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2024 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 2024 Formularies
PDPs MAPDs
ACTHIB VACCINE WITH DILUENT
(Haemophilus B Polysaccharide Conjugate Vaccine)
    49281054503 55
PDPs
370
MAPDs
ADALIMUMAB-ADAZ(CF) 40 MG SYRINGE [Hyrimoz]
()
ML   61314032764 6
PDPs
38
MAPDs
ADALIMUMAB-ADAZ(CF) PEN 40 MG PEN INJCTR [Hyrimoz]
()
ML   61314032720 6
PDPs
38
MAPDs
ADALIMUMAB-FKJP(CF) 20 MG SYRINGE KIT [Hulio]
()
1 UNIT   49502041702 0
PDPs
12
MAPDs
ADEFOVIR DIPIVOXIL 10 MG TABLET [Hepsera]
()
TABLETS   60505394703 49
PDPs
367
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 48
PDPs
242
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
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
89
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
192
MAPDs
DOXERCALCIFEROL 1 MCG CAPSULE [Hectorol]
()
30 CAPSULES   23155053925 10
PDPs
191
MAPDs
DOXERCALCIFEROL 2.5 MCG CAPSULE [Hectorol]
()
CAPSULES   23155054025 10
PDPs
191
MAPDs
DROXIA 200MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633517 39
PDPs
328
MAPDs
DROXIA 300MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633617 39
PDPs
328
MAPDs
DROXIA 400MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633717 39
PDPs
328
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 55
PDPs
370
MAPDs
ENGERIX-B 20 MCG/ML SYRINGE
(Hepatitis B Vaccine (Recombinant))
    58160082152 55
PDPs
370
MAPDs
ENGERIX-B 20 MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
ML   58160082101 55
PDPs
370
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)
5 ML   63004871001 0
PDPs
81
MAPDs
HADLIMA 40 MG/0.8 ML SYRINGE
(Adalimumab)
ML   78206018301 0
PDPs
24
MAPDs
HADLIMA PUSHTOUCH 40 MG/0.8 ML AUTO INJCT
(Adalimumab)
MLS   78206018401 0
PDPs
24
MAPDs
HADLIMA(CF) 40 MG/0.4 ML SYRINGE
(Adalimumab)
ML   78206018601 0
PDPs
26
MAPDs
HADLIMA(CF) PUSHTOUCH 40MG/0.4 AUTO INJECTOR
(Adalimumab)
ML   78206018701 0
PDPs
26
MAPDs
HAEGARDA 2,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082802 45
PDPs
272
MAPDs
HAEGARDA 3,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082902 44
PDPs
272
MAPDs
HAILEY 24 FE 1 MG-20 MCG TABLET [Tarina Fe 1/20]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)
28 tablets   68462073129 31
PDPs
229
MAPDs
HALCINONIDE 0.1% CREAM (g) [Halog -E]
(Halcinonide)
60 grams   00378805660 1
PDPs
25
MAPDs
HALDOL DECANOATE 100MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 5 AMP BOX 50458025414 0
PDPs
6
MAPDs
HALDOL DECANOATE 50MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 3 AMP BOX 50458025303 0
PDPs
6
MAPDs
HALOBETASOL PROP 0.05% CREAM
(Halobetasol Propionate)
50 GM   45802012932 45
PDPs
346
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 52
PDPs
345
MAPDs
HALOETTE VAGINAL RING [NuvaRing]
(Ethinyl Estradiol, Etonogestrel)
1 UNIT   51862014801 41
PDPs
298
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
14
MAPDs
HALOPERIDOL 0.5 MG TABLET [Haldol]
(Haloperidol)
30 TABLETS   00832151011 55
PDPs
370
MAPDs
HALOPERIDOL 1 MG TABLET [Haldol]
(Haloperidol)
30 TABLETS   00832152011 55
PDPs
370
MAPDs
HALOPERIDOL 10 MG TABLET
(Haloperidol)
100.000 EA   68382008001 55
PDPs
370
MAPDs
HALOPERIDOL 2 MG TABLET [Haldol]
(Haloperidol)
30 TABLETS   00832153011 55
PDPs
