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2025 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 2025 Formularies
PDPs MAPDs
ACTHIB VACCINE WITH DILUENT
(Haemophilus B Polysaccharide Conjugate Vaccine)
    49281054503 40
PDPs
345
MAPDs
ADALIMUMAB-ADAZ(CF) 40 MG SYRINGE [Hyrimoz]
()
ML   61314032764 3
PDPs
19
MAPDs
ADALIMUMAB-ADAZ(CF) PEN 40 MG PEN INJCTR [Hyrimoz]
()
ML   61314032720 3
PDPs
19
MAPDs
ADALIMUMAB-FKJP(CF) 20 MG SYRINGE KIT [Hulio]
()
1 UNIT   49502041702 0
PDPs
4
MAPDs
ADEFOVIR DIPIVOXIL 10 MG TABLET [Hepsera]
()
TABLETS   60505394703 36
PDPs
342
MAPDs
ADMELOG 100 UNIT/ML VIAL [Humalog]
(Insulin Lispro)
10 mls   00024592410 6
PDPs
68
MAPDs
ADMELOG SOLOSTAR 100 UNIT/ML INSULIN PEN [Humalog KwikPen]
(Insulin Lispro)
15 mls   00024592505 6
PDPs
68
MAPDs
ALA-CORT 2.5% CREAM (G) [Proctozone-HC]
(Hydrocortisone)
28 GRAMS   00316012830 12
PDPs
123
MAPDs
ALA-SCALP 2% LOTION [Scalacort]
(Hydrocortisone)
29.6 MLS   77052001001 0
PDPs
11
MAPDs
ALKINDI SPRINKLE 0.5 MG CAPSULE SPRINK
(Hydrocortisone)
UNITS   71863010950 1
PDPs
1
MAPDs
ALKINDI SPRINKLE 1 MG CAPSULE SPRINK
(Hydrocortisone)
UNITS   71863011050 1
PDPs
1
MAPDs
ALKINDI SPRINKLE 2 MG CAPSULE SPRINK
(Hydrocortisone)
UNITS   71863011150 1
PDPs
1
MAPDs
ALKINDI SPRINKLE 5 MG CAPSULE SPRINK
(Hydrocortisone)
UNITS   71863011250 1
PDPs
1
MAPDs
ANUSOL-HC 2.5% CREAM
(Hydrocortisone)
    65649040130 0
PDPs
3
MAPDs
CDV HYRIMOZ 40 MG/0.8 ML SYRINGE
(Adalimumab)
ML   83457010301 0
PDPs
2
MAPDs
CDV HYRIMOZ PEN 40 MG/0.8 ML PEN INJECTOR
(Adalimumab)
MLS   83457010201 0
PDPs
2
MAPDs
CORTEF 10MG TABLET
(Hydrocortisone)
100 BOT 00009003101 0
PDPs
3
MAPDs
CORTEF 20MG TABLET
(Hydrocortisone)
100 BOT 00009004401 0
PDPs
3
MAPDs
CORTEF 5MG TABLET
(Hydrocortisone)
50 BOT 00009001201 0
PDPs
3
MAPDs
CORTROPHIN GEL 400 UNIT/5 ML VIAL
(Corticotropin (Porcine))
MLS   62559086015 1
PDPs
43
MAPDs
DOXERCALCIFEROL 0.5 MCG CAPSULE [Hectorol]
()
30 CAPSULES   23155053825 7
PDPs
160
MAPDs
DOXERCALCIFEROL 1 MCG CAPSULE [Hectorol]
()
30 CAPSULES   23155053925 7
PDPs
160
MAPDs
DOXERCALCIFEROL 2.5 MCG CAPSULE [Hectorol]
()
CAPSULES   23155054025 7
PDPs
160
MAPDs
DROXIA 200MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633517 23
PDPs
245
MAPDs
DROXIA 300MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633617 23
PDPs
245
MAPDs
DROXIA 400MG CAPSULE
(Hydroxyurea)
60 BOTPL 00003633717 23
PDPs
245
MAPDs
DUOBRII 0.01%-0.045% LOTION
(Halobetasol Propionate, Tazarotene)
mls   00187065301 1
PDPs
6
MAPDs
ENGERIX B INJECTION
(Hepatitis B Vaccine (Recombinant))
10 SYR CRTN 58160082052 40
PDPs
345
MAPDs
ENGERIX-B 20 MCG/ML SYRINGE
(Hepatitis B Vaccine (Recombinant))
    58160082152 40
PDPs
345
MAPDs
ENGERIX-B 20 MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
ML   58160082101 40
PDPs
345
MAPDs
H.P. ACTHAR GEL 80 UNIT/ML VIAL
(repository corticotropin)
5 ML   63004871001 0
PDPs
87
MAPDs
