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2023 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 2023 Formularies
PDPs MAPDs
ACTHIB VACCINE WITH DILUENT
(Haemophilus B Polysaccharide Conjugate Vaccine)
    49281054503 62
PDPs
392
MAPDs
ADEFOVIR DIPIVOXIL 10 MG TABLET [Hepsera]
()
TABLETS   60505394703 56
PDPs
389
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
257
MAPDs
ALA-SCALP 2% LOTION [Scalacort]
(Hydrocortisone)
29.6 MLS   77052001001 0
PDPs
27
MAPDs
ALKINDI SPRINKLE 0.5 MG CAPSULE SPRINK
(Hydrocortisone)
UNITS   71863010950 1
PDPs
3
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
10
MAPDs
BRYHALI 0.01% LOTION
(Halobetasol Propionate)
60 mls   00187000260 0
PDPs
6
MAPDs
CORTEF 10MG TABLET
(Hydrocortisone)
100 BOT 00009003101 1
PDPs
2
MAPDs
CORTEF 20MG TABLET
(Hydrocortisone)
100 BOT 00009004401 1
PDPs
2
MAPDs
CORTEF 5MG TABLET
(Hydrocortisone)
50 BOT 00009001201 1
PDPs
2
MAPDs
CORTROPHIN GEL 400 UNIT/5 ML VIAL
(Corticotropin (Porcine))
MLS   62559086015 3
PDPs
89
MAPDs
DILAUDID 2 MG TABLET
(Hydromorphone HCl)
    42858012201 0
PDPs
2
MAPDs
DILAUDID 4 MG TABLET
(Hydromorphone HCl)
100 EA   42858023401 0
PDPs
2
MAPDs
DILAUDID 5 MG/5 ML ORAL LIQUID
(Hydromorphone HCl)
    42858041616 0
PDPs
2
MAPDs
DILAUDID 8 MG TABLET
(Hydromorphone HCl)
    42858033801 0
PDPs
2
MAPDs
DOXERCALCIFEROL 0.5 MCG CAPSULE [Hectorol]
()
30 CAPSULES   23155053825 18
PDPs
240
MAPDs
DOXERCALCIFEROL 1 MCG CAPSULE [Hectorol]
()
CAPSULES   00955172150 18
PDPs
237
MAPDs
DOXERCALCIFEROL 2.5 MCG CAPSULE [Hectorol]
()
CAPSULES   23155054025 18
PDPs
237
MAPDs
DROXIA 200MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633517 41
PDPs
347
MAPDs
DROXIA 300MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633617 41
PDPs
347
MAPDs
DROXIA 400MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633717 41
PDPs
347
MAPDs
DUOBRII 0.01%-0.045% LOTION
(Halobetasol Propionate, Tazarotene)
mls   00187065301 1
PDPs
13
MAPDs
ENGERIX B INJECTION
(Hepatitis B Vaccine (Recombinant))
10 SYR CRTN 58160082052 62
PDPs
392
MAPDs
ENGERIX-B 20 MCG/ML SYRINGE
(Hepatitis B Vaccine (Recombinant))
    58160082152 62
PDPs
392
MAPDs
ENGERIX-B 20 MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
ML   58160082101 62
PDPs
391
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)
5 ML   63004871001 2
PDPs
89
MAPDs
HAEGARDA 2,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082802 49
PDPs
287
MAPDs
HAEGARDA 3,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082902 49
PDPs
287
MAPDs
HAILEY 24 FE 1 MG-20 MCG TABLET [Tarina Fe 1/20]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)
28 tablets   68462073129 40
PDPs
250
MAPDs
HALCINONIDE 0.1% CREAM (g) [Halog -E]
(Halcinonide)
60 grams   00378805660 1
PDPs
23
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 1
PDPs
3
MAPDs
HALDOL DECANOATE 50MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 3 AMP BOX 50458025303 1
PDPs
3
MAPDs
HALOBETASOL PROP 0.05% CREAM
(Halobetasol Propionate)
50 GM   45802012932 55
PDPs
366
MAPDs
