2009 Medicare Part D Plan Formulary Information |
AARP MedicareRx Preferred (S5820-005-0)
Benefit Details
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The AARP MedicareRx Preferred (S5820-005-0) Formulary Drugs Starting with the Letter F in CMS PDP Region 6 which includes: PA WV
|
Drugs Starting with Letter F
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
FABRAZYME 35MG VIAL ![Compare how all Medicare Part D PDP plans in PA cover FABRAZYME 35MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
FABRAZYME 5MG VIAL ![Compare how all Medicare Part D PDP plans in PA cover FABRAZYME 5MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
FACTIVE 320MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FACTIVE 320MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FAMCICLOVIR 125MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FAMCICLOVIR 125MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FAMCICLOVIR 250MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FAMCICLOVIR 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FAMCICLOVIR 500MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FAMCICLOVIR 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FAMOTIDINE 20MG PIGGYBACK ![Compare how all Medicare Part D PDP plans in PA cover FAMOTIDINE 20MG PIGGYBACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FAMOTIDINE 20MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in PA cover FAMOTIDINE 20MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FAMOTIDINE 40MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FAMOTIDINE 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FAMOTIDINE INJECTION 10MG 25 X 2ML VIALSD ![Compare how all Medicare Part D PDP plans in PA cover FAMOTIDINE INJECTION 10MG 25 X 2ML VIALSD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FAMVIR 125MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FAMVIR 125MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FAMVIR 250MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FAMVIR 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FAMVIR 500MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FAMVIR 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FANSIDAR 500/25 TABLET ![Compare how all Medicare Part D PDP plans in PA cover FANSIDAR 500/25 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FARESTON 60MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover FARESTON 60MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FASLODEX 125MG/2.5ML SYRNGE ![Compare how all Medicare Part D PDP plans in PA cover FASLODEX 125MG/2.5ML SYRNGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
FASLODEX 250MG/5ML SYRINGE ![Compare how all Medicare Part D PDP plans in PA cover FASLODEX 250MG/5ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
FAZACLO 12.5MG TABLET RAPID DISSOLVE ![Compare how all Medicare Part D PDP plans in PA cover FAZACLO 12.5MG TABLET RAPID DISSOLVE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FAZACLO TABLET ORALLY DISINTEGRATING 100MG (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover FAZACLO TABLET ORALLY DISINTEGRATING 100MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FAZACLO TABLET ORALLY DISINTEGRATING 25MG (10 CT) ![Compare how all Medicare Part D PDP plans in PA cover FAZACLO TABLET ORALLY DISINTEGRATING 25MG (10 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FELBATOL 400MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FELBATOL 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FELBATOL 600MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FELBATOL 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FELBATOL 600MG/5ML SUSP ![Compare how all Medicare Part D PDP plans in PA cover FELBATOL 600MG/5ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FELDENE 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover FELDENE 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FELDENE 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover FELDENE 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FELODIPINE ER 2.5MG TABLET 90 TABLET BOT ![Compare how all Medicare Part D PDP plans in PA cover FELODIPINE ER 2.5MG TABLET 90 TABLET BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FELODIPINE TABLET ER 10MG (1000 CT) ![Compare how all Medicare Part D PDP plans in PA cover FELODIPINE TABLET ER 10MG (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FELODIPINE TABLET ER 5MG (1000 CT) ![Compare how all Medicare Part D PDP plans in PA cover FELODIPINE TABLET ER 5MG (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FEMARA 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FEMARA 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FEMHRT 0.5MG/2.5MCG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FEMHRT 0.5MG/2.5MCG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FEMHRT 1/5 TABLET ![Compare how all Medicare Part D PDP plans in PA cover FEMHRT 1/5 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FEMRING 0.05MG VAGINAL RING ![Compare how all Medicare Part D PDP plans in PA cover FEMRING 0.05MG VAGINAL RING.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:1 /90Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FEMRING 0.10MG VAGINAL RING ![Compare how all Medicare Part D PDP plans in PA cover FEMRING 0.10MG VAGINAL RING.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:1 /90Days |
