85
MAPDs
HYDROCODONE ER 50 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
30 CAPSULES   47781041460 8
PDPs
73
MAPDs
HYDROCODONE ER 60 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)
14 TABLETS   47781039560 7
PDPs
85
MAPDs
HYDROCODONE ER 80 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)
TABLETS   47781039660 7
PDPs
85
MAPDs
HYDROCODONE-ACETAMIN 10-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
120 TABLETS   00406037805 17
PDPs
171
MAPDs
HYDROCODONE-ACETAMIN 10-325 MG TABLET [Norco]
()
120 TABLETS   00406012505 63
PDPs
402
MAPDs
HYDROCODONE-ACETAMIN 5-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
12 tablets   43386035101 17
PDPs
171
MAPDs
HYDROCODONE-ACETAMIN 7.5-300 TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
30 TABLETS   27808011501 17
PDPs
174
MAPDs
HYDROCODONE-ACETAMN 7.5-325/15 SOLUTION [Hycet]
(Hydrocodone Bitartrate, Acetaminophen)
473 MLS   66689002316 59
PDPs
374
MAPDs
HYDROCODONE-IBUPROFEN 10-200 TABLET [Xylon 10]
(Hydrocodone Bitartrate, Ibuprofen)
30 TABLETS   53746011701 16
PDPs
208
MAPDs
HYDROCODONE-IBUPROFEN 5-200 MG
(Hydrocodone-Ibuprofen)
100.000 EA   53746014601 16
PDPs
210
MAPDs
HYDROCODONE-IBUPROFEN 7.5-200 TABLET [Vicoprofen]
(Hydrocodone Bitartrate, Ibuprofen)
120 TABLETS   13107000401 45
PDPs
356
MAPDs
HYDROCORT-PRAMOXINE 1%-1% CREAM w/APPL [Zone A]
(Hydrocortisone, Pramoxine)
30 grams   45802014464 4
PDPs
101
MAPDs
HYDROCORTISON-ACETIC ACID SOLUTION DROPS [VoSoL HC]
(Hydrocortisone, Acetic Acid)
10 MLS   50383090110 46
PDPs
283
MAPDs
HYDROCORTISONE 1% CREAM
(Hydrocortisone)
28.350 GM   00168001531 57
PDPs
379
MAPDs
HYDROCORTISONE 1% OINTMENT
(Hydrocortisone)
28.350 GM   00168002031 46
PDPs
242
MAPDs
HYDROCORTISONE 10 MG TABLET [Hydrocortone]
(Hydrocortisone)
90 tablets   59762007401 63
PDPs
402
MAPDs
Hydrocortisone 10 MG/ML Topical Cream [Ala-Cort]
(Hydrocortisone)
    00316012601 48
PDPs
309
MAPDs
HYDROCORTISONE 100 MG/60 ML
(Hydrocortisone)
60.000 ML   62559013807 63
PDPs
400
MAPDs
HYDROCORTISONE 2.5% CREAM CRM/PE APP [Proctozone-HC]
(Hydrocortisone)
30 GRAMS   62559043130 63
PDPs
392
MAPDs
HYDROCORTISONE 2.5% LOTION
(Hydrocortisone)
59.000 ML   45802093716 63
PDPs
398
MAPDs
HYDROCORTISONE 2.5% OINTMENT
(Hydrocortisone)
28.350 GM   00168014630 63
PDPs
402
MAPDs
HYDROCORTISONE 20 MG TABLET [Cortef]
(Hydrocortisone)
30 tablets   59762007501 63
PDPs
402
MAPDs
HYDROCORTISONE 5 MG TABLET [Cortef]
(Hydrocortisone)
90 tablets   59762007301 63
PDPs
402
MAPDs
HYDROCORTISONE BUTY 0.1% CREAM
(Hydrocortisone Butyrate)
45 GM   51672407406 19
PDPs
124
MAPDs
HYDROCORTISONE BUTYR 0.1% LOTION [Locoid]
(Hydrocortisone)
59 MLS   52565008704 2
PDPs
56
MAPDs
HYDROCORTISONE BUTYR 0.1% OINTMENT [Locoid]
(Hydrocortisone)
15 GRAMS   68682027145 25
PDPs
153
MAPDs
HYDROCORTISONE BUTYR 0.1% SOLUTION [Locoid]
(Hydrocortisone)
MLS   51672406104 16
PDPs
131
MAPDs
HYDROCORTISONE VAL 0.2% CREAM (g) [Westcort]
(Hydrocortisone Valerate)
15 grams   51672129003 33
PDPs
203
MAPDs
HYDROCORTISONE VAL 0.2% OINTMENT [Westcort]
(Hydrocortisone Valerate)
45 GRAMS   51672129206 28
PDPs
193
MAPDs
HYDROMORPHONE 1 MG/ML SOLUTION LIQUID [Dilaudid]
(Hydromorphone Hydrochloride)
