2009 Medicare Part D Plan Formulary Information |
First Health Part D-Premier (S5768-122-0)
Benefit Details
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The First Health Part D-Premier (S5768-122-0) Formulary Drugs Starting with the Letter N in CMS PDP Region 25 which includes: IA MN MT NE ND SD WY
|
Drugs Starting with Letter N
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
NABUMETONE 500MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NABUMETONE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NABUMETONE 750MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NABUMETONE 750MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NADOLOL 160MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NADOLOL 160MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NADOLOL 20MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NADOLOL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NADOLOL 40MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NADOLOL 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NADOLOL 80MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NADOLOL 80MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NAFAZAIR 0.1% EYE DROPS ![Compare how all Medicare Part D PDP plans in IA cover NAFAZAIR 0.1% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NAFCILLIN FOR INJECTION 1 GM/ML ![Compare how all Medicare Part D PDP plans in IA cover NAFCILLIN FOR INJECTION 1 GM/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NAFCILLIN FOR INJECTION 10GM/ML 1 VIAL ![Compare how all Medicare Part D PDP plans in IA cover NAFCILLIN FOR INJECTION 10GM/ML 1 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NAFCILLIN SODIUM INJECTION 1GM VIAL ![Compare how all Medicare Part D PDP plans in IA cover NAFCILLIN SODIUM INJECTION 1GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAFCILLIN SODIUM INJECTION 2GM VIL ADD VANTAGE VIAL ![Compare how all Medicare Part D PDP plans in IA cover NAFCILLIN SODIUM INJECTION 2GM VIL ADD VANTAGE VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NAFTIN HCL GEL 1% 60GM TUBE ![Compare how all Medicare Part D PDP plans in IA cover NAFTIN HCL GEL 1% 60GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | Q:40 /30Days |
NAFTIN 1% CREAM ![Compare how all Medicare Part D PDP plans in IA cover NAFTIN 1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NAFTIN 1% CREAM ![Compare how all Medicare Part D PDP plans in IA cover NAFTIN 1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NAGLAZYME 5MG/5ML VIAL ![Compare how all Medicare Part D PDP plans in IA cover NAGLAZYME 5MG/5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty-Generic and Brand |
33% | N/A | P |
NALBUPHINE 10MG/ML VIAL ![Compare how all Medicare Part D PDP plans in IA cover NALBUPHINE 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NALBUPHINE 20MG/ML VIAL ![Compare how all Medicare Part D PDP plans in IA cover NALBUPHINE 20MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NALFON 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover NALFON 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NALOXONE 1MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in IA cover NALOXONE 1MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NALOXONE HCL INJECTION 0.4MG 10 X 1ML CTG ![Compare how all Medicare Part D PDP plans in IA cover NALOXONE HCL INJECTION 0.4MG 10 X 1ML CTG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NALTREXONE HCL 50MG TABLET 100 BLPK ![Compare how all Medicare Part D PDP plans in IA cover NALTREXONE HCL 50MG TABLET 100 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAMENDA 10MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NAMENDA 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | Q:60 /30Days |
NAMENDA 10MG/5ML SOLUTION ![Compare how all Medicare Part D PDP plans in IA cover NAMENDA 10MG/5ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | Q:360 /30Days |
NAMENDA 5-10MG TITRATION PK ![Compare how all Medicare Part D PDP plans in IA cover NAMENDA 5-10MG TITRATION PK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | Q:49 /28Days |
NAMENDA 5MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NAMENDA 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | Q:60 /30Days |
