2009 Medicare Part D Plan Formulary Information |
Health Net Orange Option 1 (S5678-030-0)
Benefit Details
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The Health Net Orange Option 1 (S5678-030-0) Formulary Drugs Starting with the Letter R in CMS PDP Region 12 which includes: AL TN
|
Drugs Starting with Letter R
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
RABAVERT RABIES VACCINE KIT 2.5 IU/ML ![Compare how all Medicare Part D PDP plans in AL cover RABAVERT RABIES VACCINE KIT 2.5 IU/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | P |
RAMIPRIL 1.25MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover RAMIPRIL 1.25MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | Q:2 /1Days |
RAMIPRIL 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover RAMIPRIL 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | Q:2 /1Days |
RAMIPRIL 2.5MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover RAMIPRIL 2.5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | Q:2 /1Days |
RAMIPRIL 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover RAMIPRIL 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | Q:2 /1Days |
RANEXA 1000MG TABLET SR 12HR ![Compare how all Medicare Part D PDP plans in AL cover RANEXA 1000MG TABLET SR 12HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | P Q:2 /1Days |
RANEXA 500MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RANEXA 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | P |
RANITIDINE 1000MG/40ML VIAL ![Compare how all Medicare Part D PDP plans in AL cover RANITIDINE 1000MG/40ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
RANITIDINE 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover RANITIDINE 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
RANITIDINE HCL 15MG/ML SYRUP ![Compare how all Medicare Part D PDP plans in AL cover RANITIDINE HCL 15MG/ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RANITIDINE HCL 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in AL cover RANITIDINE HCL 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
RANITIDINE HCL 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in AL cover RANITIDINE HCL 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
RANITIDINE HCL 300MG CAPSULE (30 CT) ![Compare how all Medicare Part D PDP plans in AL cover RANITIDINE HCL 300MG CAPSULE (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
RANITIDINE TABLET 300MG (100 CT) ![Compare how all Medicare Part D PDP plans in AL cover RANITIDINE TABLET 300MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
RANITIDINE TABLET USP 150MG (500 CT) ![Compare how all Medicare Part D PDP plans in AL cover RANITIDINE TABLET USP 150MG (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
RAPAMUNE 1MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RAPAMUNE 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | P |
RAPAMUNE 1MG/ML ORAL TUBEX ![Compare how all Medicare Part D PDP plans in AL cover RAPAMUNE 1MG/ML ORAL TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | P |
RAPAMUNE 2MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RAPAMUNE 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | P |
REBETOL 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover REBETOL 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | P |
REBETOL 40MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in AL cover REBETOL 40MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | P |
REBIF 22MCG/0.5ML SYRINGE ![Compare how all Medicare Part D PDP plans in AL cover REBIF 22MCG/0.5ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REBIF 44MCG/0.5ML SYRINGE ![Compare how all Medicare Part D PDP plans in AL cover REBIF 44MCG/0.5ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | P |
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL ![Compare how all Medicare Part D PDP plans in AL cover REBIF TITRTN SOL PACK 8.8MCG/22 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | P |
RECLIPSEN 0.15-0.03 TABLET ![Compare how all Medicare Part D PDP plans in AL cover RECLIPSEN 0.15-0.03 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | Q:1 /1Days |
RECOMBIVAX HB 40MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in AL cover RECOMBIVAX HB 40MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | P |
RECOMBIVAX HB 5MCG/0.5ML VL ![Compare how all Medicare Part D PDP plans in AL cover RECOMBIVAX HB 5MCG/0.5ML VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | P |
REGLAN 10MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover REGLAN 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REGLAN 5MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover REGLAN 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REGLAN 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in AL cover REGLAN 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
REGONOL AMP 10MG 5ML ![Compare how all Medicare Part D PDP plans in AL cover REGONOL AMP 10MG 5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
RELENZA 5MG DISKHALER ![Compare how all Medicare Part D PDP plans in AL cover RELENZA 5MG DISKHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | P |
RELION 70/30 INJ 100/ML ![Compare how all Medicare Part D PDP plans in AL cover RELION 70/30 INJ 100/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:40 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RELION N INJ 100/ML ![Compare how all Medicare Part D PDP plans in AL cover RELION N INJ 100/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:40 /30Days |
RELION R INJ 100/ML ![Compare how all Medicare Part D PDP plans in AL cover RELION R INJ 100/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:40 /30Days |
RELISTOR KIT ![Compare how all Medicare Part D PDP plans in AL cover RELISTOR KIT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | P |
RELISTOR SOLUTION ![Compare how all Medicare Part D PDP plans in AL cover RELISTOR SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | P |