HALOBETASOL PROP 0.05% FOAM [LEXETTE]
(Halobetasol Propionate)
50 grams   51862060650 0
PDPs
5
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 59
PDPs
365
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 0
PDPs
2
MAPDs
HALOG OINTMENT 1mg/g 60 g in 1 TUBE [HALOG]
(Halcinonide)
60 g in 1 TUBE   10631009630 2
PDPs
21
MAPDs
HALOPERIDOL 0.5 MG TABLET
(Haloperidol)
100.000 EA   00378035101 62
PDPs
392
MAPDs
HALOPERIDOL 1 MG TABLET [Haldol]
(Haloperidol)
60 TABLETS   00378025701 62
PDPs
392
MAPDs
HALOPERIDOL 10 MG TABLET
(Haloperidol)
100.000 EA   68382008001 62
PDPs
392
MAPDs
HALOPERIDOL 20MG TABLET (100 CT)
(Haloperidol)
100 BOT 68382008101 62
PDPs
392
MAPDs
HALOPERIDOL 2MG TABLET (100 CT)
(Haloperidol)
100 BOT 00378021401 62
PDPs
392
MAPDs
HALOPERIDOL 5 MG TABLET [Haldol]
(Haloperidol)
30 TABLETS   00832154011 62
PDPs
392
MAPDs
HALOPERIDOL DEC 100 MG/ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ML   00703713301 62
PDPs
392
MAPDs
HALOPERIDOL DEC 100 MG/ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ML   70069038305 62
PDPs
384
MAPDs
HALOPERIDOL DEC 250 MG/5 ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ML   00703712301 62
PDPs
387
MAPDs
HALOPERIDOL DEC 50 MG/ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ML   67457041013 62
PDPs
390
MAPDs
HALOPERIDOL LAC 2 MG/ML CONC
(Haloperidol Lactate)
120.000 ML   00121058104 62
PDPs
392
MAPDs
HALOPERIDOL LAC 5 MG/ML VIAL
(Haloperidol Lactate)
10.000 ML   63323047410 62
PDPs
392
MAPDs
HARVONI 33.75-150 MG PELLET PACKET
(Ledipasvir and Sofosbuvir)
UNITS   61958180501 55
PDPs
256
MAPDs
HARVONI 45-200 MG PELLET PACKET
(Ledipasvir and Sofosbuvir)
UNITS   61958180401 55
PDPs
256
MAPDs
HARVONI 90-400 MG TABLET
(Ledipasvir and Sofosbuvir)
  61958180101 55
PDPs
253
MAPDs
HAVRIX 1,440 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    58160082652 62
PDPs
392
MAPDs
HAVRIX HEPATITIS A VACCINE INJECTION
(Hepatitis A Vaccine)
10 SYR CRTN 58160082552 62
PDPs
392
MAPDs
HELIDAC THERAPY PACK COMBO PKG
(Bismuth Subsalicylate;Metronidazole;Tetracycline)
UNITS   70199002114 0
PDPs
4
MAPDs
HEMADY 20 MG TABLET
(Dexamethasone)
8 TABLETS   72893001524 25
PDPs
82
MAPDs
HEPARIN 10,000 UNIT/10 ML VIAL
(Heparin Sodium)
25 MLS   25021040010 58
PDPs
374
MAPDs
HEPARIN SOD 20,000 UNIT/ML VIAL
(Heparin Sodium)
1 ML   63739098625 58
PDPs
370
MAPDs
HEPARIN SOD 5,000 UNIT/ML VIAL
(Heparin Sodium)
60 MLS   63739095325 62
PDPs
392
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 1 VIALSD X 25 VIAL TRAY 00409272101 58
PDPs
377
MAPDs
Hepatitis B Surface Antigen Vaccine 0.01 MG/ML Prefilled 0.5 ML Syringe [Recombivax]
(Hepatitis B Vaccine (Recombinant))
    00006409302 62
PDPs
392
MAPDs
HEPSERA 10MG TABLET
(Adefovir Dipivoxil)
    61958050101 0
PDPs
3
MAPDs
HETLIOZ 20 MG CAPSULE
(tasimelteon)
    43068022001 56
PDPs
346
MAPDs
HETLIOZ LQ 4 MG/ML ORAL SUSPENSION
(tasimelteon)
48 MLS   43068030406 10
PDPs
140
MAPDs
HIBERIX VACCINE WITH DILUENT
(Haemophilus B Conjugate Vaccine)
    58160081811 62
PDPs
392
MAPDs
HIPREX 1 GM TABLET
