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2024 Medicare Part D Formulary Search By Drug Letter

 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 2024 Formularies
PDPs MAPDs
ACTHIB VACCINE WITH DILUENT
(Haemophilus B Polysaccharide Conjugate Vaccine)		     49281054503 54
PDPs		 369
MAPDs
ADALIMUMAB-ADAZ(CF) 40 MG SYRINGE [Hyrimoz]
()		 ML   61314032764 7
PDPs		 43
MAPDs
ADALIMUMAB-ADAZ(CF) PEN 40 MG PEN INJCTR [Hyrimoz]
()		 ML   61314032720 7
PDPs		 43
MAPDs
ADALIMUMAB-FKJP(CF) 20 MG SYRINGE KIT [Hulio]
()		 1 UNIT   49502041702 0
PDPs		 12
MAPDs
ADEFOVIR DIPIVOXIL 10 MG TABLET [Hepsera]
()		 TABLETS   60505394703 48
PDPs		 366
MAPDs
ADMELOG 100 UNIT/ML VIAL [Humalog]
(Insulin Lispro)		 10 mls   00024592410 7
PDPs		 71
MAPDs
ADMELOG SOLOSTAR 100 UNIT/ML INSULIN PEN [Humalog KwikPen]
(Insulin Lispro)		 15 mls   00024592505 7
PDPs		 71
MAPDs
ALA-CORT 2.5% CREAM (G) [Proctozone-HC]
(Hydrocortisone)		 28 GRAMS   00316012830 47
PDPs		 241
MAPDs
ALA-SCALP 2% LOTION [Scalacort]
(Hydrocortisone)		 29.6 MLS   77052001001 0
PDPs		 21
MAPDs
ALKINDI SPRINKLE 0.5 MG CAPSULE SPRINK
(Hydrocortisone)		 UNITS   71863010950 1
PDPs		 6
MAPDs
ALKINDI SPRINKLE 1 MG CAPSULE SPRINK
(Hydrocortisone)		 UNITS   71863011050 1
PDPs		 7
MAPDs
ALKINDI SPRINKLE 2 MG CAPSULE SPRINK
(Hydrocortisone)		 UNITS   71863011150 1
PDPs		 7
MAPDs
ALKINDI SPRINKLE 5 MG CAPSULE SPRINK
(Hydrocortisone)		 UNITS   71863011250 1
PDPs		 7
MAPDs
ANUSOL-HC 2.5% CREAM
(Hydrocortisone)		     65649040130 1
PDPs		 7
MAPDs
BRYHALI 0.01% LOTION
(Halobetasol Propionate)		 60 mls   00187000260 0
PDPs		 4
MAPDs
CDV HYRIMOZ 40 MG/0.8 ML SYRINGE
(Adalimumab)		 ML   83457010301 0
PDPs		 5
MAPDs
CDV HYRIMOZ PEN 40 MG/0.8 ML PEN INJECTOR
(Adalimumab)		 MLS   83457010201 0
PDPs		 5
MAPDs
CORTEF 10MG TABLET
(Hydrocortisone)		 100 BOT 00009003101 0
PDPs		 4
MAPDs
CORTEF 20MG TABLET
(Hydrocortisone)		 100 BOT 00009004401 0
PDPs		 4
MAPDs
CORTEF 5MG TABLET
(Hydrocortisone)		 50 BOT 00009001201 0
PDPs		 4
MAPDs
CORTROPHIN GEL 400 UNIT/5 ML VIAL
(Corticotropin (Porcine))		 MLS   62559086015 2
PDPs		 88
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]
()		 30 CAPSULES   23155053825 10
PDPs		 191
MAPDs
DOXERCALCIFEROL 1 MCG CAPSULE [Hectorol]
()		 30 CAPSULES   23155053925 10
PDPs		 190
MAPDs
DOXERCALCIFEROL 2.5 MCG CAPSULE [Hectorol]
()		 CAPSULES   23155054025 10
PDPs		 190
MAPDs
DROXIA 200MG CAPSULE
(Hydroxyurea)		 60 BOTPL 00003633517 38
PDPs		 328
MAPDs
DROXIA 300MG CAPSULE
(Hydroxyurea)		 60 BOTPL 00003633617 38
PDPs		 328
MAPDs
DROXIA 400MG CAPSULE
(Hydroxyurea)		 60 BOTPL 00003633717 38
PDPs		 328
MAPDs
DUOBRII 0.01%-0.045% LOTION
(Halobetasol Propionate, Tazarotene)		 mls   00187065301 1
PDPs		 11
MAPDs
ENGERIX B INJECTION
(Hepatitis B Vaccine (Recombinant))		 10 SYR CRTN 58160082052 54
PDPs		 369
MAPDs
ENGERIX-B 20 MCG/ML SYRINGE
(Hepatitis B Vaccine (Recombinant))		     58160082152 54
PDPs		 369
MAPDs
ENGERIX-B 20 MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))		 ML   58160082101 54
PDPs		 369
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)		 5 ML   63004871001 0