NAPROXEN 125MG/5ML SUSPEN ![Compare how all Medicare Part D PDP plans in IA cover NAPROXEN 125MG/5ML SUSPEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NAPROXEN 375MG TABLET EC ![Compare how all Medicare Part D PDP plans in IA cover NAPROXEN 375MG TABLET EC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NAPROXEN 500MG TABLET EC ![Compare how all Medicare Part D PDP plans in IA cover NAPROXEN 500MG TABLET EC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NAPROXEN SODIUM 275MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in IA cover NAPROXEN SODIUM 275MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NAPROXEN SODIUM 500MG TABLET SA ![Compare how all Medicare Part D PDP plans in IA cover NAPROXEN SODIUM 500MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NAPROXEN SODIUM 550MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in IA cover NAPROXEN SODIUM 550MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NAPROXEN TABLET 250MG (500 CT) ![Compare how all Medicare Part D PDP plans in IA cover NAPROXEN TABLET 250MG (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NAPROXEN TABLET 375MG (500 CT) ![Compare how all Medicare Part D PDP plans in IA cover NAPROXEN TABLET 375MG (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NAPROXEN TABLET 500MG (50 CT) ![Compare how all Medicare Part D PDP plans in IA cover NAPROXEN TABLET 500MG (50 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NARDIL 15MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NARDIL 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NASACORT AQ AER 55MCG/AC ![Compare how all Medicare Part D PDP plans in IA cover NASACORT AQ AER 55MCG/AC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | Q:33 /30Days |
NASONEX 50MCG NASAL SPRAY ![Compare how all Medicare Part D PDP plans in IA cover NASONEX 50MCG NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | Q:34 /30Days |
NATACYN EYE DROPS ![Compare how all Medicare Part D PDP plans in IA cover NATACYN EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NAVANE 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover NAVANE 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NEBUPENT 300MG INHAL POWDER ![Compare how all Medicare Part D PDP plans in IA cover NEBUPENT 300MG INHAL POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | P |
NECON 0.5/35-28 TABLET ![Compare how all Medicare Part D PDP plans in IA cover NECON 0.5/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NECON 1-0.05MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NECON 1-0.05MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NECON 1/35-28 TABLET ![Compare how all Medicare Part D PDP plans in IA cover NECON 1/35-28 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NECON 7 DAYS X 3 TABLET ![Compare how all Medicare Part D PDP plans in IA cover NECON 7 DAYS X 3 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NEFAZODONE HCL 100MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NEFAZODONE HCL 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NEFAZODONE HCL 150MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in IA cover NEFAZODONE HCL 150MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NEFAZODONE HCL 200MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NEFAZODONE HCL 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NEFAZODONE HCL 250MG TABLET (60 CT) ![Compare how all Medicare Part D PDP plans in IA cover NEFAZODONE HCL 250MG TABLET (60 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NEFAZODONE HCL 50MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NEFAZODONE HCL 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NEO-FRADIN 125MG/5ML SOLUTION ORAL ![Compare how all Medicare Part D PDP plans in IA cover NEO-FRADIN 125MG/5ML SOLUTION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NEO/POLY/DEXAMET EYE OINT ![Compare how all Medicare Part D PDP plans in IA cover NEO/POLY/DEXAMET EYE OINT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT ![Compare how all Medicare Part D PDP plans in IA cover NEO/POLYMYXIN/HC EAR TUBEX 10MG/3.5MG/100UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NEOMYCIN AND POLYMYXIN B SULFATES SOLUTION FOR IRRIGATION 40MG/20000UNT ![Compare how all Medicare Part D PDP plans in IA cover NEOMYCIN AND POLYMYXIN B SULFATES SOLUTION FOR IRRIGATION 40MG/20000UNT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NEOMYCIN SULFATE 500MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NEOMYCIN SULFATE 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT ![Compare how all Medicare Part D PDP plans in IA cover NEOMYCIN-BACITRACIN-POLY-HC 3.5-10K-1 OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NEOMYCIN-POLYMYXIN-HC 3.5-10K-1 SOLUTION NON-ORAL ![Compare how all Medicare Part D PDP plans in IA cover NEOMYCIN-POLYMYXIN-HC 3.5-10K-1 SOLUTION NON-ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS ![Compare how all Medicare Part D PDP plans in IA cover NEOMYCIN-POLYMYXIN-HC 3.5-10K-10 SUSPENSION DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML ![Compare how all Medicare Part D PDP plans in IA cover NEOMYCIN/POLYMY/DEXA EYE DROPS 3.5MG/1ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M ![Compare how all Medicare Part D PDP plans in IA cover NEOMYCIN/POLYMY/GRAM EYE DROPS 0.025MG/ML 1.75MG/M.