(Methenamine Hippurate)
60 TABLETS   30698047701 0
PDPs
4
MAPDs
HORIZANT ER 300 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010301 1
PDPs
14
MAPDs
HORIZANT ER 600 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010101 1
PDPs
14
MAPDs
HUMALOG 100 UNIT/ML VIAL
(Insulin Lispro (Human))
10 mls   00002751001 44
PDPs
154
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
3 ML   00002751659 44
PDPs
155
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
    00002771227 46
PDPs
154
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))
3 ML   00002771459 44
PDPs
153
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 00002879959 44
PDPs
154
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL 00002751201 44
PDPs
156
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL 00002751101 44
PDPs
156
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879859 44
PDPs
155
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879759 44
PDPs
153
MAPDs
HUMATIN 250 MG CAPSULE
(Paromomycin Sulfate)
42 CAPSULES   80725025001 0
PDPs
3
MAPDs
HUMATROPE 12MG CARTRIDGE
(Somatropin For)
1 PKGCOM 00002814801 2
PDPs
42
MAPDs
HUMATROPE 24MG CARTRIDGE
(Somatropin For)
1 CARTRIDGE VIAL 00002814901 2
PDPs
42
MAPDs
HUMATROPE 6MG CARTRIDGE
(Somatropin For)
1 CTG 00002814701 2
PDPs
40
MAPDs
HUMIRA 10 MG/0.1 ML SYRINGEKIT
(Adalimumab)
units   00074081702 62
PDPs
392
MAPDs
Humira 2 KIT per CARTON / 1 KIT in 1 KIT
(Adalimumab)
2 KIT in 1 CARTON / 1 KIT   00074379902 62
PDPs
392
MAPDs
HUMIRA 20 MG/0.2 ML SYRINGEKIT
(Adalimumab)
units   00074061602 62
PDPs
392
MAPDs
HUMIRA 40 MG/0.4 ML PEN IJ KIT
(Adalimumab)
2 units   00074055402 62
PDPs
392
MAPDs
HUMIRA 40 MG/0.4 ML SYRINGEKIT
(Adalimumab)
2 units   00074024302 62
PDPs
392
MAPDs
HUMIRA 40 MG/0.8 ML PEN
(ADALIMUMAB)
2 EA   00074433902 62
PDPs
392
MAPDs
HUMIRA PED CROHNS 80 MG/0.8 ML SYRINGEKIT
(Adalimumab)
units   00074254003 62
PDPs
390
MAPDs
HUMIRA PEDIATR CROHN'S 80-40MG SYRINGEKIT
(Adalimumab)
units   00074006702 62
PDPs
390
MAPDs
HUMIRA PEN KIT 40MG-70% 1 PKGCOM
(Adalimumab)
1 PKGCOM 00074433906 62
PDPs
392
MAPDs
HUMIRA PEN PSORIASIS-UVEITIS
(Adalimumab)
    00074433907 62
PDPs
392
MAPDs
HUMIRA(CF) PEN 80 MG/0.8 ML PEN IJ KIT
(Adalimumab)
3 UNITS   00074012402 62
PDPs
392
MAPDs
HUMIRA(CF) PEN CRHN-UC-HS 80MG PEN IJ KIT
(Adalimumab)
units   00074012403 62
PDPs
392
MAPDs
HUMIRA(CF) PEN PEDI UC 80 MG PEN IJ KIT
(Adalimumab)
3 UNITS   00074012404 62
PDPs
390
MAPDs
HUMIRA(CF) PEN PS-UV-AHS 80-40 PEN IJ KIT
(Adalimumab)
units   00074153903 62
PDPs
392
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))
3.000 ML   00002880359 44
PDPs
150
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 44
PDPs
151
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))
3.000 ML   00002880559 44
PDPs
150
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 44
PDPs
151
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL 00002821501 44
PDPs
151
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
    00002882427 58
PDPs
356