HADLIMA 40 MG/0.8 ML SYRINGE
(Adalimumab)
ML   78206018301 18
PDPs
106
MAPDs
HADLIMA PUSHTOUCH 40 MG/0.8 ML AUTO INJCT
(Adalimumab)
MLS   78206018401 18
PDPs
106
MAPDs
HADLIMA(CF) 40 MG/0.4 ML SYRINGE
(Adalimumab)
ML   78206018601 18
PDPs
106
MAPDs
HADLIMA(CF) PUSHTOUCH 40MG/0.4 AUTO INJECTOR
(Adalimumab)
ML   78206018701 18
PDPs
106
MAPDs
HAEGARDA 2,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082802 38
PDPs
278
MAPDs
HAEGARDA 3,000 UNIT VIAL
(C1 esterase inhibitor)
ml   63833082902 38
PDPs
276
MAPDs
HAILEY 24 FE 1 MG-20 MCG TABLET [Tarina Fe 1/20]
(Ethinyl Estradiol, Norethindrone;Ferrous Fumarate)
28 tablets   68462073129 29
PDPs
248
MAPDs
HALCINONIDE 0.1% CREAM (g) [Halog -E]
(Halcinonide)
60 grams   00378805660 1
PDPs
4
MAPDs
HALDOL DECANOATE 100MG/ML INJECTION
(Haloperidol Decanoate IM)
1ML X 5 AMP BOX 50458025414 0
PDPs
4
MAPDs
HALOBETASOL PROP 0.05% CREAM
(Halobetasol Propionate)
50 GM   45802012932 36
PDPs
327
MAPDs
HALOBETASOL PROP 0.05% FOAM [LEXETTE]
(Halobetasol Propionate)
GRAMS   68308076950 0
PDPs
2
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 37
PDPs
326
MAPDs
HALOETTE VAGINAL RING [NuvaRing]
(Ethinyl Estradiol, Etonogestrel)
1 UNIT   51862014801 32
PDPs
283
MAPDs
HALOG 0.1% SOLUTION
(Halcinonide)
MLS   10631009510 0
PDPs
1
MAPDs
HALOG OINTMENT 1mg/g 60 g in 1 TUBE [HALOG]
(Halcinonide)
60 g in 1 TUBE   10631009630 1
PDPs
2
MAPDs
HALOPERIDOL 0.5 MG TABLET [Haldol]
(Haloperidol)
30 TABLETS   00832151011 40
PDPs
345
MAPDs
HALOPERIDOL 1 MG TABLET [Haldol]
(Haloperidol)
30 TABLETS   00832152011 40
PDPs
345
MAPDs
HALOPERIDOL 10 MG TABLET
(Haloperidol)
100.000 EA   68382008001 40
PDPs
345
MAPDs
HALOPERIDOL 2 MG TABLET [Haldol]
(Haloperidol)
30 TABLETS   00832153011 40
PDPs
345
MAPDs
HALOPERIDOL 20MG TABLET (100 CT)
(Haloperidol)
100 BOT 68382008101 40
PDPs
345
MAPDs
HALOPERIDOL 5 MG TABLET [Haldol]
(Haloperidol)
30 TABLETS   00832154011 40
PDPs
345
MAPDs
HALOPERIDOL DEC 100 MG/ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ML   67457040913 40
PDPs
340
MAPDs
HALOPERIDOL DEC 50 MG/ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ML   63323046905 40
PDPs
340
MAPDs
HALOPERIDOL DEC 50 MG/ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)
1 ML   67457041013 40
PDPs
345
MAPDs
HALOPERIDOL DEC 500 MG/5 ML VIAL [Haldol Decanoate]
(Haloperidol Decanoate IM)
2 MLS   25021083405 40
PDPs
345
MAPDs
HALOPERIDOL LAC 2 MG/ML CONC
(Haloperidol Lactate)
120.000 ML   00121058104 40
PDPs
345
MAPDs
HALOPERIDOL LAC 5 MG/ML VIAL
(Haloperidol Lactate)
10.000 ML   63323047410 40
PDPs
345
MAPDs
HARVONI 33.75-150 MG PELLET PACKET
(Ledipasvir and Sofosbuvir)
UNITS   61958180501 8
PDPs
147
MAPDs
HARVONI 45-200 MG PELLET PACKET
(Ledipasvir and Sofosbuvir)
UNITS   61958180401 8
PDPs
147
MAPDs
HARVONI 90-400 MG TABLET
(Ledipasvir and Sofosbuvir)
  61958180101 8
PDPs
144
MAPDs
HAVRIX 1,440 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    58160082652 40