370
MAPDs
HALOPERIDOL 20MG TABLET (100 CT)
(Haloperidol)
100 BOT 68382008101 55
PDPs
370
MAPDs
HALOPERIDOL 5 MG TABLET [Haldol]
(Haloperidol)
30 TABLETS   00832154011 55
PDPs
370
MAPDs
HALOPERIDOL DEC 100 MG/ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ML   70069038305 55
PDPs
364
MAPDs
HALOPERIDOL DEC 50 MG/ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ML   63323046905 55
PDPs
364
MAPDs
HALOPERIDOL DEC 50 MG/ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ML   67457041013 55
PDPs
370
MAPDs
HALOPERIDOL DEC 500 MG/5 ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)
2 MLS   25021083405 55
PDPs
370
MAPDs
HALOPERIDOL LAC 2 MG/ML CONC
(Haloperidol Lactate)
120.000 ML   00121058104 55
PDPs
370
MAPDs
HALOPERIDOL LAC 5 MG/ML VIAL
(Haloperidol Lactate)
10.000 ML   63323047410 55
PDPs
370
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 55
PDPs
370
MAPDs
HAVRIX HEPATITIS A VACCINE INJECTION
(Hepatitis A Vaccine)
10 SYR CRTN 58160082552 55
PDPs
370
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
351
MAPDs
HEPARIN SOD 20,000 UNIT/ML VIAL
(Heparin Sodium)
1 ML   63739098625 48
PDPs
346
MAPDs
HEPARIN SOD 5,000 UNIT/ML VIAL
(Heparin Sodium)
60 MLS   63739095325 55
PDPs
370
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 1 VIALSD X 25 VIAL TRAY 00409272101 48
PDPs
354
MAPDs
Hepatitis B Surface Antigen Vaccine 0.01 MG/ML Prefilled 0.5 ML Syringe [Recombivax]
(Hepatitis B Vaccine (Recombinant))
    00006409302 55
PDPs
370
MAPDs
HEPLISAV-B 20 MCG/0.5 ML SYRINGE
(Hepatitis B Virus Subtype ADW HBSAG Surface Protein antigen)
ML   43528000301 55
PDPs
370
MAPDs
HETLIOZ 20 MG CAPSULE
(tasimelteon)
    43068022001 1
PDPs
23
MAPDs
HETLIOZ LQ 4 MG/ML ORAL SUSPENSION
(tasimelteon)
48 MLS   43068030406 6
PDPs
89
MAPDs
HIBERIX VACCINE WITH DILUENT
(Haemophilus B Conjugate Vaccine)
    58160081811 55
PDPs
370
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 36
PDPs
160
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
3 ML   00002751659 38
PDPs
195
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
    00002771227 40
PDPs
194
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))
3 ML   00002771459 38
PDPs
190
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 00002879959 38
PDPs
192
MAPDs
HUMALOG MIX 50/50 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10 ML VIAL 00002751201 38
PDPs
195
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL 00002751101 38
PDPs
195
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879859 38
PDPs
194
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879759 38
PDPs
190
MAPDs
HUMALOG TEMPO PEN 100 UNIT/ML INSULN PEN
(Insulin Lispro (Human))
15 MLS   00002821305 17
PDPs
58
MAPDs
HUMATIN 250 MG CAPSULE
(Paromomycin Sulfate)
42 CAPSULES   80725025001 0
PDPs
2
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 53
PDPs
366
MAPDs
Humira 2 KIT per CARTON / 1 KIT in 1 KIT
(Adalimumab)
2 KIT in 1 CARTON / 1 KIT   00074379902 53
PDPs
363
MAPDs
HUMIRA 20 MG/0.2 ML SYRINGEKIT
(Adalimumab)
units   00074061602 53
PDPs
364
MAPDs
HUMIRA 40 MG/0.4 ML PEN IJ KIT
(Adalimumab)
2 units   00074055402 53
PDPs
362
MAPDs
HUMIRA 40 MG/0.4 ML SYRINGEKIT
(Adalimumab)
2 units   00074024302 53
PDPs
362
MAPDs
HUMIRA 40 MG/0.8 ML PEN
(ADALIMUMAB)