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL 00002850101 58
PDPs
360
MAPDs
HYDRALAZINE 10 MG TABLET [Apresoline]
(Hydralazine HCl)
90 TABLETS   31722051901 62
PDPs
392
MAPDs
HYDRALAZINE 100 MG TABLET [Apresoline]
(Hydralazine HCl)
90 TABLETS   31722052201 62
PDPs
392
MAPDs
HYDRALAZINE 25 MG TABLET
(Hydralazine HCl)
100 EA   31722052001 62
PDPs
392
MAPDs
HYDRALAZINE 50 MG TABLET
(Hydralazine HCl)
100 EA   31722052101 62
PDPs
392
MAPDs
HYDREA 500MG CAPSULE
(Hydroxyurea)
100 BOT 00003083050 1
PDPs
4
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [Microzide]
()
30 CAPSULES   50228014605 62
PDPs
392
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG TABLET
(Hydrochlorothiazide)
100.000 EA   16729018201 62
PDPs
392
MAPDs
HYDROCHLOROTHIAZIDE 25 MG TABLET
(Hydrochlorothiazide)
1000.000 EA   16729018317 62
PDPs
392
MAPDs
HYDROCHLOROTHIAZIDE 50 MG TABLET [Zide]
(Hydrochlorothiazide)
90 tablets   16729018417 62
PDPs
392
MAPDs
HYDROCODONE ER 10 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
30 CAPSULES   47781040960 8
PDPs
60
MAPDs
HYDROCODONE ER 100 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)
30 TABLETS   47781039760 5
PDPs
85
MAPDs
HYDROCODONE ER 120 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)
TABLETS   47781039860 5
PDPs
85
MAPDs
HYDROCODONE ER 15 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041060 8
PDPs
60
MAPDs
HYDROCODONE ER 20 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041160 8
PDPs
60
MAPDs
HYDROCODONE ER 20 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)
30 TABLETS   47781039260 5
PDPs
85
MAPDs
HYDROCODONE ER 30 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041260 8
PDPs
60
MAPDs
HYDROCODONE ER 30 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)
30 TABLETS   47781039360 5
PDPs
85
MAPDs
HYDROCODONE ER 40 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041360 8
PDPs
60
MAPDs
HYDROCODONE ER 40 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)
30 TABLETS   47781039460 5
PDPs
85
MAPDs
HYDROCODONE ER 50 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
30 CAPSULES   47781041460 8
PDPs
60
MAPDs
HYDROCODONE ER 60 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)
14 TABLETS   47781039560 5
PDPs
85
MAPDs
HYDROCODONE ER 80 MG TABLET ER 24H [Hysingla ER]
(Hydrocodone Bitartrate)
TABLETS   47781039660 5
PDPs
85
MAPDs
HYDROCODONE-ACETAMIN 10-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
120 TABLETS   00406037805 20
PDPs
128
MAPDs
HYDROCODONE-ACETAMIN 10-325 MG TABLET [Norco]
()
120 TABLETS   00406012505 62
PDPs
392
MAPDs
HYDROCODONE-ACETAMIN 5-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
30 TABLETS   27808011401 21
PDPs
153
MAPDs
HYDROCODONE-ACETAMIN 5-325 MG TABLET [Norco]
()
12 TABLETS   00406012305 62
PDPs
392
MAPDs
HYDROCODONE-ACETAMIN 7.5-300 TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
60 TABLETS   00406037705 20
PDPs
128
MAPDs
HYDROCODONE-ACETAMIN 7.5-325 TABLET [Norco]
()
90 TABLETS   00406012405 62
PDPs
392
MAPDs
HYDROCODONE-ACETAMN 7.5-325/15 SOLUTION [Hycet]