PDPs
345
MAPDs
HAVRIX HEPATITIS A VACCINE INJECTION
(Hepatitis A Vaccine)
10 SYR CRTN 58160082552 40
PDPs
345
MAPDs
HEATHER 0.35 MG TABLET [Sharobel 28-Day]
(Norethindrone)
84 TABLETS   68462030329 40
PDPs
321
MAPDs
HELIDAC THERAPY PACK COMBO PKG
(Bismuth Subsalicylate;Metronidazole;Tetracycline)
UNITS   70199002114 0
PDPs
2
MAPDs
HEMADY 20 MG TABLET
(Dexamethasone)
8 TABLETS   72893001524 0
PDPs
26
MAPDs
HEPARIN 10,000 UNIT/10 ML VIAL
(Heparin Sodium)
25 MLS   25021040010 39
PDPs
318
MAPDs
HEPARIN SOD 20,000 UNIT/ML VIAL
(Heparin Sodium)
10 MLS   67457037399 39
PDPs
322
MAPDs
HEPARIN SOD 5,000 UNIT/ML VIAL
(Heparin Sodium)
60 MLS   63739095325 40
PDPs
345
MAPDs
HEPARIN SODIUM INJECTION
(Heparin Sodium)
1 ML X 1 VIALSD X 25 VIAL TRAY 00409272101 39
PDPs
330
MAPDs
Hepatitis B Surface Antigen Vaccine 0.01 MG/ML Prefilled 0.5 ML Syringe [Recombivax]
(Hepatitis B Vaccine (Recombinant))
    00006409302 40
PDPs
345
MAPDs
HEPLISAV-B 20 MCG/0.5 ML SYRINGE
(Hepatitis B Virus Subtype ADW HBSAG Surface Protein antigen)
ML   43528000301 40
PDPs
345
MAPDs
HETLIOZ 20 MG CAPSULE
(tasimelteon)
    43068022001 0
PDPs
4
MAPDs
HETLIOZ LQ 4 MG/ML ORAL SUSPENSION
(tasimelteon)
48 MLS   43068030406 0
PDPs
42
MAPDs
Hiberix Haemophilus B Injectable 0.5mL Prefilled Syringe 10/Pk
(Haemophilus B Conjugate Vaccine)
10   58160072615 40
PDPs
345
MAPDs
HORIZANT ER 300 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010301 0
PDPs
5
MAPDs
HORIZANT ER 600 MG TABLET
(GABAPENTIN ENACARBIL)
    53451010101 0
PDPs
5
MAPDs
HUMALOG 100 UNIT/ML VIAL
(Insulin Lispro (Human))
10 mls   00002751001 26
PDPs
147
MAPDs
HUMALOG 100 UNITS/ML CARTRIDGE
(Insulin Lispro (Human))
3 ML   00002751659 28
PDPs
178
MAPDs
HUMALOG 200 UNITS/ML KWIKPEN
(Insulin Lispro (Human))
    00002771227 29
PDPs
177
MAPDs
HUMALOG JR 100 UNIT/ML KWIKPEN
(Insulin Lispro (Human))
3 ML   00002771459 28
PDPs
174
MAPDs
HUMALOG KWIKPEN INJECTION
(Insulin Lispro (Human))
3 ML X 5 SYR CRTN 00002879959 28
PDPs
176
MAPDs
HUMALOG MIX 75/25 VIAL
(Insulin Lispro Prot & Lispro (Human))
1 X 10ML VIAL 00002751101 28
PDPs
178
MAPDs
HUMALOG MIX KWIKPEN INJECTION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879859 28
PDPs
176
MAPDs
HUMALOG MIX KWIKPEN INJECTION SUSPENSION
(Insulin Lispro Prot & Lispro (Human))
3 ML X 5 SYR CRTN 00002879759 28
PDPs
174
MAPDs
HUMALOG TEMPO PEN 100 UNIT/ML INSULN PEN
(Insulin Lispro (Human))
15 MLS   00002821305 17
PDPs
57
MAPDs
HUMATIN 250 MG CAPSULE
(Paromomycin Sulfate)
42 CAPSULES   80725025001 20
PDPs
64
MAPDs
HUMATROPE 12MG CARTRIDGE
(Somatropin For)
1 PKGCOM 00002814801 1
PDPs
22
MAPDs
HUMATROPE 24MG CARTRIDGE
(Somatropin For)
1 CARTRIDGE VIAL 00002814901 1
PDPs
22
MAPDs
HUMATROPE 6MG CARTRIDGE
(Somatropin For)
1 CTG 00002814701 1
PDPs
24
MAPDs
HUMIRA 10 MG/0.1 ML SYRINGEKIT
(Adalimumab)
units   00074081702 24
PDPs
287
MAPDs