PDPs		 82
MAPDs
HADLIMA 40 MG/0.8 ML SYRINGE
(Adalimumab)		 ML   78206018301 18
PDPs		 109
MAPDs
HADLIMA PUSHTOUCH 40 MG/0.8 ML AUTO INJCT
(Adalimumab)		 MLS   78206018401 18
PDPs		 109
MAPDs
HADLIMA(CF) 40 MG/0.4 ML SYRINGE
(Adalimumab)		 ML   78206018601 18
PDPs		 111
MAPDs
HADLIMA(CF) PUSHTOUCH 40MG/0.4 AUTO INJECTOR
(Adalimumab)		 ML   78206018701 18
PDPs		 111
MAPDs
HAEGARDA 2,000 UNIT VIAL
(C1 esterase inhibitor)		 ml   63833082802 45
PDPs		 271
MAPDs
HAEGARDA 3,000 UNIT VIAL
(C1 esterase inhibitor)		 ml   63833082902 44
PDPs		 271
MAPDs
HAILEY 24 FE 1 MG-20 MCG TABLET [Tarina Fe 1/20]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)		 28 tablets   68462073129 31
PDPs		 230
MAPDs
HALCINONIDE 0.1% CREAM (g) [Halog -E]
(Halcinonide)		 60 grams   00378805660 1
PDPs		 24
MAPDs
HALDOL DECANOATE 100MG/ML INJECTION
(Haloperidol Decanoate IM)		 1ML X 5 AMP BOX 50458025414 0
PDPs		 6
MAPDs
HALOBETASOL PROP 0.05% CREAM
(Halobetasol Propionate)		 50 GM   45802012932 45
PDPs		 345
MAPDs
HALOBETASOL PROP 0.05% FOAM [LEXETTE]
(Halobetasol Propionate)		 GRAMS   68308076950 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 51
PDPs		 344
MAPDs
HALOETTE VAGINAL RING [NuvaRing]
(Ethinyl Estradiol, Etonogestrel)		 1 UNIT   51862014801 41
PDPs		 301
MAPDs
HALOG 0.1% SOLUTION
(Halcinonide)		 MLS   10631009510 0
PDPs		 2
MAPDs
Halog 1mg/g 60 g in 1 TUBE
(Halcinonide)		 60 g in 1 TUBE   10631009430 0
PDPs		 1
MAPDs
HALOG OINTMENT 1mg/g 60 g in 1 TUBE [HALOG]
(Halcinonide)		 60 g in 1 TUBE   10631009630 2
PDPs		 13
MAPDs
HALOPERIDOL 0.5 MG TABLET [Haldol]
(Haloperidol)		 30 TABLETS   00832151011 54
PDPs		 369
MAPDs
HALOPERIDOL 1 MG TABLET [Haldol]
(Haloperidol)		 30 TABLETS   00832152011 54
PDPs		 369
MAPDs
HALOPERIDOL 10 MG TABLET
(Haloperidol)		 100.000 EA   68382008001 54
PDPs		 369
MAPDs
HALOPERIDOL 2 MG TABLET [Haldol]
(Haloperidol)		 30 TABLETS   00832153011 54
PDPs		 369
MAPDs
HALOPERIDOL 20MG TABLET (100 CT)
(Haloperidol)		 100 BOT 68382008101 54
PDPs		 369
MAPDs
HALOPERIDOL 5 MG TABLET [Haldol]
(Haloperidol)		 30 TABLETS   00832154011 54
PDPs		 369
MAPDs
HALOPERIDOL DEC 100 MG/ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)		 1 ML   67457040913 54
PDPs		 366
MAPDs
HALOPERIDOL DEC 50 MG/ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)		 1 ML   63323046905 54
PDPs		 366
MAPDs
HALOPERIDOL DEC 50 MG/ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)		 1 ML   67457041013 54
PDPs		 369
MAPDs
HALOPERIDOL DEC 500 MG/5 ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)		 2 MLS   25021083405 54
PDPs		 369
MAPDs
HALOPERIDOL LAC 2 MG/ML CONC
(Haloperidol Lactate)		 120.000 ML   00121058104 54
PDPs		 369
MAPDs
HALOPERIDOL LAC 5 MG/ML VIAL
(Haloperidol Lactate)		 10.000 ML   63323047410 54
PDPs		 369
MAPDs
HARVONI 33.75-150 MG PELLET PACKET
(Ledipasvir and Sofosbuvir)		 UNITS   61958180501 44
PDPs		 239
MAPDs
HARVONI 45-200 MG PELLET PACKET
(Ledipasvir and Sofosbuvir)		 UNITS   61958180401 44
PDPs		 241
MAPDs
HARVONI 90-400 MG TABLET
(Ledipasvir and Sofosbuvir)		   61958180101 44
PDPs		 238
MAPDs