30 MLS   00054038663 49
PDPs
328
MAPDs
HYDROMORPHONE 10 MG/ML VIAL [Dilaudid-HP]
(Hydromorphone Hydrochloride)
1 ML   00409263401 45
PDPs
182
MAPDs
HYDROMORPHONE 2 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)
100.000 EA   00406324301 63
PDPs
398
MAPDs
HYDROMORPHONE 4 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)
100.000 EA   00406324401 63
PDPs
398
MAPDs
HYDROMORPHONE 50 MG/5 ML VIAL [Dilaudid-HP]
(Hydromorphone Hydrochloride)
1 ML   00703011303 45
PDPs
182
MAPDs
HYDROMORPHONE 8 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)
100 BOT 00406324901 63
PDPs
398
MAPDs
HYDROMORPHONE HCL ER 12 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070210 5
PDPs
66
MAPDs
HYDROMORPHONE HCL ER 16 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070310 5
PDPs
66
MAPDs
HYDROMORPHONE HCL ER 32 MG Tablet 24H [Exalgo]
(Hydromorphone HCl)
    13811070410 5
PDPs
65
MAPDs
HYDROMORPHONE HCL ER 8 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070110 5
PDPs
66
MAPDs
HYDROXYCHLOROQUINE 200 MG TABLET [Quineprox]
()
60 TABLETS   43598072101 63
PDPs
402
MAPDs
HYDROXYUREA 500 MG CAPSULE
(Hydroxyurea)
100.000 EA   49884072401 63
PDPs
402
MAPDs
HYDROXYZINE 10 MG/5 ML SYRUP SOLUTION [Atarax]
(Hydroxyzine HCl)
120 MLS   54838050280 36
PDPs
312
MAPDs
HYDROXYZINE HCL 10 MG TABLET [Rezine]
(Hydroxyzine HCl)
30 TABLETS   23155050001 52
PDPs
388
MAPDs
HYDROXYZINE HCL 25 MG TABLET [Atarax]
(Hydroxyzine HCl)
30 TABLETS   16714008210 52
PDPs
390
MAPDs
HYDROXYZINE HCL 50 MG TABLET [Atarax]
(Hydroxyzine HCl)
30 tablets   16714008310 52
PDPs
390
MAPDs
HYDROXYZINE PAM 100MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00555032402 18
PDPs
234
MAPDs
HYDROXYZINE PAM 25 MG CAPSULE
(Hydroxyzine Pamoate)
100.000 EA   00185067401 34
PDPs
327
MAPDs
HYDROXYZINE PAM 50 MG CAPSULE [Vistaril]
(Hydroxyzine Pamoate)
30 CAPSULES   00185061505 34
PDPs
321
MAPDs
HYSINGLA ER 100 MG TABLET
(Hydrocodone Bitartrate)
    59011027660 10
PDPs
86
MAPDs
HYSINGLA ER 120 MG TABLET
(Hydrocodone Bitartrate)
    59011027760 10
PDPs
86
MAPDs
HYSINGLA ER 20 MG TABLET
(Hydrocodone Bitartrate)
    59011027160 10
PDPs
86
MAPDs
HYSINGLA ER 30 MG TABLET
(Hydrocodone Bitartrate)
    59011027260 10
PDPs
86
MAPDs
HYSINGLA ER 40 MG TABLET
(Hydrocodone Bitartrate)
    59011027360 10
PDPs
86
MAPDs
HYSINGLA ER 60 MG TABLET
(Hydrocodone Bitartrate)
    59011027460 10
PDPs
86
MAPDs
HYSINGLA ER 80 MG TABLET
(Hydrocodone Bitartrate)
    59011027560 10
PDPs
86
MAPDs
HYZAAR 100-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
90 TABLETS   78206014001 2
PDPs
3
MAPDs
HYZAAR 100-25 TABLET
(Losartan Potassium & Hydrochlorothiazide)
90 TABLETS   78206014101 2
PDPs
3
MAPDs
HYZAAR 50-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
90 TABLETS   78206013901 2
PDPs
3
MAPDs
INSULIN LISPRO MIX 75-25 KWIKPEN INSULN PEN [Humalog KwikPen Mix 75/25]
()
15 mls   00002823305 8
PDPs
82
MAPDs
LEDIPASVIR-SOFOSBUVIR 90-400MG TABLET [Harvoni]
(Ledipasvir and Sofosbuvir)
28 tablets   72626260101 21
PDPs
98
MAPDs
LEXETTE 0.05% FOAM
(Halobetasol Propionate)
50 grams   51862060450 0
PDPs
6
MAPDs
LOCOID 0.1% LIPOCREAM
(Hydrocortisone Butyrate Hydrophilic Lipo Base)