FEMTRACE 0.45MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FEMTRACE 0.45MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FEMTRACE 0.9MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FEMTRACE 0.9MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FEMTRACE 1.8MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FEMTRACE 1.8MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FENOFIBRATE 134MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover FENOFIBRATE 134MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FENOFIBRATE 160MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FENOFIBRATE 160MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FENOFIBRATE 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover FENOFIBRATE 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FENOFIBRATE 54MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FENOFIBRATE 54MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FENOFIBRATE 67MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover FENOFIBRATE 67MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FENOGLIDE 120MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FENOGLIDE 120MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FENOGLIDE 40MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FENOGLIDE 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FENOPROFEN 600MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FENOPROFEN 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FENTANYL 100MCG/HR PATCH TRANSDERMAL 72 HOURS ![Compare how all Medicare Part D PDP plans in PA cover FENTANYL 100MCG/HR PATCH TRANSDERMAL 72 HOURS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:31 /31Days |
FENTANYL 12MCG/HR PATCH TRANSDERMAL 72 HOURS ![Compare how all Medicare Part D PDP plans in PA cover FENTANYL 12MCG/HR PATCH TRANSDERMAL 72 HOURS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:15 /31Days |
FENTANYL CITRATE INJECTION 50MCG 10 X 2ML CTG ![Compare how all Medicare Part D PDP plans in PA cover FENTANYL CITRATE INJECTION 50MCG 10 X 2ML CTG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FENTANYL TRANSDERMAL SYSTEM 25MCG 5 SYSTEMS CRTN ![Compare how all Medicare Part D PDP plans in PA cover FENTANYL TRANSDERMAL SYSTEM 25MCG 5 SYSTEMS CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:15 /31Days |
FENTANYL TRANSDERMAL SYSTEM 50MCG 5 SYSTEMS CRTN ![Compare how all Medicare Part D PDP plans in PA cover FENTANYL TRANSDERMAL SYSTEM 50MCG 5 SYSTEMS CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:15 /31Days |
FENTANYL TRANSDERMAL SYSTEM 75MCG 5 SYSTEMS CRTN ![Compare how all Medicare Part D PDP plans in PA cover FENTANYL TRANSDERMAL SYSTEM 75MCG 5 SYSTEMS CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:31 /31Days |
FENTORA TABLET 100MCG ![Compare how all Medicare Part D PDP plans in PA cover FENTORA TABLET 100MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P Q:124 /31Days |
FENTORA TABLET 200MCG ![Compare how all Medicare Part D PDP plans in PA cover FENTORA TABLET 200MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P Q:124 /31Days |
FENTORA TABLET 300MCG ![Compare how all Medicare Part D PDP plans in PA cover FENTORA TABLET 300MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P Q:124 /31Days |
FENTORA TABLET 400MCG ![Compare how all Medicare Part D PDP plans in PA cover FENTORA TABLET 400MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P Q:124 /31Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FENTORA TABLET 600MCG ![Compare how all Medicare Part D PDP plans in PA cover FENTORA TABLET 600MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P Q:124 /31Days |
FENTORA TABLET 800MCG ![Compare how all Medicare Part D PDP plans in PA cover FENTORA TABLET 800MCG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P Q:124 /31Days |
FEXMID 7.5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FEXMID 7.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | S |
FEXOFENADINE HCL 180MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FEXOFENADINE HCL 180MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FEXOFENADINE HCL 30MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FEXOFENADINE HCL 30MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FEXOFENADINE HCL 60MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover FEXOFENADINE HCL 60MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FINACEA 15% GEL ![Compare how all Medicare Part D PDP plans in PA cover FINACEA 15% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FINASTERIDE 5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FINASTERIDE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FIORICET W/CODEINE CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover FIORICET W/CODEINE CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FIORINAL W/CODEINE #3 CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover FIORINAL W/CODEINE #3 CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FLAGYL 250MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover FLAGYL 250MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLAGYL 375 CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover FLAGYL 375 CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FLAGYL 500MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLAGYL 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FLAGYL ER 750MG TABLET SA ![Compare how all Medicare Part D PDP plans in PA cover FLAGYL ER 750MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FLAREX 0.1% EYE DROPS ![Compare how all Medicare Part D PDP plans in PA cover FLAREX 0.1% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FLAVOXATE HCL 100MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLAVOXATE HCL 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FLEBOGAMMA INJECTION 50MG ![Compare how all Medicare Part D PDP plans in PA cover FLEBOGAMMA INJECTION 50MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