HAVRIX 1,440 UNITS/ML SYRINGE
(Hepatitis A Vaccine)		     58160082652 54
PDPs		 369
MAPDs
HAVRIX HEPATITIS A VACCINE INJECTION
(Hepatitis A Vaccine)		 10 SYR CRTN 58160082552 54
PDPs		 369
MAPDs
HEATHER 0.35 MG TABLET [Sharobel 28-Day]
(Norethindrone)		 84 TABLETS   68462030329 54
PDPs		 346
MAPDs
HELIDAC THERAPY PACK COMBO PKG
(Bismuth Subsalicylate;Metronidazole;Tetracycline)		 UNITS   70199002114 0
PDPs		 4
MAPDs
HEMADY 20 MG TABLET
(Dexamethasone)		 8 TABLETS   72893001524 18
PDPs		 64
MAPDs
HEPARIN 10,000 UNIT/10 ML VIAL
(Heparin Sodium)		 25 MLS   25021040010 48
PDPs		 350
MAPDs
HEPARIN SOD 20,000 UNIT/ML VIAL
(Heparin Sodium)		 1 ML   63739098625 48
PDPs		 345
MAPDs
HEPARIN SOD 5,000 UNIT/ML VIAL
(Heparin Sodium)		 60 MLS   63739095325 54
PDPs		 369
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)		 1 ML X 1 VIALSD X 25 VIAL TRAY 00409272101 48
PDPs		 353
MAPDs
Hepatitis B Surface Antigen Vaccine 0.01 MG/ML Prefilled 0.5 ML Syringe [Recombivax]
(Hepatitis B Vaccine (Recombinant))		     00006409302 54
PDPs		 369
MAPDs
HEPLISAV-B 20 MCG/0.5 ML SYRINGE
(Hepatitis B Virus Subtype ADW HBSAG Surface Protein antigen)		 ML   43528000301 54
PDPs		 369
MAPDs
HETLIOZ 20 MG CAPSULE
(tasimelteon)		     43068022001 1
PDPs		 23
MAPDs
HETLIOZ LQ 4 MG/ML ORAL SUSPENSION
(tasimelteon)		 48 MLS   43068030406 6
PDPs		 88
MAPDs
Hiberix Haemophilus B Injectable 0.5mL Prefilled Syringe 10/Pk
(Haemophilus B Conjugate Vaccine)		 10   58160072615 54
PDPs		 369
MAPDs
HIPREX 1 GM TABLET
(Methenamine Hippurate)		 60 TABLETS   30698047701 0
PDPs		 2
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
HULIO(CF) 20 MG/0.4 ML SYRINGE KIT
(Adalimumab)		 1 UNIT   49502038102 0
PDPs		 6
MAPDs
HULIO(CF) 40 MG/0.8 ML SYRINGE KIT
(Adalimumab)		 1 UNIT   49502038202 0
PDPs		 6
MAPDs
HULIO(CF) PEN 40 MG/0.8 ML PEN INJECTOR KIT
(Adalimumab)		 UNITS   49502038002 0
PDPs		 6
MAPDs
HUMALOG 100 UNIT/ML VIAL
(Insulin Lispro (Human))		 10 mls   00002751001 38
PDPs		 161
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))		 3 ML   00002751659 40
PDPs		 197
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))		     00002771227 42
PDPs		 196
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))		 3 ML   00002771459 40
PDPs		 193
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))		 3 ML X 5 SYR CRTN 00002879959 40
PDPs		 195
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))		 1 X 10ML VIAL 00002751101 40
PDPs		 197
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))		 3 ML X 5 SYR CRTN 00002879859 40
PDPs		 196
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))		 3 ML X 5 SYR CRTN 00002879759 40
PDPs		 193
MAPDs
HUMALOG TEMPO PEN 100 UNIT/ML INSULN PEN
(Insulin Lispro (Human))		 15 MLS   00002821305 17
PDPs		 63
MAPDs
HUMATIN 250 MG CAPSULE
(Paromomycin Sulfate)		 42 CAPSULES   80725025001 22
PDPs		 52
MAPDs
HUMATROPE 12MG CARTRIDGE
(Somatropin For)		 1 PKGCOM 00002814801 2
PDPs		 40
MAPDs
HUMATROPE 24MG CARTRIDGE
(Somatropin For)		 1 CARTRIDGE VIAL 00002814901 2
PDPs		 40
MAPDs
HUMATROPE 6MG CARTRIDGE
(Somatropin For)		 1 CTG 00002814701 2