REMERON 15MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover REMERON 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REMERON 30MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover REMERON 30MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REMERON 45MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover REMERON 45MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REMERON SLTABLET 15MG TABLET 30 BLPK CRTN ![Compare how all Medicare Part D PDP plans in AL cover REMERON SLTABLET 15MG TABLET 30 BLPK CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REMERON SLTABLET 30MG TABLET 30 TABLET S CRTN ![Compare how all Medicare Part D PDP plans in AL cover REMERON SLTABLET 30MG TABLET 30 TABLET S CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REMERON SLTABLET 45MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover REMERON SLTABLET 45MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REMICADE 100MG VIAL ![Compare how all Medicare Part D PDP plans in AL cover REMICADE 100MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REMODULIN 10MG/ML VIAL ![Compare how all Medicare Part D PDP plans in AL cover REMODULIN 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | None |
REMODULIN 1MG/ML VIAL ![Compare how all Medicare Part D PDP plans in AL cover REMODULIN 1MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | None |
REMODULIN 2.5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in AL cover REMODULIN 2.5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | None |
REMODULIN 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in AL cover REMODULIN 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | None |
RENAGEL 400MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RENAGEL 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
RENAGEL 800MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RENAGEL 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
RENAMIN 6.5% IV SOLUTION ![Compare how all Medicare Part D PDP plans in AL cover RENAMIN 6.5% IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | P |
RENVELA 800MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RENVELA 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REPREXAIN TABLET 200-5MG (100 CT) ![Compare how all Medicare Part D PDP plans in AL cover REPREXAIN TABLET 200-5MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
REQUIP 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover REQUIP 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REQUIP 0.5MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover REQUIP 0.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REQUIP 1MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover REQUIP 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REQUIP 2MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover REQUIP 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REQUIP 3MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover REQUIP 3MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REQUIP 4MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover REQUIP 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REQUIP 5MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover REQUIP 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RESCRIPTOR 100MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RESCRIPTOR 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RESCRIPTOR 200MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RESCRIPTOR 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RESERPINE 0.1MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RESERPINE 0.1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RESERPINE 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RESERPINE 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
RESTASIS 0.05% EYE EMULSION ![Compare how all Medicare Part D PDP plans in AL cover RESTASIS 0.05% EYE EMULSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | P Q:2 /1Days |
RETIN-A 0.01% GEL ![Compare how all Medicare Part D PDP plans in AL cover RETIN-A 0.01% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | Q:45 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RETIN-A 0.025% CREAM ![Compare how all Medicare Part D PDP plans in AL cover RETIN-A 0.025% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | Q:20 /30Days |
RETIN-A 0.025% GEL ![Compare how all Medicare Part D PDP plans in AL cover RETIN-A 0.025% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | Q:45 /30Days |
RETIN-A 0.05% CREAM ![Compare how all Medicare Part D PDP plans in AL cover RETIN-A 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | Q:20 /30Days |
RETIN-A 0.1% CREAM ![Compare how all Medicare Part D PDP plans in AL cover RETIN-A 0.1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | Q:20 /30Days |
RETROVIR 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover RETROVIR 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RETROVIR 10MGML SYRUP ![Compare how all Medicare Part D PDP plans in AL cover RETROVIR 10MGML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RETROVIR 300MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RETROVIR 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RETROVIR IV INFUSION VIAL ![Compare how all Medicare Part D PDP plans in AL cover RETROVIR IV INFUSION VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
REVATIO 20MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover REVATIO 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | P |
REVIA 50MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover REVIA 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REVLIMID 10MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in AL cover REVLIMID 10MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REVLIMID 15MG CAPSULE 21 BOT ![Compare how all Medicare Part D PDP plans in AL cover REVLIMID 15MG CAPSULE 21 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | P |
REVLIMID 25MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in AL cover REVLIMID 25MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | P |
REVLIMID 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover REVLIMID 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | P |
REYATAZ 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover REYATAZ 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REYATAZ 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover REYATAZ 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REYATAZ 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover REYATAZ 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