2 EA   00074433902 53
PDPs
364
MAPDs
HUMIRA PED CROHNS 80 MG/0.8 ML SYRINGEKIT
(Adalimumab)
units   00074254003 53
PDPs
362
MAPDs
HUMIRA PEDIATR CROHN'S 80-40MG SYRINGEKIT
(Adalimumab)
units   00074006702 53
PDPs
361
MAPDs
HUMIRA PEN KIT 40MG-70% 1 PKGCOM
(Adalimumab)
1 PKGCOM 00074433906 53
PDPs
363
MAPDs
HUMIRA PEN PSORIASIS-UVEITIS
(Adalimumab)
    00074433907 53
PDPs
363
MAPDs
HUMIRA(CF) PEN 80 MG/0.8 ML PEN IJ KIT
(Adalimumab)
3 UNITS   00074012402 53
PDPs
363
MAPDs
HUMIRA(CF) PEN CRHN-UC-HS 80MG PEN IJ KIT
(Adalimumab)
units   00074012403 53
PDPs
363
MAPDs
HUMIRA(CF) PEN PEDI UC 80 MG PEN IJ KIT
(Adalimumab)
3 UNITS   00074012404 53
PDPs
362
MAPDs
HUMIRA(CF) PEN PS-UV-AHS 80-40 PEN IJ KIT
(Adalimumab)
units   00074153903 53
PDPs
363
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))
3.000 ML   00002880359 41
PDPs
194
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 41
PDPs
195
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))
3.000 ML   00002880559 41
PDPs
194
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 41
PDPs
195
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL 00002821501 41
PDPs
195
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
    00002882427 51
PDPs
323
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL 00002850101 51
PDPs
324
MAPDs
HYDRALAZINE 10 MG TABLET [Apresoline]
(Hydralazine HCl)
90 TABLETS   31722051901 55
PDPs
370
MAPDs
HYDRALAZINE 100 MG TABLET [Apresoline]
(Hydralazine HCl)
90 TABLETS   31722052201 55
PDPs
370
MAPDs
HYDRALAZINE 25 MG TABLET
(Hydralazine HCl)
100 EA   31722052001 55
PDPs
370
MAPDs
HYDRALAZINE 50 MG TABLET
(Hydralazine HCl)
100 EA   31722052101 55
PDPs
370
MAPDs
HYDREA 500MG CAPSULE
(Hydroxyurea)
100 BOT 00003083050 0
PDPs
5
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [Microzide]
()
30 CAPSULES   50228014605 55
PDPs
370
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG TABLET
(Hydrochlorothiazide)
100.000 EA   16729018201 55
PDPs
370
MAPDs
HYDROCHLOROTHIAZIDE 25 MG TABLET
(Hydrochlorothiazide)
1000.000 EA   16729018317 55
PDPs
370
MAPDs
HYDROCHLOROTHIAZIDE 50 MG TABLET [Zide]
(Hydrochlorothiazide)
90 tablets   16729018417 55
PDPs
370
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
117
MAPDs
HYDROCODONE-ACETAMIN 10-325 MG TABLET [Norco]
()
120 TABLETS   00406012505 55
PDPs
367
MAPDs
HYDROCODONE-ACETAMIN 5-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
30 TABLETS   27808011401 17
PDPs
141
MAPDs
HYDROCODONE-ACETAMIN 5-325 MG TABLET [Norco]
()
12 TABLETS   00406012305 55
PDPs
367
MAPDs
HYDROCODONE-ACETAMIN 7.5-300 TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
60 TABLETS   00406037705 17
PDPs
117
MAPDs
HYDROCODONE-ACETAMIN 7.5-325 TABLET [Norco]
()
90 TABLETS   00406012405 55
PDPs
367
MAPDs
HYDROCODONE-ACETAMN 7.5-325/15 SOLUTION [Hycet]
(Hydrocodone Bitartrate, Acetaminophen)
473 MLS   66689002316 53
PDPs
346
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
318
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
281
MAPDs
HYDROCORTISONE 1% CREAM
(Hydrocortisone)
28.350 GM   00168001531 47
PDPs
342
MAPDs
HYDROCORTISONE 1% OINTMENT
(Hydrocortisone)
28.350 GM   00168002031 37
PDPs
231
MAPDs
HYDROCORTISONE 10 MG TABLET [Hydrocortone]
(Hydrocortisone)
90 TABLETS   64380097106 55
PDPs
370