Humira 2 KIT per CARTON / 1 KIT in 1 KIT
(Adalimumab)
2 KIT in 1 CARTON / 1 KIT   00074379902 23
PDPs
283
MAPDs
HUMIRA 20 MG/0.2 ML SYRINGEKIT
(Adalimumab)
units   00074061602 24
PDPs
287
MAPDs
HUMIRA 40 MG/0.4 ML PEN IJ KIT
(Adalimumab)
2 units   00074055402 23
PDPs
281
MAPDs
HUMIRA 40 MG/0.4 ML SYRINGEKIT
(Adalimumab)
2 units   00074024302 23
PDPs
283
MAPDs
HUMIRA 40 MG/0.8 ML PEN
(ADALIMUMAB)
2 EA   00074433902 23
PDPs
284
MAPDs
HUMIRA(CF) PEN 80 MG/0.8 ML PEN IJ KIT
(Adalimumab)
3 UNITS   00074012402 23
PDPs
284
MAPDs
HUMIRA(CF) PEN CRHN-UC-HS 80MG PEN IJ KIT
(Adalimumab)
units   00074012403 23
PDPs
283
MAPDs
HUMIRA(CF) PEN PEDI UC 80 MG PEN IJ KIT
(Adalimumab)
3 UNITS   00074012404 23
PDPs
284
MAPDs
HUMIRA(CF) PEN PS-UV-AHS 80-40 PEN IJ KIT
(Adalimumab)
units   00074153903 23
PDPs
283
MAPDs
HUMULIN 70/30 KWIKPEN
(Insulin Isophane & Regular (Human))
3.000 ML   00002880359 28
PDPs
178
MAPDs
HUMULIN 70/30 VIAL
(Insulin Isophane & Regular (Human))
1 X 10 ML VIAL 00002871501 28
PDPs
180
MAPDs
HUMULIN N 100 UNITS/ML KWIKPEN
(Insulin Isophane (Human))
3.000 ML   00002880559 28
PDPs
178
MAPDs
HUMULIN N 100U/ML VIAL
(Insulin Isophane (Human))
10 ML VIAL 00002831501 28
PDPs
180
MAPDs
HUMULIN R 100U/ML VIAL
(Insulin Regular (Human))
1 X 10 ML VIAL 00002821501 28
PDPs
180
MAPDs
HUMULIN R 500 UNITS/ML KWIKPEN
(Insulin Regular (Human))
    00002882427 38
PDPs
327
MAPDs
HUMULIN R 500U/ML VIAL
(Insulin Regular (Human))
1 X 20 ML VIAL 00002850101 38
PDPs
329
MAPDs
HYDRALAZINE 10 MG TABLET [Apresoline]
(Hydralazine HCl)
90 TABLETS   31722051901 40
PDPs
345
MAPDs
HYDRALAZINE 100 MG TABLET [Apresoline]
(Hydralazine HCl)
90 TABLETS   31722052201 40
PDPs
345
MAPDs
HYDRALAZINE 25 MG TABLET
(Hydralazine HCl)
100 EA   31722052001 40
PDPs
345
MAPDs
HYDRALAZINE 50 MG TABLET
(Hydralazine HCl)
100 EA   31722052101 40
PDPs
345
MAPDs
HYDREA 500MG CAPSULE
(Hydroxyurea)
100 BOT 00003083050 0
PDPs
3
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG CAPSULE [Microzide]
()
30 CAPSULES   50228014605 40
PDPs
345
MAPDs
HYDROCHLOROTHIAZIDE 12.5 MG TABLET
(Hydrochlorothiazide)
100.000 EA   16729018201 40
PDPs
345
MAPDs
HYDROCHLOROTHIAZIDE 25 MG TABLET
(Hydrochlorothiazide)
1000.000 EA   16729018317 40
PDPs
345
MAPDs
HYDROCHLOROTHIAZIDE 50 MG TABLET [Zide]
(Hydrochlorothiazide)
90 TABLETS   00172208980 40
PDPs
345
MAPDs
HYDROCODONE ER 10 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
30 CAPSULES   47781040960 0
PDPs
10
MAPDs
HYDROCODONE ER 100 MG TABLET 24H [Hysingla ER]
(Hydrocodone Bitartrate)
30 TABLETS   47781039760 5
PDPs
69
MAPDs
HYDROCODONE ER 120 MG TABLET 24H [Hysingla ER]
(Hydrocodone Bitartrate)
TABLETS   47781039860 5
PDPs
69
MAPDs
HYDROCODONE ER 15 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041060 0
PDPs
10
MAPDs
HYDROCODONE ER 20 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041160 0
PDPs
9
MAPDs
HYDROCODONE ER 20 MG TABLET 24H [Hysingla ER]