REYATAZ 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover REYATAZ 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RHEUMATREX 2.5MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in AL cover RHEUMATREX 2.5MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RIBASPHERE 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover RIBASPHERE 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | P |
RIBASPHERE 200MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RIBASPHERE 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | P |
RIBAVIRIN 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover RIBAVIRIN 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIBAVIRIN 200MG TABLET 168 BOT ![Compare how all Medicare Part D PDP plans in AL cover RIBAVIRIN 200MG TABLET 168 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | P |
RIDAURA 3MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover RIDAURA 3MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RIFADIN 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover RIFADIN 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RIFADIN 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover RIFADIN 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RIFADIN IV 600MG VIAL ![Compare how all Medicare Part D PDP plans in AL cover RIFADIN IV 600MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
RIFAMPIN 150MG CAPSULE (30 CT) ![Compare how all Medicare Part D PDP plans in AL cover RIFAMPIN 150MG CAPSULE (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
RIFAMPIN 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover RIFAMPIN 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
RIFAMPIN 600MG VIAL ![Compare how all Medicare Part D PDP plans in AL cover RIFAMPIN 600MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
RILUTEK 50MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RILUTEK 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | None |
RIMANTADINE 100MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RIMANTADINE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
RINGERS INJECTION 1000ML BAG ![Compare how all Medicare Part D PDP plans in AL cover RINGERS INJECTION 1000ML BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RINGERS IRRIGATION 860-30 12X1000ML BAG ![Compare how all Medicare Part D PDP plans in AL cover RINGERS IRRIGATION 860-30 12X1000ML BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
RIOMET 500MG/5ML SOLUTION ORAL ![Compare how all Medicare Part D PDP plans in AL cover RIOMET 500MG/5ML SOLUTION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RISPERDAL 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | Q:2 /1Days |
RISPERDAL 0.5MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL 0.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | Q:6 /1Days |
RISPERDAL 1MG M-TAB ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL 1MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | P Q:6 /1Days |
RISPERDAL 1MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | Q:6 /1Days |
RISPERDAL 1MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL 1MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | Q:16 /1Days |
RISPERDAL 2MG M-TAB ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL 2MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | P Q:2 /1Days |
RISPERDAL 2MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | Q:2 /1Days |
RISPERDAL 3MG M-TAB ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL 3MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | P Q:5 /1Days |
RISPERDAL 3MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL 3MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | Q:5 /1Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERDAL 4MG M-TAB ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL 4MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | P Q:4 /1Days |
RISPERDAL 4MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | Q:4 /1Days |
RISPERDAL CONSTA 25MG SYR ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL CONSTA 25MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | Q:3 /30Days |
RISPERDAL CONSTA 37.5MG SYR ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL CONSTA 37.5MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | Q:3 /30Days |
RISPERDAL CONSTA 50MG SYR ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL CONSTA 50MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | Q:3 /30Days |
RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
RISPERDAL M TABLET 0.5MG ![Compare how all Medicare Part D PDP plans in AL cover RISPERDAL M TABLET 0.5MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | P Q:6 /1Days |
RISPERIDONE ORAL SOLUTION 1MG 30 ML BOTDR ![Compare how all Medicare Part D PDP plans in AL cover RISPERIDONE ORAL SOLUTION 1MG 30 ML BOTDR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | Q:16 /1Days |
RISPERIDONE TABLET ![Compare how all Medicare Part D PDP plans in AL cover RISPERIDONE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | Q:2 /1Days |
RISPERIDONE TABLET 1 MG ![Compare how all Medicare Part D PDP plans in AL cover RISPERIDONE TABLET 1 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | Q:6 /1Days |
RISPERIDONE TABLET 2 MG ![Compare how all Medicare Part D PDP plans in AL cover RISPERIDONE TABLET 2 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | Q:2 /1Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERIDONE TABLET 3 MG ![Compare how all Medicare Part D PDP plans in AL cover RISPERIDONE TABLET 3 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | Q:5 /1Days |
RISPERIDONE TABLET 4 MG ![Compare how all Medicare Part D PDP plans in AL cover RISPERIDONE TABLET 4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | Q:4 /1Days |
RISPERIODONE TABLET ![Compare how all Medicare Part D PDP plans in AL cover RISPERIODONE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | Q:6 /1Days |
RITALIN 10MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RITALIN 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RITALIN 20MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RITALIN 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RITALIN 5MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RITALIN 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RITALIN-SR 20MG TABLET SA ![Compare how all Medicare Part D PDP plans in AL cover RITALIN-SR 20MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RITUXAN 10MG/ML VIAL ![Compare how all Medicare Part D PDP plans in AL cover RITUXAN 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Specialty |