PDPs		 38
MAPDs
HUMIRA 10 MG/0.1 ML SYRINGEKIT
(Adalimumab)		 units   00074081702 52
PDPs		 365
MAPDs
Humira 2 KIT per CARTON / 1 KIT in 1 KIT
(Adalimumab)		 2 KIT in 1 CARTON / 1 KIT   00074379902 52
PDPs		 362
MAPDs
HUMIRA 20 MG/0.2 ML SYRINGEKIT
(Adalimumab)		 units   00074061602 52
PDPs		 363
MAPDs
HUMIRA 40 MG/0.4 ML PEN IJ KIT
(Adalimumab)		 2 units   00074055402 52
PDPs		 361
MAPDs
HUMIRA 40 MG/0.4 ML SYRINGEKIT
(Adalimumab)		 2 units   00074024302 52
PDPs		 361
MAPDs
HUMIRA 40 MG/0.8 ML PEN
(ADALIMUMAB)		 2 EA   00074433902 52
PDPs		 363
MAPDs
HUMIRA(CF) PEN 80 MG/0.8 ML PEN IJ KIT
(Adalimumab)		 3 UNITS   00074012402 52
PDPs		 362
MAPDs
HUMIRA(CF) PEN CRHN-UC-HS 80MG PEN IJ KIT
(Adalimumab)		 units   00074012403 52
PDPs		 362
MAPDs
HUMIRA(CF) PEN PEDI UC 80 MG PEN IJ KIT
(Adalimumab)		 3 UNITS   00074012404 52
PDPs		 362
MAPDs
HUMIRA(CF) PEN PS-UV-AHS 80-40 PEN IJ KIT
(Adalimumab)		 units   00074153903 52
PDPs		 362
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))		 3.000 ML   00002880359 40
PDPs		 196
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))		 1 X 10 ML VIAL 00002871501 40
PDPs		 197
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))		 3.000 ML   00002880559 40
PDPs		 196
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))		 10 ML VIAL 00002831501 40
PDPs		 197
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))		 1 X 10 ML VIAL 00002821501 40
PDPs		 197
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))		     00002882427 50
PDPs		 322
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))		 1 X 20 ML VIAL 00002850101 50
PDPs		 323
MAPDs
HYDRALAZINE 10 MG TABLET [Apresoline]
(Hydralazine HCl)		 90 TABLETS   31722051901 54
PDPs		 369
MAPDs
HYDRALAZINE 100 MG TABLET [Apresoline]
(Hydralazine HCl)		 90 TABLETS   31722052201 54
PDPs		 369
MAPDs
HYDRALAZINE 25 MG TABLET
(Hydralazine HCl)		 100 EA   31722052001 54
PDPs		 369
MAPDs
HYDRALAZINE 50 MG TABLET
(Hydralazine HCl)		 100 EA   31722052101 54
PDPs		 369
MAPDs
HYDREA 500MG CAPSULE
(Hydroxyurea)		 100 BOT 00003083050 0
PDPs		 5
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [Microzide]
()		 30 CAPSULES   50228014605 54
PDPs		 369
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG TABLET
(Hydrochlorothiazide)		 100.000 EA   16729018201 54
PDPs		 369
MAPDs
HYDROCHLOROTHIAZIDE 25 MG TABLET
(Hydrochlorothiazide)		 1000.000 EA   16729018317 54
PDPs		 369
MAPDs
HYDROCHLOROTHIAZIDE 50 MG TABLET [Zide]
(Hydrochlorothiazide)		 90 TABLETS   00172208980 54
PDPs		 369
MAPDs
HYDROCODONE ER 10 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)		 30 CAPSULES   47781040960 7
PDPs		 55
MAPDs
HYDROCODONE ER 100 MG TABLET 24H [Hysingla ER]
(Hydrocodone Bitartrate)		 30 TABLETS   47781039760 7
PDPs		 75
MAPDs
HYDROCODONE ER 120 MG TABLET 24H [Hysingla ER]
(Hydrocodone Bitartrate)		 TABLETS   47781039860 7
PDPs		 75
MAPDs
HYDROCODONE ER 15 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)		 60 CAPSULES   47781041060 7
PDPs		 55
MAPDs
HYDROCODONE ER 20 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)		 60 CAPSULES   47781041160 7