(Hydrocodone Bitartrate)
30 TABLETS   47781039260 5
PDPs
69
MAPDs
HYDROCODONE ER 30 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041260 0
PDPs
9
MAPDs
HYDROCODONE ER 30 MG TABLET 24H [Hysingla ER]
(Hydrocodone Bitartrate)
30 TABLETS   47781039360 5
PDPs
69
MAPDs
HYDROCODONE ER 40 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
60 CAPSULES   47781041360 0
PDPs
9
MAPDs
HYDROCODONE ER 40 MG TABLET 24H [Hysingla ER]
(Hydrocodone Bitartrate)
30 TABLETS   47781039460 5
PDPs
69
MAPDs
HYDROCODONE ER 50 MG CAPSULE 12H [Zohydro]
(Hydrocodone Bitartrate)
30 CAPSULES   47781041460 0
PDPs
9
MAPDs
HYDROCODONE ER 60 MG TABLET 24H [Hysingla ER]
(Hydrocodone Bitartrate)
14 TABLETS   47781039560 5
PDPs
69
MAPDs
HYDROCODONE ER 80 MG TABLET 24H [Hysingla ER]
(Hydrocodone Bitartrate)
TABLETS   47781039660 5
PDPs
69
MAPDs
HYDROCODONE-ACETAMIN 10-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
120 TABLETS   00406037805 9
PDPs
72
MAPDs
HYDROCODONE-ACETAMIN 10-325 MG TABLET [Norco]
()
120 TABLETS   00406012505 40
PDPs
345
MAPDs
HYDROCODONE-ACETAMIN 5-300 MG TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
30 TABLETS   27808011401 9
PDPs
70
MAPDs
HYDROCODONE-ACETAMIN 5-325 MG TABLET [Norco]
()
12 TABLETS   00406012305 40
PDPs
345
MAPDs
HYDROCODONE-ACETAMIN 7.5-300 TABLET [Xodol]
(Hydrocodone Bitartrate, Acetaminophen)
60 TABLETS   00406037705 9
PDPs
72
MAPDs
HYDROCODONE-ACETAMIN 7.5-325 TABLET [Norco]
()
90 TABLETS   00406012405 40
PDPs
345
MAPDs
HYDROCODONE-ACETAMN 7.5-325/15 SOLUTION [Hycet]
(Hydrocodone Bitartrate, Acetaminophen)
540 MLS   64950034316 38
PDPs
319
MAPDs
HYDROCODONE-IBUPROFEN 10-200 TABLET [Xylon 10]
(Hydrocodone Bitartrate, Ibuprofen)
30 TABLETS   53746011701 8
PDPs
63
MAPDs
HYDROCODONE-IBUPROFEN 5-200 MG
(Hydrocodone-Ibuprofen)
100.000 EA   53746014601 8
PDPs
65
MAPDs
HYDROCODONE-IBUPROFEN 7.5-200 TABLET [Vicoprofen]
(Hydrocodone Bitartrate, Ibuprofen)
120 TABLETS   53746014501 26
PDPs
238
MAPDs
HYDROCORT-PRAMOXINE 1%-1% CREAM w/APPL [Zone A]
(Hydrocortisone, Pramoxine)
30 grams   45802014464 1
PDPs
17
MAPDs
HYDROCORTISON-ACETIC ACID SOLUTION DROPS [VoSoL HC]
(Hydrocortisone, Acetic Acid)
10 MLS   51672300701 29
PDPs
244
MAPDs
HYDROCORTISONE 1% CREAM
(Hydrocortisone)
28.350 GM   00168001531 39
PDPs
339
MAPDs
HYDROCORTISONE 1% OINTMENT
(Hydrocortisone)
28.350 GM   00168002031 36
PDPs
291
MAPDs
HYDROCORTISONE 10 MG TABLET [Hydrocortone]
(Hydrocortisone)
90 TABLETS   64380097106 40
PDPs
345
MAPDs
Hydrocortisone 10 MG/ML Topical Cream [Ala-Cort]
(Hydrocortisone)
    00316012601 35
PDPs
283
MAPDs
HYDROCORTISONE 100 MG/60 ML
(Hydrocortisone)
60.000 ML   62559013807 40
PDPs
342
MAPDs
HYDROCORTISONE 2.5% CREAM /PE APP [Proctozone-HC]
(Hydrocortisone)
30 GRAMS   62559043130 40
PDPs
344
MAPDs
HYDROCORTISONE 2.5% LOTION
(Hydrocortisone)
59.000 ML   45802093716 40
PDPs
340
MAPDs
HYDROCORTISONE 2.5% OINTMENT