25% | N/A | P |
ROBAXIN 100MG/ML VIAL ![Compare how all Medicare Part D PDP plans in AL cover ROBAXIN 100MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
ROBAXIN 500MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover ROBAXIN 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
ROBAXIN-750 TABLET 750MG ![Compare how all Medicare Part D PDP plans in AL cover ROBAXIN-750 TABLET 750MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROBINUL 0.2MG/ML VIAL ![Compare how all Medicare Part D PDP plans in AL cover ROBINUL 0.2MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
ROBINUL FORTE 2MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover ROBINUL FORTE 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Brand |
$90.00 | $225.00 | None |
ROCALTROL 0.25MCG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover ROCALTROL 0.25MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
ROCALTROL 0.5MCG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover ROCALTROL 0.5MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
ROCALTROL 1MCG/ML ORAL TUBEX ![Compare how all Medicare Part D PDP plans in AL cover ROCALTROL 1MCG/ML ORAL TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
ROCEPHIN 10GM VIAL ![Compare how all Medicare Part D PDP plans in AL cover ROCEPHIN 10GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
ROCEPHIN 1GM VIAL ![Compare how all Medicare Part D PDP plans in AL cover ROCEPHIN 1GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
ROCEPHIN 250MG VIAL ![Compare how all Medicare Part D PDP plans in AL cover ROCEPHIN 250MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
ROCEPHIN 2GM VIAL ![Compare how all Medicare Part D PDP plans in AL cover ROCEPHIN 2GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
ROCEPHIN 2GM/DEXTROSE 2.4% ![Compare how all Medicare Part D PDP plans in AL cover ROCEPHIN 2GM/DEXTROSE 2.4%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
ROCEPHIN 500MG VIAL ![Compare how all Medicare Part D PDP plans in AL cover ROCEPHIN 500MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROCEPHIN ADD-VANTAGE 1GM VL ![Compare how all Medicare Part D PDP plans in AL cover ROCEPHIN ADD-VANTAGE 1GM VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
ROCEPHIN ADD-VANTAGE 2GM VL ![Compare how all Medicare Part D PDP plans in AL cover ROCEPHIN ADD-VANTAGE 2GM VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
ROCEPHIN/DEX INJ 1GM ![Compare how all Medicare Part D PDP plans in AL cover ROCEPHIN/DEX INJ 1GM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Injectable |
25% | N/A | None |
ROMYCIN 5MG/G OINTMENT ![Compare how all Medicare Part D PDP plans in AL cover ROMYCIN 5MG/G OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
ROPINIROLE HCL TABLET ![Compare how all Medicare Part D PDP plans in AL cover ROPINIROLE HCL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
ROPINIROLE HCL TABLET 1 MG ![Compare how all Medicare Part D PDP plans in AL cover ROPINIROLE HCL TABLET 1 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
ROPINIROLE HCL TABLET 2 MG ![Compare how all Medicare Part D PDP plans in AL cover ROPINIROLE HCL TABLET 2 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
ROPINIROLE HCL TABLET 3 MG ![Compare how all Medicare Part D PDP plans in AL cover ROPINIROLE HCL TABLET 3 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
ROPINIROLE HCL TABLET 4 MG ![Compare how all Medicare Part D PDP plans in AL cover ROPINIROLE HCL TABLET 4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
ROPINIROLE HCL TABLET 5 MG ![Compare how all Medicare Part D PDP plans in AL cover ROPINIROLE HCL TABLET 5 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
ROPINIROLE HYDROCLORIDE TABLET ![Compare how all Medicare Part D PDP plans in AL cover ROPINIROLE HYDROCLORIDE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROTATEQ VACCINE ![Compare how all Medicare Part D PDP plans in AL cover ROTATEQ VACCINE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
ROWASA 4GM/60ML ENEMA 28 X 60ML BOT ![Compare how all Medicare Part D PDP plans in AL cover ROWASA 4GM/60ML ENEMA 28 X 60ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
ROXICET 5-325/5ML SOLUTION ORAL ![Compare how all Medicare Part D PDP plans in AL cover ROXICET 5-325/5ML SOLUTION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
ROXICET 5/325 TABLET ![Compare how all Medicare Part D PDP plans in AL cover ROXICET 5/325 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
ROXICET 5/500 CAPLET ![Compare how all Medicare Part D PDP plans in AL cover ROXICET 5/500 CAPLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
ROXICODONE 15MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover ROXICODONE 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
ROXICODONE 30MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover ROXICODONE 30MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
ROXILOX 500-5MG (100 CT) ![Compare how all Medicare Part D PDP plans in AL cover ROXILOX 500-5MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$2.00 | $4.00 | None |
ROZEREM 8MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in AL cover ROZEREM 8MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | S Q:1 /1Days |
RYTHMOL 150MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RYTHMOL 150MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RYTHMOL 225MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RYTHMOL 225MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RYTHMOL 300MG TABLET ![Compare how all Medicare Part D PDP plans in AL cover RYTHMOL 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RYTHMOL SR 225MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover RYTHMOL SR 225MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RYTHMOL SR 325MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover RYTHMOL SR 325MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |
RYTHMOL SR 425MG CAPSULE ![Compare how all Medicare Part D PDP plans in AL cover RYTHMOL SR 425MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$44.00 | $88.00 | None |