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NEOMYCIN/POLYMY/HYDRO OTIC SUS ![Compare how all Medicare Part D PDP plans in IA cover NEOMYCIN/POLYMY/HYDRO OTIC SUS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NEORAL 100MG GELATN CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover NEORAL 100MG GELATN CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | P |
NEORAL 100MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in IA cover NEORAL 100MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | P |
NEORAL 25MG GELATIN CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover NEORAL 25MG GELATIN CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | P |
NEULASTA 6MG/0.6ML SYRINGE ![Compare how all Medicare Part D PDP plans in IA cover NEULASTA 6MG/0.6ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty-Generic and Brand |
33% | N/A | P |
NEUMEGA 5MG VIAL ![Compare how all Medicare Part D PDP plans in IA cover NEUMEGA 5MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEUPOGEN 300MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in IA cover NEUPOGEN 300MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty-Generic and Brand |
33% | N/A | P |
NEUPOGEN INJECTION 300MCG/0.5ML 0.5ML SYR ![Compare how all Medicare Part D PDP plans in IA cover NEUPOGEN INJECTION 300MCG/0.5ML 0.5ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty-Generic and Brand |
33% | N/A | P |
NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR ![Compare how all Medicare Part D PDP plans in IA cover NEUPOGEN INJECTION 480MCG/0.8ML 10 X 0.8ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty-Generic and Brand |
33% | N/A | P |
NEUPOGEN SOLUTION FOR INJECTION 300MCG/ML 10 X 1ML VIALSD ![Compare how all Medicare Part D PDP plans in IA cover NEUPOGEN SOLUTION FOR INJECTION 300MCG/ML 10 X 1ML VIALSD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty-Generic and Brand |
33% | N/A | P |
NEURONTIN 250MG/5ML TUBEX ![Compare how all Medicare Part D PDP plans in IA cover NEURONTIN 250MG/5ML TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NEUTREXIN 25MG VIAL ![Compare how all Medicare Part D PDP plans in IA cover NEUTREXIN 25MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty-Generic and Brand |
33% | N/A | P |
NEVANAC 0.1% DROPTAINER ![Compare how all Medicare Part D PDP plans in IA cover NEVANAC 0.1% DROPTAINER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NEXAVAR 200MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NEXAVAR 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty-Generic and Brand |
33% | N/A | P Q:120 /30Days |
NEXIUM 10MG PACKET ![Compare how all Medicare Part D PDP plans in IA cover NEXIUM 10MG PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | Q:30 /30Days |
NEXIUM 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover NEXIUM 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | Q:30 /30Days |
NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET ![Compare how all Medicare Part D PDP plans in IA cover NEXIUM 20MG SUSP FOR RECON DELAYED REL. IN A PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NEXIUM 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover NEXIUM 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | Q:30 /30Days |
NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET ![Compare how all Medicare Part D PDP plans in IA cover NEXIUM 40MG SUSP FOR RECON DELAYED REL. IN A PACKET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | Q:30 /30Days |
NIACOR 500MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NIACOR 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NIASPAN 1000MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in IA cover NIASPAN 1000MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | Q:60 /30Days |
NIASPAN ER 500MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in IA cover NIASPAN ER 500MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | Q:30 /30Days |