(Hydrocodone Bitartrate, Acetaminophen)
473 MLS   66689002316 59
PDPs
367
MAPDs
HYDROCODONE-IBUPROFEN 10-200 TABLET [Xylon 10]
(Hydrocodone Bitartrate, Ibuprofen)
30 TABLETS   53746011701 17
PDPs
219
MAPDs
HYDROCODONE-IBUPROFEN 5-200 MG
(Hydrocodone-Ibuprofen)
100.000 EA   53746014601 17
PDPs
220
MAPDs
HYDROCODONE-IBUPROFEN 7.5-200 TABLET [Vicoprofen]
(Hydrocodone Bitartrate, Ibuprofen)
120 TABLETS   53746014501 42
PDPs
347
MAPDs
HYDROCORT-PRAMOXINE 1%-1% CREAM w/APPL [Zone A]
(Hydrocortisone, Pramoxine)
30 grams   45802014464 2
PDPs
88
MAPDs
HYDROCORTISON-ACETIC ACID SOLUTION DROPS [VoSoL HC]
(Hydrocortisone, Acetic Acid)
10 MLS   50383090110 48
PDPs
294
MAPDs
HYDROCORTISONE 1% CREAM
(Hydrocortisone)
28.350 GM   00168001531 56
PDPs
366
MAPDs
HYDROCORTISONE 1% OINTMENT
(Hydrocortisone)
28.350 GM   00168002031 47
PDPs
236
MAPDs
HYDROCORTISONE 10 MG TABLET [Hydrocortone]
(Hydrocortisone)
90 TABLETS   64380097106 62
PDPs
392
MAPDs
Hydrocortisone 10 MG/ML Topical Cream [Ala-Cort]
(Hydrocortisone)
    00316012601 48
PDPs
296
MAPDs
HYDROCORTISONE 100 MG/60 ML
(Hydrocortisone)
60.000 ML   62559013807 62
PDPs
389
MAPDs
HYDROCORTISONE 2.5% CREAM CRM/PE APP [Proctozone-HC]
(Hydrocortisone)
30 GRAMS   62559043130 62
PDPs
388
MAPDs
HYDROCORTISONE 2.5% LOTION
(Hydrocortisone)
59.000 ML   45802093716 62
PDPs
388
MAPDs
HYDROCORTISONE 2.5% OINTMENT
(Hydrocortisone)
28.350 GM   00168014630 62
PDPs
392
MAPDs
HYDROCORTISONE 20 MG TABLET [Cortef]
(Hydrocortisone)
30 tablets   59762007501 62
PDPs
392
MAPDs
HYDROCORTISONE 5 MG TABLET [Cortef]
(Hydrocortisone)
90 TABLETS   64380097025 62
PDPs
392
MAPDs
HYDROCORTISONE BUTY 0.1% CREAM (G) [Locoid]
(Hydrocortisone Butyrate)
15 GRAMS   51672407401 13
PDPs
104
MAPDs
HYDROCORTISONE BUTYR 0.1% LOTION [Locoid]
(Hydrocortisone)
59 MLS   68682039204 4
PDPs
44
MAPDs
HYDROCORTISONE BUTYR 0.1% OINTMENT [Locoid]
(Hydrocortisone)
15 GRAMS   68682027115 25
PDPs
132
MAPDs
HYDROCORTISONE BUTYR 0.1% SOLUTION [Locoid]
(Hydrocortisone)
MLS   51672406104 19
PDPs
138
MAPDs
HYDROCORTISONE VAL 0.2% CREAM (G) [Westcort]
(Hydrocortisone Valerate)
15 GRAMS   51672129001 28
PDPs
192
MAPDs
HYDROCORTISONE VAL 0.2% OINTMENT [Westcort]
(Hydrocortisone Valerate)
45 GRAMS   51672129203 26
PDPs
159
MAPDs
HYDROMORPHONE 1 MG/ML SOLUTION LIQUID [Dilaudid]
(Hydromorphone Hydrochloride)
30 MLS   00054038663 47
PDPs
283
MAPDs
HYDROMORPHONE 10 MG/ML VIAL [Dilaudid-HP]
(Hydromorphone Hydrochloride)
1 ML   00409263401 47
PDPs
182
MAPDs
HYDROMORPHONE 2 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)
100.000 EA   00406324301 62
PDPs
388
MAPDs
HYDROMORPHONE 4 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)
100.000 EA   00406324401 62
PDPs
388
MAPDs
HYDROMORPHONE 50 MG/5 ML VIAL [Dilaudid-HP]
(Hydromorphone Hydrochloride)
1 ML   00703011303 47
PDPs
182
MAPDs
HYDROMORPHONE 8 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)
100 BOT 00406324901 62
PDPs
388
MAPDs
HYDROMORPHONE HCL ER 12 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070210 6
PDPs
65
MAPDs