PDPs		 55
MAPDs
HYDROCODONE ER 20 MG TABLET 24H [Hysingla ER]
(Hydrocodone Bitartrate)		 30 TABLETS   47781039260 7
PDPs		 75
MAPDs
HYDROCODONE ER 30 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)		 60 CAPSULES   47781041260 7
PDPs		 55
MAPDs
HYDROCODONE ER 30 MG TABLET 24H [Hysingla ER]
(Hydrocodone Bitartrate)		 30 TABLETS   47781039360 7
PDPs		 75
MAPDs
HYDROCODONE ER 40 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)		 60 CAPSULES   47781041360 7
PDPs		 55
MAPDs
HYDROCODONE ER 40 MG TABLET 24H [Hysingla ER]
(Hydrocodone Bitartrate)		 30 TABLETS   47781039460 7
PDPs		 75
MAPDs
HYDROCODONE ER 50 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)		 30 CAPSULES   47781041460 7
PDPs		 55
MAPDs
HYDROCODONE ER 60 MG TABLET 24H [Hysingla ER]
(Hydrocodone Bitartrate)		 14 TABLETS   47781039560 7
PDPs		 75
MAPDs
HYDROCODONE ER 80 MG TABLET 24H [Hysingla ER]
(Hydrocodone Bitartrate)		 TABLETS   47781039660 7
PDPs		 75
MAPDs
HYDROCODONE-ACETAMIN 10-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)		 120 TABLETS   00406037805 17
PDPs		 116
MAPDs
HYDROCODONE-ACETAMIN 10-325 MG TABLET [Norco]
()		 120 TABLETS   00406012505 54
PDPs		 369
MAPDs
HYDROCODONE-ACETAMIN 5-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)		 30 TABLETS   27808011401 17
PDPs		 140
MAPDs
HYDROCODONE-ACETAMIN 5-325 MG TABLET [Norco]
()		 12 TABLETS   00406012305 54
PDPs		 369
MAPDs
HYDROCODONE-ACETAMIN 7.5-300 TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)		 60 TABLETS   00406037705 17
PDPs		 116
MAPDs
HYDROCODONE-ACETAMIN 7.5-325 TABLET [Norco]
()		 90 TABLETS   00406012405 54
PDPs		 369
MAPDs
HYDROCODONE-ACETAMN 7.5-325/15 SOLUTION [Hycet]
(Hydrocodone Bitartrate, Acetaminophen)		 540 MLS   64950034316 52
PDPs		 345
MAPDs
HYDROCODONE-IBUPROFEN 10-200 TABLET [Xylon 10]
(Hydrocodone Bitartrate, Ibuprofen)		 30 TABLETS   53746011701 15
PDPs		 203
MAPDs
HYDROCODONE-IBUPROFEN 5-200 MG
(Hydrocodone-Ibuprofen)		 100.000 EA   53746014601 15
PDPs		 204
MAPDs
HYDROCODONE-IBUPROFEN 7.5-200 TABLET [Vicoprofen]
(Hydrocodone Bitartrate, Ibuprofen)		 120 TABLETS   53746014501 36
PDPs		 317
MAPDs
HYDROCORT-PRAMOXINE 1%-1% CREAM w/APPL [Zone A]
(Hydrocortisone, Pramoxine)		 30 grams   45802014464 2
PDPs		 50
MAPDs
HYDROCORTISON-ACETIC ACID SOLUTION DROPS [VoSoL HC]
(Hydrocortisone, Acetic Acid)		 10 MLS   51672300701 40
PDPs		 280
MAPDs
HYDROCORTISONE 1% CREAM
(Hydrocortisone)		 28.350 GM   00168001531 46
PDPs		 341
MAPDs
HYDROCORTISONE 1% OINTMENT
(Hydrocortisone)		 28.350 GM   00168002031 38
PDPs		 232
MAPDs
HYDROCORTISONE 10 MG TABLET [Hydrocortone]
(Hydrocortisone)		 90 TABLETS   64380097106 54
PDPs		 369
MAPDs
Hydrocortisone 10 MG/ML Topical Cream [Ala-Cort]
(Hydrocortisone)		     00316012601 42
PDPs		 276
MAPDs
HYDROCORTISONE 100 MG/60 ML
(Hydrocortisone)		 60.000 ML   62559013807 54
PDPs		 366
MAPDs
HYDROCORTISONE 2.5% CREAM /PE APP [Proctozone-HC]
(Hydrocortisone)		 30 GRAMS   62559043130 54
PDPs		 368
MAPDs
HYDROCORTISONE 2.5% LOTION
(Hydrocortisone)		 59.000 ML   45802093716 54
PDPs		 365
MAPDs
HYDROCORTISONE 2.5% OINTMENT