NIASPAN ER 750MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in IA cover NIASPAN ER 750MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | Q:60 /30Days |
NICARDIPINE HCL 20MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in IA cover NICARDIPINE HCL 20MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NICARDIPINE HCL 30MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in IA cover NICARDIPINE HCL 30MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL ![Compare how all Medicare Part D PDP plans in IA cover NICOTROL NS NASAL SPRAY BOTTLE 10MG 4 X 10MG/ML INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | Q:40 /30Days |
NIFEDIAC CC 30MG TABLET SA ![Compare how all Medicare Part D PDP plans in IA cover NIFEDIAC CC 30MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NIFEDIAC CC 60MG TABLET SA ![Compare how all Medicare Part D PDP plans in IA cover NIFEDIAC CC 60MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NIFEDIAC CC 90MG TABLET SA ![Compare how all Medicare Part D PDP plans in IA cover NIFEDIAC CC 90MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NIFEDICAL XL 30MG TABLET SR OSMOTIC PUSH 24HR ![Compare how all Medicare Part D PDP plans in IA cover NIFEDICAL XL 30MG TABLET SR OSMOTIC PUSH 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NIFEDICAL XL 60MG TABLET SR OSMOTIC PUSH 24HR ![Compare how all Medicare Part D PDP plans in IA cover NIFEDICAL XL 60MG TABLET SR OSMOTIC PUSH 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NIFEDIPINE 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover NIFEDIPINE 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NIFEDIPINE 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover NIFEDIPINE 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NIFEDIPINE ER 30MG TABLET SA ![Compare how all Medicare Part D PDP plans in IA cover NIFEDIPINE ER 30MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NIFEDIPINE ER 60MG TABLET SA ![Compare how all Medicare Part D PDP plans in IA cover NIFEDIPINE ER 60MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NIFEDIPINE ER 90MG TABLET SA ![Compare how all Medicare Part D PDP plans in IA cover NIFEDIPINE ER 90MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NILANDRON 150MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NILANDRON 150MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NIMODIPINE 30MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover NIMODIPINE 30MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NISOLDIPINE 20MG TB24 ![Compare how all Medicare Part D PDP plans in IA cover NISOLDIPINE 20MG TB24.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NISOLDIPINE 30MG TB24 ![Compare how all Medicare Part D PDP plans in IA cover NISOLDIPINE 30MG TB24.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | Q:60 /30Days |
NISOLDIPINE 40MG TB24 ![Compare how all Medicare Part D PDP plans in IA cover NISOLDIPINE 40MG TB24.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | Q:30 /30Days |
NITRO-DUR 0.1MG/HR PATCH TRANSDERMAL 24 HOURS ![Compare how all Medicare Part D PDP plans in IA cover NITRO-DUR 0.1MG/HR PATCH TRANSDERMAL 24 HOURS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | Q:30 /30Days |
NITRO-DUR 0.3MG/HR PATCH ![Compare how all Medicare Part D PDP plans in IA cover NITRO-DUR 0.3MG/HR PATCH.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | Q:30 /30Days |
NITRO-DUR 0.6MG 30 BOX ![Compare how all Medicare Part D PDP plans in IA cover NITRO-DUR 0.6MG 30 BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | Q:30 /30Days |
NITRO-DUR 0.8MG/HR PATCH INST. ![Compare how all Medicare Part D PDP plans in IA cover NITRO-DUR 0.8MG/HR PATCH INST..](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | Q:30 /30Days |
NITRO-DUR NITROGLYCERIN 0.4MG/HR PATCH TRANSDERMAL 24 HOURS ![Compare how all Medicare Part D PDP plans in IA cover NITRO-DUR NITROGLYCERIN 0.4MG/HR PATCH TRANSDERMAL 24 HOURS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | Q:30 /30Days |
NITRO-DUR PATCHES 0.2MG 30 BOX ![Compare how all Medicare Part D PDP plans in IA cover NITRO-DUR PATCHES 0.2MG 30 BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | Q:30 /30Days |