HYDROMORPHONE HCL ER 16 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070310 6
PDPs
65
MAPDs
HYDROMORPHONE HCL ER 32 MG Tablet 24H [Exalgo]
(Hydromorphone HCl)
    13811070410 6
PDPs
64
MAPDs
HYDROMORPHONE HCL ER 8 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070110 6
PDPs
65
MAPDs
HYDROXYCHLOROQUINE 100 MG TABLET
(Hydroxychloroquine Sulfate)
30 TABLETS   16729056101 13
PDPs
144
MAPDs
HYDROXYCHLOROQUINE 200 MG TABLET [Quineprox]
()
60 TABLETS   43598072101 62
PDPs
392
MAPDs
HYDROXYCHLOROQUINE 300 MG TABLET
(Hydroxychloroquine Sulfate)
30 TABLETS   16729056201 9
PDPs
92
MAPDs
HYDROXYCHLOROQUINE 400 MG TABLET
(Hydroxychloroquine Sulfate)
30 TABLETS   16729056301 9
PDPs
91
MAPDs
HYDROXYUREA 500 MG CAPSULE
(Hydroxyurea)
100.000 EA   49884072401 62
PDPs
392
MAPDs
HYDROXYZINE 10 MG/5 ML SYRUP SOLUTION [Atarax]
(Hydroxyzine HCl)
120 MLS   54838050280 37
PDPs
318
MAPDs
HYDROXYZINE HCL 10 MG TABLET [Rezine]
(Hydroxyzine HCl)
30 TABLETS   23155050001 52
PDPs
386
MAPDs
HYDROXYZINE HCL 25 MG TABLET [Atarax]
(Hydroxyzine HCl)
30 TABLETS   23155050105 62
PDPs
392
MAPDs
HYDROXYZINE HCL 50 MG TABLET [Atarax]
(Hydroxyzine HCl)
30 TABLETS   23155050201 62
PDPs
392
MAPDs
HYDROXYZINE PAM 100MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00555032402 19
PDPs
233
MAPDs
HYDROXYZINE PAM 25 MG CAPSULE [Vistaril]
(Hydroxyzine Pamoate)
30 CAPSULES   00115180301 32
PDPs
338
MAPDs
HYDROXYZINE PAM 50 MG CAPSULE [Vistaril]
(Hydroxyzine Pamoate)
30 CAPSULES   14539067505 32
PDPs
335
MAPDs
HYSINGLA ER 100 MG TABLET
(Hydrocodone Bitartrate)
    59011027660 8
PDPs
84
MAPDs
HYSINGLA ER 120 MG TABLET
(Hydrocodone Bitartrate)
    59011027760 8
PDPs
84
MAPDs
HYSINGLA ER 20 MG TABLET
(Hydrocodone Bitartrate)
    59011027160 8
PDPs
84
MAPDs
HYSINGLA ER 30 MG TABLET
(Hydrocodone Bitartrate)
    59011027260 8
PDPs
84
MAPDs
HYSINGLA ER 40 MG TABLET
(Hydrocodone Bitartrate)
    59011027360 8
PDPs
84
MAPDs
HYSINGLA ER 60 MG TABLET
(Hydrocodone Bitartrate)
    59011027460 8
PDPs
84
MAPDs
HYSINGLA ER 80 MG TABLET
(Hydrocodone Bitartrate)
    59011027560 8
PDPs
84
MAPDs
HYZAAR 100-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
90 TABLETS   78206014001 1
PDPs
2
MAPDs
HYZAAR 100-25 TABLET
(Losartan Potassium & Hydrochlorothiazide)
90 TABLETS   78206014101 1
PDPs
2
MAPDs
HYZAAR 50-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
90 TABLETS   78206013901 1
PDPs
2
MAPDs
INSULIN LISPRO MIX 75-25 KWIKPEN INSULN PEN [Humalog KwikPen Mix 75/25]
()
15 mls   00002823305 4
PDPs
66
MAPDs
ISOSORBIDE-HYDRALAZINE 20-37.5 TABLET [BiDil]
(Isosorbide Dinitrate, Hydralazine Hydrochloride)
90 TABLETS   50742024690 10
PDPs
163
MAPDs
LEDIPASVIR-SOFOSBUVIR 90-400MG TABLET [Harvoni]
(Ledipasvir and Sofosbuvir)
28 tablets   72626260101 13
PDPs
90
MAPDs
LEXETTE 0.05% FOAM
(Halobetasol Propionate)
50 grams   51862060450 0
PDPs
5
MAPDs
LOCOID 0.1% LIPOCREAM
(Hydrocortisone Butyrate Hydrophilic Lipo Base)
    16781038445 1
PDPs
18
MAPDs
LOCOID 0.1% LOTION
(Hydrocortisone Butyrate)
59 MLS   16781039202 0
PDPs
2
MAPDs