(Hydrocortisone)
28.350 GM   00168014630 40
PDPs
345
MAPDs
HYDROCORTISONE 2% LOTION [Scalacort]
()
29.6 MLS   71297001002 3
PDPs
27
MAPDs
HYDROCORTISONE 20 MG TABLET [Cortef]
(Hydrocortisone)
90 TABLETS   59651041501 40
PDPs
345
MAPDs
HYDROCORTISONE 5 MG TABLET [Cortef]
(Hydrocortisone)
90 TABLETS   42543097025 40
PDPs
345
MAPDs
HYDROCORTISONE BUTY 0.1% CREAM (G) [Locoid]
(Hydrocortisone Butyrate)
15 GRAMS   51672407401 10
PDPs
79
MAPDs
HYDROCORTISONE BUTYR 0.1% LOTION [Locoid]
(Hydrocortisone)
MLS   83148001204 1
PDPs
24
MAPDs
HYDROCORTISONE BUTYR 0.1% OINTMENT [Locoid]
(Hydrocortisone)
15 GRAMS   68682027115 16
PDPs
107
MAPDs
HYDROCORTISONE BUTYR 0.1% SOLUTION [Locoid]
(Hydrocortisone)
MLS   51672406104 3
PDPs
81
MAPDs
HYDROCORTISONE VAL 0.2% CREAM (G) [Westcort]
(Hydrocortisone Valerate)
15 GRAMS   51672129001 18
PDPs
235
MAPDs
HYDROCORTISONE VAL 0.2% OINTMENT [Westcort]
(Hydrocortisone Valerate)
45 GRAMS   51672129203 17
PDPs
118
MAPDs
HYDROMORPHONE 1 MG/ML SOLUTION LIQUID [Dilaudid]
(Hydromorphone Hydrochloride)
30 MLS   00054038663 27
PDPs
209
MAPDs
HYDROMORPHONE 10 MG/ML VIAL [Dilaudid-HP]
(Hydromorphone Hydrochloride)
1 ML   00409263401 22
PDPs
133
MAPDs
HYDROMORPHONE 2 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)
100.000 EA   00406324301 40
PDPs
342
MAPDs
HYDROMORPHONE 4 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)
100.000 EA   00406324401 40
PDPs
342
MAPDs
HYDROMORPHONE 50 MG/5 ML VIAL [Dilaudid-HP]
(Hydromorphone Hydrochloride)
1 ML   00703011303 22
PDPs
132
MAPDs
HYDROMORPHONE 8 MG TABLET [Dilaudid]
(Hydromorphone Hydrochloride)
100 BOT 00406324901 40
PDPs
341
MAPDs
HYDROMORPHONE HCL ER 12 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070210 0
PDPs
41
MAPDs
HYDROMORPHONE HCL ER 16 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070310 0
PDPs
39
MAPDs
HYDROMORPHONE HCL ER 32 MG TABLET 24H [Exalgo]
(Hydromorphone HCl)
    13811070410 0
PDPs
35
MAPDs
HYDROMORPHONE HCL ER 8 MG TABLET 24H [Exalgo]
(Hydromorphone Hydrochloride)
30 tablets   13811070110 0
PDPs
41
MAPDs
HYDROXYCHLOROQUINE 100 MG TABLET
(Hydroxychloroquine Sulfate)
30 TABLETS   16729056101 11
PDPs
142
MAPDs
HYDROXYCHLOROQUINE 200 MG TABLET [Quineprox]
()
60 TABLETS   43598072101 40
PDPs
345
MAPDs
HYDROXYCHLOROQUINE 300 MG TABLET
(Hydroxychloroquine Sulfate)
30 TABLETS   16729056201 10
PDPs
125
MAPDs
HYDROXYCHLOROQUINE 400 MG TABLET
(Hydroxychloroquine Sulfate)
30 TABLETS   16729056301 10
PDPs
123
MAPDs
HYDROXYUREA 500 MG CAPSULE
(Hydroxyurea)
100.000 EA   49884072401 40
PDPs
345
MAPDs
HYDROXYZINE 10 MG/5 ML SYRUP SOLUTION [Atarax]
(Hydroxyzine HCl)
120 MLS   54838050280 23
PDPs
216
MAPDs
HYDROXYZINE HCL 10 MG TABLET [Rezine]
(Hydroxyzine HCl)
30 TABLETS   23155050001 33
PDPs
340
MAPDs
HYDROXYZINE HCL 25 MG TABLET [Atarax]
(Hydroxyzine HCl)
30 TABLETS   23155050105 40
PDPs
345
MAPDs
HYDROXYZINE HCL 50 MG TABLET [Atarax]