NITROFURANTOIN 100MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in IA cover NITROFURANTOIN 100MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NITROFURANTOIN MACROCRYSTAL USP 100MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in IA cover NITROFURANTOIN MACROCRYSTAL USP 100MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NITROFURANTOIN MCR 50MG CAP ![Compare how all Medicare Part D PDP plans in IA cover NITROFURANTOIN MCR 50MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NITROGLYCERIN 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in IA cover NITROGLYCERIN 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NITROLINGUAL SPR PUMPSPRA ![Compare how all Medicare Part D PDP plans in IA cover NITROLINGUAL SPR PUMPSPRA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NITROSTAT 0.3MG TABLET SL ![Compare how all Medicare Part D PDP plans in IA cover NITROSTAT 0.3MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NITROSTAT 0.4MG TABLET SL ![Compare how all Medicare Part D PDP plans in IA cover NITROSTAT 0.4MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NITROSTAT 0.6MG TABLET SL ![Compare how all Medicare Part D PDP plans in IA cover NITROSTAT 0.6MG TABLET SL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NIZATIDINE 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover NIZATIDINE 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NIZATIDINE 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover NIZATIDINE 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NORA-BE 0.35MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NORA-BE 0.35MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NORDITROPIN 15MG/1.5ML CRTG ![Compare how all Medicare Part D PDP plans in IA cover NORDITROPIN 15MG/1.5ML CRTG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty-Generic and Brand |
33% | N/A | P |
NORDITROPIN 5MG/1.5ML CRTG ![Compare how all Medicare Part D PDP plans in IA cover NORDITROPIN 5MG/1.5ML CRTG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty-Generic and Brand |
33% | N/A | P |
NORDITROPIN NORDIFLEX 10MG/1.5 ![Compare how all Medicare Part D PDP plans in IA cover NORDITROPIN NORDIFLEX 10MG/1.5.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty-Generic and Brand |
33% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORDITROPIN NORDIFLEX 15MG/1.5 ![Compare how all Medicare Part D PDP plans in IA cover NORDITROPIN NORDIFLEX 15MG/1.5.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty-Generic and Brand |
33% | N/A | P |
NORDITROPIN NORDIFLEX 5MG/1.5 ![Compare how all Medicare Part D PDP plans in IA cover NORDITROPIN NORDIFLEX 5MG/1.5.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty-Generic and Brand |
33% | N/A | P |
NORETHINDRONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in IA cover NORETHINDRONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NORITATE 1% CREAM ![Compare how all Medicare Part D PDP plans in IA cover NORITATE 1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NORPACE CR 100MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in IA cover NORPACE CR 100MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Non-Preferred Generic/Non-Preferred Brand |
$54.00 | N/A | None |
NORTREL .035-1MG TABLET 21DAY BLPK ![Compare how all Medicare Part D PDP plans in IA cover NORTREL .035-1MG TABLET 21DAY BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NORTREL 0.035-0.5MG TABLET 28DAY BLPK ![Compare how all Medicare Part D PDP plans in IA cover NORTREL 0.035-0.5MG TABLET 28DAY BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NORTREL 1-0.035MG TABLET 28DAY ![Compare how all Medicare Part D PDP plans in IA cover NORTREL 1-0.035MG TABLET 28DAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NORTREL 7 DAYS X 3 TABLET ![Compare how all Medicare Part D PDP plans in IA cover NORTREL 7 DAYS X 3 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NORTRIPTYLINE 10MG/5ML SOL ![Compare how all Medicare Part D PDP plans in IA cover NORTRIPTYLINE 10MG/5ML SOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NORTRIPTYLINE HCL 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover NORTRIPTYLINE HCL 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NORTRIPTYLINE HCL 25MG CAP ![Compare how all Medicare Part D PDP plans in IA cover NORTRIPTYLINE HCL 25MG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NORTRIPTYLINE HCL 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover NORTRIPTYLINE HCL 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NORTRIPTYLINE HCL 75MG CAPSULE ![Compare how all Medicare Part D PDP plans in IA cover NORTRIPTYLINE HCL 75MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NORVIR 100MG SOFTGEL CAP 120 CAPS BOTPL ![Compare how all Medicare Part D PDP plans in IA cover NORVIR 100MG SOFTGEL CAP 120 CAPS BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NORVIR 80MG/ML ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in IA cover NORVIR 80MG/ML ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NOVOLIN 70/30 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in IA cover NOVOLIN 70/30 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NOVOLIN 70/30 U100 CARTRIDG ![Compare how all Medicare Part D PDP plans in IA cover NOVOLIN 70/30 U100 CARTRIDG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | P |