(Hydrocortisone)		 28.350 GM   00168014630 54
PDPs		 369
MAPDs
HYDROCORTISONE 20 MG TABLET [Cortef]
(Hydrocortisone)		 90 TABLETS   59651041501 54
PDPs		 369
MAPDs
HYDROCORTISONE 5 MG TABLET [Cortef]
(Hydrocortisone)		 90 TABLETS   42543097025 54
PDPs		 369
MAPDs
HYDROCORTISONE BUTY 0.1% CREAM (G) [Locoid]
(Hydrocortisone Butyrate)		 15 GRAMS   51672407401 10
PDPs		 98
MAPDs
HYDROCORTISONE BUTYR 0.1% LOTION [Locoid]
(Hydrocortisone)		 MLS   83148001204 4
PDPs		 40
MAPDs
HYDROCORTISONE BUTYR 0.1% OINTMENT [Locoid]
(Hydrocortisone)		 15 GRAMS   68682027115 23
PDPs		 126
MAPDs
HYDROCORTISONE BUTYR 0.1% SOLUTION [Locoid]
(Hydrocortisone)		 MLS   51672406104 13
PDPs		 133
MAPDs
HYDROCORTISONE VAL 0.2% CREAM (G) [Westcort]
(Hydrocortisone Valerate)		 15 GRAMS   51672129001 25
PDPs		 188
MAPDs
HYDROCORTISONE VAL 0.2% OINTMENT [Westcort]
(Hydrocortisone Valerate)		 45 GRAMS   51672129203 23
PDPs		 153
MAPDs
HYDROMORPHONE 1 MG/ML SOLUTION LIQUID [Dilaudid]
(Hydromorphone Hydrochloride)		 30 MLS   00054038663 37
PDPs		 266
MAPDs
HYDROMORPHONE 10 MG/ML VIAL [Dilaudid-HP]
(Hydromorphone Hydrochloride)		 1 ML   00409263401 38
PDPs		 177
MAPDs
HYDROMORPHONE 2 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)		 100.000 EA   00406324301 54
PDPs		 365
MAPDs
HYDROMORPHONE 4 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)		 100.000 EA   00406324401 54
PDPs		 365
MAPDs
HYDROMORPHONE 50 MG/5 ML VIAL [Dilaudid-HP]
(Hydromorphone Hydrochloride)		 1 ML   00703011303 38
PDPs		 177
MAPDs
HYDROMORPHONE 8 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)		 100 BOT 00406324901 54
PDPs		 365
MAPDs
HYDROMORPHONE HCL ER 12 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)		 30 tablets   13811070210 3
PDPs		 50
MAPDs
HYDROMORPHONE HCL ER 16 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)		 30 tablets   13811070310 3
PDPs		 50
MAPDs
HYDROMORPHONE HCL ER 32 MG TABLET 24H [Exalgo]
(Hydromorphone HCl)		     13811070410 3
PDPs		 49
MAPDs
HYDROMORPHONE HCL ER 8 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)		 30 tablets   13811070110 3
PDPs		 53
MAPDs
HYDROXYCHLOROQUINE 100 MG TABLET
(Hydroxychloroquine Sulfate)		 30 TABLETS   16729056101 15
PDPs		 128
MAPDs
HYDROXYCHLOROQUINE 200 MG TABLET [Quineprox]
()		 60 TABLETS   43598072101 54
PDPs		 369
MAPDs
HYDROXYCHLOROQUINE 300 MG TABLET
(Hydroxychloroquine Sulfate)		 30 TABLETS   16729056201 9
PDPs		 109
MAPDs
HYDROXYCHLOROQUINE 400 MG TABLET
(Hydroxychloroquine Sulfate)		 30 TABLETS   16729056301 9
PDPs		 106
MAPDs
HYDROXYUREA 500 MG CAPSULE
(Hydroxyurea)		 100.000 EA   49884072401 54
PDPs		 369
MAPDs
HYDROXYZINE 10 MG/5 ML SYRUP SOLUTION [Atarax]
(Hydroxyzine HCl)		 120 MLS   54838050280 35
PDPs		 290
MAPDs
HYDROXYZINE HCL 10 MG TABLET [Rezine]
(Hydroxyzine HCl)		 30 TABLETS   23155050001 47
PDPs		 365
MAPDs
HYDROXYZINE HCL 25 MG TABLET [Atarax]
(Hydroxyzine HCl)		 30 TABLETS   23155050105 54
PDPs		 369
MAPDs
HYDROXYZINE HCL 50 MG TABLET [Atarax]
(Hydroxyzine HCl)		 30 TABLETS   23155050201 54
PDPs		 369
MAPDs
HYDROXYZINE PAM 100MG CAPSULE
(Hydroxyzine Pamoate)		 100 BOT 00555032402 22