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 55
PDPs
367
MAPDs
HYDROCORTISONE 2.5% CREAM /PE APP [Proctozone-HC]
(Hydrocortisone)
30 GRAMS   62559043130 55
PDPs
367
MAPDs
HYDROCORTISONE 2.5% LOTION
(Hydrocortisone)
59.000 ML   45802093716 55
PDPs
366
MAPDs
HYDROCORTISONE 2.5% OINTMENT
(Hydrocortisone)
28.350 GM   00168014630 55
PDPs
370
MAPDs
HYDROCORTISONE 20 MG TABLET [Cortef]
(Hydrocortisone)
30 tablets   59762007501 55
PDPs
370
MAPDs
HYDROCORTISONE 5 MG TABLET [Cortef]
(Hydrocortisone)
90 TABLETS   42543097025 55
PDPs
370
MAPDs
HYDROCORTISONE BUTY 0.1% CREAM (G) [Locoid]
(Hydrocortisone Butyrate)
15 GRAMS   51672407401 10
PDPs
99
MAPDs
HYDROCORTISONE BUTYR 0.1% LOTION [Locoid]
(Hydrocortisone)
59 MLS   68682039204 4
PDPs
40
MAPDs
HYDROCORTISONE BUTYR 0.1% OINTMENT [Locoid]
(Hydrocortisone)
15 GRAMS   68682027115 23
PDPs
127
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
189
MAPDs
HYDROCORTISONE VAL 0.2% OINTMENT [Westcort]
(Hydrocortisone Valerate)
45 GRAMS   51672129203 23
PDPs
154
MAPDs
HYDROMORPHONE 1 MG/ML SOLUTION LIQUID [Dilaudid]
(Hydromorphone Hydrochloride)
30 MLS   00054038663 37
PDPs
267
MAPDs
HYDROMORPHONE 10 MG/ML VIAL [Dilaudid-HP]
(Hydromorphone Hydrochloride)
1 ML   00409263401 39
PDPs
177
MAPDs
HYDROMORPHONE 2 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)
100.000 EA   00406324301 55
PDPs
363
MAPDs
HYDROMORPHONE 4 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)
100.000 EA   00406324401 55
PDPs
363
MAPDs
HYDROMORPHONE 50 MG/5 ML VIAL [Dilaudid-HP]
(Hydromorphone Hydrochloride)
1 ML   00703011303 39
PDPs
177
MAPDs
HYDROMORPHONE 8 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)
100 BOT 00406324901 55
PDPs
363
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 16
PDPs
129
MAPDs
HYDROXYCHLOROQUINE 200 MG TABLET [Quineprox]
()
60 TABLETS   43598072101 55
PDPs
370
MAPDs
HYDROXYCHLOROQUINE 300 MG TABLET
(Hydroxychloroquine Sulfate)
30 TABLETS   16729056201 9
PDPs
110
MAPDs
HYDROXYCHLOROQUINE 400 MG TABLET
(Hydroxychloroquine Sulfate)
30 TABLETS   16729056301 9
PDPs
107
MAPDs
HYDROXYUREA 500 MG CAPSULE
(Hydroxyurea)
100.000 EA   49884072401 55
PDPs
370
MAPDs
HYDROXYZINE 10 MG/5 ML SYRUP SOLUTION [Atarax]
(Hydroxyzine HCl)
120 MLS   54838050280 36
PDPs
291
MAPDs
HYDROXYZINE HCL 10 MG TABLET [Rezine]
(Hydroxyzine HCl)
30 TABLETS   23155050001 48
PDPs
366
MAPDs
HYDROXYZINE HCL 25 MG TABLET [Atarax]
(Hydroxyzine HCl)
30 TABLETS   23155050105 55
PDPs
370
MAPDs
HYDROXYZINE HCL 50 MG TABLET [Atarax]
(Hydroxyzine HCl)
30 TABLETS   23155050201 55
PDPs
370
MAPDs
HYDROXYZINE PAM 100MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00555032402 20
PDPs
220
MAPDs
HYDROXYZINE PAM 25 MG CAPSULE [Vistaril]
(Hydroxyzine Pamoate)
30 CAPSULES   00115180301 32
PDPs
321
MAPDs
HYDROXYZINE PAM 50 MG CAPSULE [Vistaril]
(Hydroxyzine Pamoate)
30 CAPSULES   14539067505 32
PDPs
318
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
55
MAPDs
HYRIMOZ(CF) 20 MG/0.2 ML SYRINGE
(Adalimumab)
ML   61314047664 10
PDPs
55
MAPDs
HYRIMOZ(CF) 40 MG/0.4 ML SYRINGE
(Adalimumab)
MLS   61314047364 10
PDPs
55
MAPDs
HYRIMOZ(CF) PEDI CROHN 80-40MG SYRINGE
(Adalimumab)
MLS   61314053164 7
PDPs
55
MAPDs
HYRIMOZ(CF) PEN 40 MG/0.4 ML PEN INJECTOR
(Adalimumab)
ML   61314047320 10
PDPs
55
MAPDs