NOVOLIN 70/INJ 30 INNLT ![Compare how all Medicare Part D PDP plans in IA cover NOVOLIN 70/INJ 30 INNLT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | P |
NOVOLIN N 100U/ML CARTRIDGE ![Compare how all Medicare Part D PDP plans in IA cover NOVOLIN N 100U/ML CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | P |
NOVOLIN N 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in IA cover NOVOLIN N 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NOVOLIN N INJ INNOLET ![Compare how all Medicare Part D PDP plans in IA cover NOVOLIN N INJ INNOLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NOVOLIN R 100U/ML CARTRIDGE ![Compare how all Medicare Part D PDP plans in IA cover NOVOLIN R 100U/ML CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | P |
NOVOLIN R 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in IA cover NOVOLIN R 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NOVOLIN R 100UNIT/ML INNOLET ![Compare how all Medicare Part D PDP plans in IA cover NOVOLIN R 100UNIT/ML INNOLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | P |
NOVOLOG 100U/ML CARTRIDGE ![Compare how all Medicare Part D PDP plans in IA cover NOVOLOG 100U/ML CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | P |
NOVOLOG 100U/ML VIAL ![Compare how all Medicare Part D PDP plans in IA cover NOVOLOG 100U/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NOVOLOG MIX 70/30 CARTRIDGE ![Compare how all Medicare Part D PDP plans in IA cover NOVOLOG MIX 70/30 CARTRIDGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | P |
NOVOLOG MIX 70/30 SYRINGE 70-30U/ML ![Compare how all Medicare Part D PDP plans in IA cover NOVOLOG MIX 70/30 SYRINGE 70-30U/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | P |
NOVOLOG MIX 70/30 VIAL ![Compare how all Medicare Part D PDP plans in IA cover NOVOLOG MIX 70/30 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NOXAFIL 200MG/5ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in IA cover NOXAFIL 200MG/5ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Specialty-Generic and Brand |
33% | N/A | P Q:630 /30Days |
NULYTELY POWDER FOR ORAL SOLUTION 420GM-1.48GM-5GM 4L BOT ![Compare how all Medicare Part D PDP plans in IA cover NULYTELY POWDER FOR ORAL SOLUTION 420GM-1.48GM-5GM 4L BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
NULYTELY WITH FLAVOR PACKS POWDER FOR SOLUTION 420;1.48;MG;MG;GM; 4 L BOT ![Compare how all Medicare Part D PDP plans in IA cover NULYTELY WITH FLAVOR PACKS POWDER FOR SOLUTION 420;1.48;MG;MG;GM; 4 L BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Preferred Brand |
$25.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
NYSTATIN 100000U/G POWDER ![Compare how all Medicare Part D PDP plans in IA cover NYSTATIN 100000U/G POWDER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NYSTATIN 100000U/GM CREAM ![Compare how all Medicare Part D PDP plans in IA cover NYSTATIN 100000U/GM CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NYSTATIN 100000U/GM OINT ![Compare how all Medicare Part D PDP plans in IA cover NYSTATIN 100000U/GM OINT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NYSTATIN ORAL SUSPENSION 100000U 473ML BOT ![Compare how all Medicare Part D PDP plans in IA cover NYSTATIN ORAL SUSPENSION 100000U 473ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NYSTATIN TABLET 500000U (100 CT) ![Compare how all Medicare Part D PDP plans in IA cover NYSTATIN TABLET 500000U (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NYSTATIN/TRIAMCINOLONE CRM ![Compare how all Medicare Part D PDP plans in IA cover NYSTATIN/TRIAMCINOLONE CRM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |
NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG ![Compare how all Medicare Part D PDP plans in IA cover NYSTATIN/TRIAMCINOLONE OINT 10000UNT/1MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Preferred Generic |
$7.00 | N/A | None |