PDPs		 222
MAPDs
HYDROXYZINE PAM 25 MG CAPSULE [Vistaril]
(Hydroxyzine Pamoate)		 30 CAPSULES   00115180301 34
PDPs		 327
MAPDs
HYDROXYZINE PAM 50 MG CAPSULE [Vistaril]
(Hydroxyzine Pamoate)		 30 CAPSULES   14539067505 34
PDPs		 324
MAPDs
HYFTOR 0.2% GEL
(Sirolimus)		 GRAMS   73683010110 5
PDPs		 83
MAPDs
HYRIMOZ(CF) 10 MG/0.1 ML SYRINGE
(Adalimumab)		 ML   61314050964 10
PDPs		 57
MAPDs
HYRIMOZ(CF) 20 MG/0.2 ML SYRINGE
(Adalimumab)		 ML   61314047664 10
PDPs		 57
MAPDs
HYRIMOZ(CF) 40 MG/0.4 ML SYRINGE
(Adalimumab)		 MLS   61314047364 10
PDPs		 57
MAPDs
HYRIMOZ(CF) PEDI CROHN 80 MG SYRINGE
(Adalimumab)		 ML   61314045468 7
PDPs		 54
MAPDs
HYRIMOZ(CF) PEDI CROHN 80-40MG SYRINGE
(Adalimumab)		 MLS   61314053164 7
PDPs		 57
MAPDs
HYRIMOZ(CF) PEN 40 MG/0.4 ML PEN INJECTOR
(Adalimumab)		 ML   61314047320 10
PDPs		 57
MAPDs
HYRIMOZ(CF) PEN 80 MG/0.8 ML PEN INJECTOR
(Adalimumab)		 ML   61314045420 10
PDPs		 57
MAPDs
HYRIMOZ(CF) PEN CROHN-UC 80 MG PEN INJECTOR
(Adalimumab)		 ML   61314045436 10
PDPs		 57
MAPDs
HYRIMOZ(CF) PEN PSORIA 80-40MG PEN INJECTOR
(Adalimumab)		 MLS   61314051736 10
PDPs		 57
MAPDs
HYSINGLA ER 100 MG TABLET
(Hydrocodone Bitartrate)		     59011027660 10
PDPs		 77
MAPDs
HYSINGLA ER 120 MG TABLET
(Hydrocodone Bitartrate)		     59011027760 10
PDPs		 77
MAPDs
HYSINGLA ER 20 MG TABLET
(Hydrocodone Bitartrate)		     59011027160 10
PDPs		 77
MAPDs
HYSINGLA ER 30 MG TABLET
(Hydrocodone Bitartrate)		     59011027260 10
PDPs		 77
MAPDs
HYSINGLA ER 40 MG TABLET
(Hydrocodone Bitartrate)		     59011027360 10
PDPs		 77
MAPDs
HYSINGLA ER 60 MG TABLET
(Hydrocodone Bitartrate)		     59011027460 10
PDPs		 77
MAPDs
HYSINGLA ER 80 MG TABLET
(Hydrocodone Bitartrate)		     59011027560 10
PDPs		 77
MAPDs
HYZAAR 100-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)		 90 TABLETS   78206014001 0
PDPs		 4
MAPDs
HYZAAR 100-25 TABLET
(Losartan Potassium & Hydrochlorothiazide)		 90 TABLETS   78206014101 0
PDPs		 4
MAPDs
HYZAAR 50-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)		 90 TABLETS   78206013901 0
PDPs		 4
MAPDs
INSULIN LISPRO MIX 75-25 KWIKPEN INSULN PEN [Humalog KwikPen Mix 75/25]
(Insulin Lispro)		 15 mls   00002823305 8
PDPs		 73
MAPDs
ISOSORBIDE-HYDRALAZINE 20-37.5 TABLET [BiDil]
(Isosorbide Dinitrate, Hydralazine Hydrochloride)		 90 TABLETS   50742024690 11
PDPs		 206
MAPDs
LEDIPASVIR-SOFOSBUVIR 90-400MG TABLET [Harvoni]
(Ledipasvir and Sofosbuvir)		 28 tablets   72626260101 10
PDPs		 67
MAPDs
LEXETTE 0.05% FOAM
(Halobetasol Propionate)		 50 grams   51862060450 0
PDPs		 4
MAPDs
LOCOID 0.1% LIPOCREAM
(Hydrocortisone Butyrate Hydrophilic Lipo Base)		     16781038445 0
PDPs		 20
MAPDs
LOCOID 0.1% LOTION
(Hydrocortisone Butyrate)		 59 MLS   16781039202 0
PDPs		 1
MAPDs
LOSARTAN-HCTZ 100-12.5 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)		 30 TABLETS   68180021609 54
PDPs		 369
MAPDs
LOSARTAN-HCTZ 100-25 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)		 30 TABLETS   68180021709 54
PDPs		 369
MAPDs
LOSARTAN-HCTZ 50-12.5 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)		 90 TABLETS   68180021509 54