    16781038445 2
PDPs
14
MAPDs
LOCOID 0.1% LOTION
(Hydrocortisone Butyrate)
    16781039204 0
PDPs
1
MAPDs
LOSARTAN-HCTZ 100-12.5 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)
30 TABLETS   68180021609 63
PDPs
402
MAPDs
LOSARTAN-HCTZ 100-25 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)
30 TABLETS   68180021709 63
PDPs
402
MAPDs
LOSARTAN-HCTZ 50-12.5 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)
90 TABLETS   68180021509 63
PDPs
402
MAPDs
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT
(Neomycin-Polymyxin-HC)
10 ML BOT 24208063110 63
PDPs
402
MAPDs
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS
(Neomycin-Polymyxin-HC)
7.5 ML BOTPL 61314064175 32
PDPs
337
MAPDs
PANDEL 0.1% CREAM
(Hydrocortisone Probutate)
    10337015380 1
PDPs
21
MAPDs
PEDVAXHIB VACCINE VIAL
(Haemophilus B Polysaccharide Conjugate Vaccine)
10 X .5ML SINGLE DOSE VIL BOX 00006489700 63
PDPs
402
MAPDs
PLAQUENIL 200 MG TABLET
(Hydroxychloroquine Sulfate)
    59212056210 2
PDPs
1
MAPDs
PROCTO-MED HC 2.5% CREAM CRM/PE APP [Proctozone-HC]
(Hydrocortisone)
30 GRAMS   69315031228 61
PDPs
390
MAPDs
procto-pak 1% cream
(Hydrocortisone)
    64980030230 56
PDPs
348
MAPDs
PROCTOSOL-HC 2.5% CREAM
(Hydrocortisone)
1 OUNCE TUBE 10631040701 55
PDPs
317
MAPDs
PROCTOZONE-HC 2.5% CREAM
(Hydrocortisone)
30 GM   64980032430 62
PDPs
399
MAPDs
RECOMBIVAX HB 10 MCG/ML SYR
(Hepatitis B Vaccine (Recombinant))
    00006409402 63
PDPs
402
MAPDs
RECOMBIVAX HB 10 MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
ML   00006499500 63
PDPs
402
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
1 ML VIALSD 00006499200 63
PDPs
402
MAPDs
SIKLOS 1,000 MG TABLET
(Hydroxyurea)
TABLETS   71770012030 1
PDPs
67
MAPDs
SIKLOS 100 MG TABLET
(Hydroxyurea)
30 TABLETS   71770010560 1
PDPs
65
MAPDs
TERAZOSIN 10 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   59746038606 63
PDPs
402
MAPDs
TERAZOSIN 5 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   59746038506 63
PDPs
402
MAPDs
TEXACORT 2.5% SOLUTION
(Hydrocortisone)
30 mls   00178045501 1
PDPs
15
MAPDs
TRIAMTERENE-HCTZ 75-50 MG TAB
(Triamterene & Hydrochlorothiazide)
500.000 EA   60505265705 63
PDPs
402
MAPDs
TRIAZOLAM 0.125 MG TABLET [Halcion]
(Triazolam)
30 tablets   59762371709 5
PDPs
133
MAPDs
TRIAZOLAM 0.25 MG TABLET [Halcion]
(Triazolam)
30 tablets   59762371809 4
PDPs
134
MAPDs
TWINRIX VACCINE SYRINGE
(Hepatitis A (Inact)-Hep B (Recomb) Vac)
    58160081552 63
PDPs
402
MAPDs
ULTRAVATE 0.05 % 60 ML
(Halobetasol Propionate)
    10631012204 0
PDPs
1
MAPDs
VAQTA 25 UNITS/0.5 ML SYRINGE
(Hepatitis A Vaccine)
    00006409502 63
PDPs
402
MAPDs
VAQTA 50 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    00006409602 63
PDPs
402
MAPDs
VAQTA 50 UNITS/ML VIAL
(Hepatitis A Vaccine)
ml   00006484141 63
PDPs
402
MAPDs
Vaqta Hepatitis A Vaccine Pediatric / Adolescent 25 Unit / 0.5 mL Injection Single Dose Vial 0.5 mL
(Hepatitis A Vaccine)
    00006483141 63
PDPs
402
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 November 2021)


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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.