LOSARTAN-HCTZ 100-12.5 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)
30 TABLETS   68180021609 62
PDPs
392
MAPDs
LOSARTAN-HCTZ 100-25 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)
30 TABLETS   68180021709 62
PDPs
392
MAPDs
LOSARTAN-HCTZ 50-12.5 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)
90 TABLETS   68180021509 62
PDPs
392
MAPDs
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT
(Neomycin-Polymyxin-HC)
10 ML BOT 24208063110 62
PDPs
392
MAPDs
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS
(Neomycin-Polymyxin-HC)
7.5 ML BOTPL 61314064175 31
PDPs
333
MAPDs
PANDEL 0.1% CREAM
(Hydrocortisone Probutate)
    10337015380 1
PDPs
17
MAPDs
PEDVAXHIB VACCINE VIAL
(Haemophilus B Polysaccharide Conjugate Vaccine)
10 X .5ML SINGLE DOSE VIL BOX 00006489700 62
PDPs
392
MAPDs
PLAQUENIL 200 MG TABLET
(Hydroxychloroquine Sulfate)
    59212056210 1
PDPs
2
MAPDs
PROCTO-MED HC 2.5% CREAM CRM/PE APP [Proctozone-HC]
(Hydrocortisone)
30 GRAMS   69315031228 59
PDPs
333
MAPDs
procto-pak 1% cream
(Hydrocortisone)
    64980030230 55
PDPs
331
MAPDs
PROCTOSOL-HC 2.5% CREAM
(Hydrocortisone)
1 OUNCE TUBE 10631040701 61
PDPs
376
MAPDs
PROCTOZONE-HC 2.5% CREAM
(Hydrocortisone)
30 GM   64980032430 61
PDPs
381
MAPDs
RECOMBIVAX HB 10 MCG/ML SYR
(Hepatitis B Vaccine (Recombinant))
    00006409402 62
PDPs
392
MAPDs
RECOMBIVAX HB 10 MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
ML   00006499541 62
PDPs
392
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
1 ML VIALSD 00006499200 62
PDPs
392
MAPDs
RECOMBIVAX HB 5 MCG/0.5 ML VL VIAL
(Hepatitis B Vaccine (Recombinant))
ML   00006498101 62
PDPs
391
MAPDs
SIKLOS 1,000 MG TABLET
(Hydroxyurea)
45 TABLETS   71770012030 0
PDPs
19
MAPDs
SIKLOS 100 MG TABLET
(Hydroxyurea)
TABLETS   71770010560 0
PDPs
60
MAPDs
TERAZOSIN 10 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   59746038606 62
PDPs
392
MAPDs
TERAZOSIN 5 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   59746038506 62
PDPs
392
MAPDs
TEXACORT 2.5% SOLUTION
(Hydrocortisone)
30 mls   00178045501 1
PDPs
13
MAPDs
TRIAMTERENE-HCTZ 75-50 MG TAB
(Triamterene & Hydrochlorothiazide)
500.000 EA   60505265705 62
PDPs
392
MAPDs
TRIAZOLAM 0.125 MG TABLET [Halcion]
(Triazolam)
30 tablets   59762371709 7
PDPs
114
MAPDs
TRIAZOLAM 0.25 MG TABLET [Halcion]
(Triazolam)
30 tablets   59762371809 4
PDPs
110
MAPDs
TWINRIX VACCINE SYRINGE
(Hepatitis A (Inact)-Hep B (Recomb) Vac)
    58160081552 62
PDPs
392
MAPDs
ULTRAVATE 0.05 % 60 ML
(Halobetasol Propionate)
    10631012204 0
PDPs
2
MAPDs
VAQTA 25 UNITS/0.5 ML SYRINGE
(Hepatitis A Vaccine)
    00006409502 62
PDPs
392
MAPDs
VAQTA 50 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    00006409602 62
PDPs
392
MAPDs
VAQTA 50 UNITS/ML VIAL
(Hepatitis A Vaccine)
ml   00006484141 62
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 62
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



(Chart Source: Centers for Medicare and Medicaid files: CMS Data November 2022)


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