(Hydroxyzine HCl)
30 TABLETS   23155050201 40
PDPs
345
MAPDs
HYDROXYZINE PAM 100MG CAPSULE
(Hydroxyzine Pamoate)
100 BOT 00555032402 15
PDPs
144
MAPDs
HYDROXYZINE PAM 25 MG CAPSULE [Vistaril]
(Hydroxyzine Pamoate)
30 CAPSULES   00115180301 24
PDPs
295
MAPDs
HYDROXYZINE PAM 50 MG CAPSULE [Vistaril]
(Hydroxyzine Pamoate)
30 CAPSULES   14539067505 24
PDPs
295
MAPDs
HYFTOR 0.2% GEL
(Sirolimus)
GRAMS   73683010110 3
PDPs
38
MAPDs
HYRIMOZ(CF) 10 MG/0.1 ML SYRINGE
(Adalimumab)
ML   61314050964 0
PDPs
1
MAPDs
HYRIMOZ(CF) 20 MG/0.2 ML SYRINGE
(Adalimumab)
ML   61314047664 0
PDPs
1
MAPDs
HYRIMOZ(CF) 40 MG/0.4 ML SYRINGE
(Adalimumab)
MLS   61314047364 0
PDPs
1
MAPDs
HYRIMOZ(CF) PEDI CROHN 80 MG SYRINGE
(Adalimumab)
ML   61314045468 0
PDPs
3
MAPDs
HYRIMOZ(CF) PEDI CROHN 80-40MG SYRINGE
(Adalimumab)
MLS   61314053164 0
PDPs
1
MAPDs
HYRIMOZ(CF) PEN 40 MG/0.4 ML PEN INJECTOR
(Adalimumab)
ML   61314047320 0
PDPs
1
MAPDs
HYRIMOZ(CF) PEN 80 MG/0.8 ML PEN INJECTOR
(Adalimumab)
ML   61314045420 0
PDPs
1
MAPDs
HYRIMOZ(CF) PEN CROHN-UC 80 MG PEN INJECTOR
(Adalimumab)
ML   61314045436 0
PDPs
1
MAPDs
HYRIMOZ(CF) PEN PSORIA 80-40MG PEN INJECTOR
(Adalimumab)
MLS   61314051736 0
PDPs
1
MAPDs
HYSINGLA ER 100 MG TABLET
(Hydrocodone Bitartrate)
    59011027660 0
PDPs
1
MAPDs
HYSINGLA ER 120 MG TABLET
(Hydrocodone Bitartrate)
    59011027760 0
PDPs
1
MAPDs
HYSINGLA ER 20 MG TABLET
(Hydrocodone Bitartrate)
    59011027160 0
PDPs
1
MAPDs
HYSINGLA ER 30 MG TABLET
(Hydrocodone Bitartrate)
    59011027260 0
PDPs
1
MAPDs
HYSINGLA ER 40 MG TABLET
(Hydrocodone Bitartrate)
    59011027360 0
PDPs
1
MAPDs
HYSINGLA ER 60 MG TABLET
(Hydrocodone Bitartrate)
    59011027460 0
PDPs
1
MAPDs
HYSINGLA ER 80 MG TABLET
(Hydrocodone Bitartrate)
    59011027560 0
PDPs
1
MAPDs
HYZAAR 100-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
90 TABLETS   78206014001 0
PDPs
3
MAPDs
HYZAAR 100-25 TABLET
(Losartan Potassium & Hydrochlorothiazide)
90 TABLETS   78206014101 0
PDPs
3
MAPDs
HYZAAR 50-12.5 TABLET
(Losartan Potassium & Hydrochlorothiazide)
90 TABLETS   78206013901 0
PDPs
3
MAPDs
INSULIN LISPRO MIX 75-25 KWIKPEN INSULN PEN [Humalog KwikPen Mix 75/25]
(Insulin Lispro)
15 mls   00002823305 7
PDPs
58
MAPDs
ISOSORBIDE-HYDRALAZINE 20-37.5 TABLET [BiDil]
(Isosorbide Dinitrate, Hydralazine Hydrochloride)
90 TABLETS   50742024690 9
PDPs
102
MAPDs
LEDIPASVIR-SOFOSBUVIR 90-400MG TABLET [Harvoni]
(Ledipasvir and Sofosbuvir)
28 tablets   72626260101 3
PDPs
76
MAPDs
LOCOID 0.1% LIPOCREAM
(Hydrocortisone Butyrate Hydrophilic Lipo Base)
    16781038445 3
PDPs
14
MAPDs
LOSARTAN-HCTZ 100-12.5 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)
30 TABLETS   68180021609 40
PDPs
345
MAPDs
LOSARTAN-HCTZ 100-25 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)
30 TABLETS   68180021709 40
PDPs
345
MAPDs
LOSARTAN-HCTZ 50-12.5 MG TABLET [Hyzaar]
(Losartan Potassium & Hydrochlorothiazide)