HYRIMOZ(CF) PEN 80 MG/0.8 ML PEN INJECTOR
(Adalimumab)
ML   61314045420 10
PDPs
55
MAPDs
HYRIMOZ(CF) PEN CROHN-UC 80 MG PEN INJECTOR
(Adalimumab)
ML   61314045436 10
PDPs
55
MAPDs
HYRIMOZ(CF) PEN PSORIA 80-40MG PEN INJECTOR
(Adalimumab)
MLS   61314051736 10
PDPs
55
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
69
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
66
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 55
PDPs
370
MAPDs
LOSARTAN-HCTZ 100-25 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)
30 TABLETS   68180021709 55
PDPs
370
MAPDs
LOSARTAN-HCTZ 50-12.5 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)
90 TABLETS   68180021509 55
PDPs
370
MAPDs
NEO-POLYCIN HC EYE OINTMENT [Ocu-Cort]
(Neomycin, Polymyxin B, Bacitracin Zinc, Hydrocortisone)
3.5 GRAMS   00574414435 47
PDPs
294
MAPDs
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT
(Neomycin-Polymyxin-HC)
10 ML BOT 24208063110 55
PDPs
370
MAPDs
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS
(Neomycin-Polymyxin-HC)
7.5 ML BOTPL 61314064175 24
PDPs
276
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 55
PDPs
370
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 54
PDPs
314
MAPDs
PROCTOSOL-HC 2.5% CREAM
(Hydrocortisone)
1 OUNCE TUBE 10631040701 55
PDPs
355
MAPDs
PROCTOZONE-HC 2.5% CREAM
(Hydrocortisone)
30 GM   64980032430 55
PDPs
360
MAPDs
RECOMBIVAX HB 10 MCG/ML SYR
(Hepatitis B Vaccine (Recombinant))
    00006409402 55
PDPs
370
MAPDs
RECOMBIVAX HB 10 MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
ML   00006499541 55
PDPs
370
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
1 ML VIALSD 00006499200 55
PDPs
370
MAPDs
RECOMBIVAX HB 5 MCG/0.5 ML VL VIAL
(Hepatitis B Vaccine (Recombinant))
ML   00006498101 55
PDPs
370
MAPDs
SIKLOS 1,000 MG TABLET
(Hydroxyurea)
45 TABLETS   71770012030 0
PDPs
15
MAPDs
SIKLOS 100 MG TABLET
(Hydroxyurea)
TABLETS   71770010560 0
PDPs
14
MAPDs
TASIMELTEON 20 MG CAPSULE [HETLIOZ]
()
CAPSULES   00480449056 45
PDPs
290
MAPDs
TERAZOSIN 10 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   59746038606 55
PDPs
370
MAPDs
TERAZOSIN 5 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   59746038506 55
PDPs
370
MAPDs
TEXACORT 2.5% SOLUTION
(Hydrocortisone)
30 mls   00178045501 1
PDPs
10
MAPDs
TRIAMTERENE-HCTZ 75-50 MG TABLET
(Triamterene & Hydrochlorothiazide)
500.000 EA   60505265705 55
PDPs
370
MAPDs
TRIAZOLAM 0.125 MG TABLET [Halcion]
()
2 TABLETS   70710152101 7
PDPs
104
MAPDs
TRIAZOLAM 0.25 MG TABLET [Halcion]
()
2 TABLETS   70710128901 4
PDPs
99
MAPDs
TWINRIX VACCINE SYRINGE
(Hepatitis A (Inact)-Hep B (Recomb) Vac)
    58160081552 55
PDPs
370
MAPDs
ULTRAVATE 0.05 % 60 ML
(Halobetasol Propionate)
    10631012204 0
PDPs
1
MAPDs
VAQTA 25 UNITS/0.5 ML SYRINGE
(Hepatitis A Vaccine)
    00006409502 55
PDPs
370
MAPDs
VAQTA 50 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    00006409602 55
PDPs
370
MAPDs
VAQTA 50 UNITS/ML VIAL
(Hepatitis A Vaccine)
ml   00006484141 55
PDPs
370
MAPDs
Vaqta Hepatitis A Vaccine Pediatric / Adolescent 25 Unit / 0.5 mL Injection Single Dose Vial 0.5 mL
(Hepatitis A Vaccine)
    00006483141 55
PDPs
370
MAPDs



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





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