PDPs		 369
MAPDs
NEO-POLYCIN HC EYE OINTMENT [Ocu-Cort]
(Neomycin, Polymyxin B, Bacitracin Zinc, Hydrocortisone)		 3.5 GRAMS   00574414435 46
PDPs		 296
MAPDs
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT
(Neomycin-Polymyxin-HC)		 10 ML BOT 24208063110 54
PDPs		 369
MAPDs
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS
(Neomycin-Polymyxin-HC)		 7.5 ML BOTPL 61314064175 24
PDPs		 275
MAPDs
PANDEL 0.1% CREAM (G)
(Hydrocortisone Probutate)		 GRAMS   62559032580 1
PDPs		 6
MAPDs
PEDVAXHIB VACCINE VIAL
(Haemophilus B Polysaccharide Conjugate Vaccine)		 10 X .5ML SINGLE DOSE VIL BOX 00006489700 54
PDPs		 369
MAPDs
PLAQUENIL 200 MG TABLET
(Hydroxychloroquine Sulfate)		     59212056210 0
PDPs		 4
MAPDs
PROCTO-MED HC 2.5% CREAM /PE APP [Proctozone-HC]
(Hydrocortisone)		 30 GRAMS   69315031228 53
PDPs		 314
MAPDs
PROCTOFOAM-HC 1%-1% FOAM
(Hydrocortisone, Pramoxine)		 10 GRAMS   00037682210 0
PDPs		 27
MAPDs
PROCTOSOL-HC 2.5% CREAM
(Hydrocortisone)		 1 OUNCE TUBE 10631040701 54
PDPs		 356
MAPDs
PROCTOZONE-HC 2.5% CREAM
(Hydrocortisone)		 30 GM   64980032430 54
PDPs		 359
MAPDs
RECOMBIVAX HB 10 MCG/ML SYR
(Hepatitis B Vaccine (Recombinant))		     00006409402 54
PDPs		 369
MAPDs
RECOMBIVAX HB 10 MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))		 ML   00006499541 54
PDPs		 369
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))		 1 ML VIALSD 00006499200 54
PDPs		 369
MAPDs
RECOMBIVAX HB 5 MCG/0.5 ML VL VIAL
(Hepatitis B Vaccine (Recombinant))		 ML   00006498101 54
PDPs		 369
MAPDs
SIKLOS 1,000 MG TABLET
(Hydroxyurea)		 45 TABLETS   71770012030 0
PDPs		 14
MAPDs
SIKLOS 100 MG TABLET
(Hydroxyurea)		 TABLETS   71770010560 0
PDPs		 14
MAPDs
TASIMELTEON 20 MG CAPSULE [HETLIOZ]
()		 CAPSULES   00480449056 45
PDPs		 289
MAPDs
TERAZOSIN 10 MG CAPSULE [Hytrin]
(Terazosin HCl)		 90 capsules   59746038606 54
PDPs		 369
MAPDs
TERAZOSIN 5 MG CAPSULE [Hytrin]
(Terazosin HCl)		 90 capsules   59746038506 54
PDPs		 369
MAPDs
TEXACORT 2.5% SOLUTION
(Hydrocortisone)		 30 mls   00178045501 1
PDPs		 9
MAPDs
TRIAMTERENE-HCTZ 75-50 MG TABLET
(Triamterene & Hydrochlorothiazide)		 500.000 EA   60505265705 54
PDPs		 369
MAPDs
TRIAZOLAM 0.125 MG TABLET [Halcion]
()		 2 TABLETS   70710152101 7
PDPs		 103
MAPDs
TRIAZOLAM 0.25 MG TABLET [Halcion]
()		 2 TABLETS   70710128901 4
PDPs		 98
MAPDs
TWINRIX VACCINE SYRINGE
(Hepatitis A (Inact)-Hep B (Recomb) Vac)		     58160081552 54
PDPs		 369
MAPDs
ULTRAVATE 0.05 % 60 ML
(Halobetasol Propionate)		     10631012204 0
PDPs		 1
MAPDs
VAQTA 25 UNITS/0.5 ML SYRINGE
(Hepatitis A Vaccine)		     00006409502 54
PDPs		 369
MAPDs
VAQTA 50 UNITS/ML SYRINGE
(Hepatitis A Vaccine)		     00006409602 54
PDPs		 369
MAPDs
VAQTA 50 UNITS/ML VIAL
(Hepatitis A Vaccine)		 ml   00006484141 54
PDPs		 369
MAPDs
Vaqta Hepatitis A Vaccine Pediatric / Adolescent 25 Unit / 0.5 mL Injection Single Dose Vial 0.5 mL
(Hepatitis A Vaccine)		     00006483141 54
PDPs		 369
MAPDs



(Chart Source: Centers for Medicare and Medicaid files: CMS Data September 2024)




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