90 TABLETS   68180021509 40
PDPs
345
MAPDs
NEO-POLYCIN HC EYE OINTMENT [Ocu-Cort]
(Neomycin, Polymyxin B, Bacitracin Zinc, Hydrocortisone)
3.5 GRAMS   00574414435 30
PDPs
283
MAPDs
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT
(Neomycin-Polymyxin-HC)
10 ML BOT 24208063110 40
PDPs
345
MAPDs
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS
(Neomycin-Polymyxin-HC)
7.5 ML BOTPL 61314064175 15
PDPs
208
MAPDs
PANDEL 0.1% CREAM (G)
(Hydrocortisone Probutate)
GRAMS   62559032580 1
PDPs
1
MAPDs
PEDVAXHIB VACCINE VIAL
(Haemophilus B Polysaccharide Conjugate Vaccine)
10 X .5ML SINGLE DOSE VIL BOX 00006489700 40
PDPs
345
MAPDs
PLAQUENIL 200 MG TABLET
(Hydroxychloroquine Sulfate)
    59212056210 0
PDPs
3
MAPDs
PROCTO-MED HC 2.5% CREAM /PE APP [Proctozone-HC]
(Hydrocortisone)
30 GRAMS   69315031228 39
PDPs
328
MAPDs
PROCTOFOAM-HC 1%-1% FOAM
(Hydrocortisone, Pramoxine)
10 GRAMS   00037682210 0
PDPs
20
MAPDs
PROCTOSOL-HC 2.5% CREAM
(Hydrocortisone)
1 OUNCE TUBE 10631040701 38
PDPs
325
MAPDs
PROCTOZONE-HC 2.5% CREAM
(Hydrocortisone)
30 GM   64980032430 38
PDPs
328
MAPDs
RECOMBIVAX HB 10 MCG/ML SYR
(Hepatitis B Vaccine (Recombinant))
    00006409402 40
PDPs
345
MAPDs
RECOMBIVAX HB 10 MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
ML   00006499541 40
PDPs
345
MAPDs
RECOMBIVAX HB 40MCG/ML VIAL
(Hepatitis B Vaccine (Recombinant))
1 ML VIALSD 00006499200 40
PDPs
345
MAPDs
RECOMBIVAX HB 5 MCG/0.5 ML VL VIAL
(Hepatitis B Vaccine (Recombinant))
ML   00006498101 40
PDPs
345
MAPDs
SIKLOS 1,000 MG TABLET
(Hydroxyurea)
45 TABLETS   71770012030 0
PDPs
6
MAPDs
SIKLOS 100 MG TABLET
(Hydroxyurea)
TABLETS   71770010560 0
PDPs
4
MAPDs
TASIMELTEON 20 MG CAPSULE [HETLIOZ]
()
CAPSULES   00480449056 36
PDPs
206
MAPDs
TERAZOSIN 10 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   59746038606 40
PDPs
345
MAPDs
TERAZOSIN 5 MG CAPSULE [Hytrin]
(Terazosin HCl)
90 capsules   59746038506 40
PDPs
345
MAPDs
TEXACORT 2.5% SOLUTION
(Hydrocortisone)
30 mls   00178045501 0
PDPs
2
MAPDs
TRIAMTERENE-HCTZ 75-50 MG TABLET
(Triamterene & Hydrochlorothiazide)
500.000 EA   60505265705 40
PDPs
345
MAPDs
TRIAZOLAM 0.125 MG TABLET [Halcion]
()
2 TABLETS   70710152101 4
PDPs
110
MAPDs
TRIAZOLAM 0.25 MG TABLET [Halcion]
()
2 TABLETS   70710128901 4
PDPs
112
MAPDs
TWINRIX VACCINE SYRINGE
(Hepatitis A (Inact)-Hep B (Recomb) Vac)
    58160081552 40
PDPs
345
MAPDs
VAQTA 25 UNITS/0.5 ML SYRINGE
(Hepatitis A Vaccine)
    00006409502 40
PDPs
345
MAPDs
VAQTA 50 UNITS/ML SYRINGE
(Hepatitis A Vaccine)
    00006409602 40
PDPs
345
MAPDs
VAQTA 50 UNITS/ML VIAL
(Hepatitis A Vaccine)
ml   00006484141 40
PDPs
345
MAPDs
Vaqta Hepatitis A Vaccine Pediatric / Adolescent 25 Unit / 0.5 mL Injection Single Dose Vial 0.5 mL
(Hepatitis A Vaccine)
    00006483141 40
PDPs
345
MAPDs



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





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