FLECAINIDE ACETATE 150MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover FLECAINIDE ACETATE 150MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLECAINIDE ACETATE 50MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover FLECAINIDE ACETATE 50MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLECAINIDE ACETATE TABLET 100MG (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover FLECAINIDE ACETATE TABLET 100MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLECTOR 1.3% ADHESIVE PATCH MEDICATED ![Compare how all Medicare Part D PDP plans in PA cover FLECTOR 1.3% ADHESIVE PATCH MEDICATED.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FLEXERIL 10MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLEXERIL 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLEXERIL 5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLEXERIL 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FLOMAX 0.4MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in PA cover FLOMAX 0.4MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | Q:62 /31Days |
FLONASE 0.05% NASAL SPRAY ![Compare how all Medicare Part D PDP plans in PA cover FLONASE 0.05% NASAL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FLOVENT DISKUS /BLIST AEPB ![Compare how all Medicare Part D PDP plans in PA cover FLOVENT DISKUS /BLIST AEPB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | S |
FLOVENT DISKUS /BLIST AEPB ![Compare how all Medicare Part D PDP plans in PA cover FLOVENT DISKUS /BLIST AEPB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | S |
FLOVENT DISKUS POWDER 50MCG 60 CTR ![Compare how all Medicare Part D PDP plans in PA cover FLOVENT DISKUS POWDER 50MCG 60 CTR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | S |
FLOVENT HFA 110MCG INHALATION AEROSOL ![Compare how all Medicare Part D PDP plans in PA cover FLOVENT HFA 110MCG INHALATION AEROSOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FLOVENT HFA 220MCG INHALATION AEROSOL ![Compare how all Medicare Part D PDP plans in PA cover FLOVENT HFA 220MCG INHALATION AEROSOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FLOVENT HFA 44MCG INHALATION AEROSOL ![Compare how all Medicare Part D PDP plans in PA cover FLOVENT HFA 44MCG INHALATION AEROSOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FLOXIN 0.3% EAR DROPS ![Compare how all Medicare Part D PDP plans in PA cover FLOXIN 0.3% EAR DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FLOXIN OTIC SOL SINGLES ![Compare how all Medicare Part D PDP plans in PA cover FLOXIN OTIC SOL SINGLES.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLUCONAZALE INJECTION 200MG 6 X 200/250ML CTR ![Compare how all Medicare Part D PDP plans in PA cover FLUCONAZALE INJECTION 200MG 6 X 200/250ML CTR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUCONAZOLE 100MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLUCONAZOLE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUCONAZOLE 10MG/ML SUSPENSION RECONSTITUTED ORAL ![Compare how all Medicare Part D PDP plans in PA cover FLUCONAZOLE 10MG/ML SUSPENSION RECONSTITUTED ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUCONAZOLE 150 MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLUCONAZOLE 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUCONAZOLE 200MG TABLET (30 CT) ![Compare how all Medicare Part D PDP plans in PA cover FLUCONAZOLE 200MG TABLET (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUCONAZOLE 40MG/ML SUSPENSION RECONSTITUTED ORAL ![Compare how all Medicare Part D PDP plans in PA cover FLUCONAZOLE 40MG/ML SUSPENSION RECONSTITUTED ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUCONAZOLE 50MG TABLET (30 CT) ![Compare how all Medicare Part D PDP plans in PA cover FLUCONAZOLE 50MG TABLET (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUCONAZOLE INJECTION 200MG 6 X 200/250ML CTR ![Compare how all Medicare Part D PDP plans in PA cover FLUCONAZOLE INJECTION 200MG 6 X 200/250ML CTR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUCONAZOLE INJECTION 2MG 6 X 100ML PKG ![Compare how all Medicare Part D PDP plans in PA cover FLUCONAZOLE INJECTION 2MG 6 X 100ML PKG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUCONAZOLE-DEXT 200MG/100ML ![Compare how all Medicare Part D PDP plans in PA cover FLUCONAZOLE-DEXT 200MG/100ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUDARA 50MG VIAL ![Compare how all Medicare Part D PDP plans in PA cover FLUDARA 50MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLUDARABINE 50MG VIAL ![Compare how all Medicare Part D PDP plans in PA cover FLUDARABINE 50MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
FLUDARABINE 50MG/2ML VIAL ![Compare how all Medicare Part D PDP plans in PA cover FLUDARABINE 50MG/2ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
FLUDROCORTISONE ACETATE 0.1MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover FLUDROCORTISONE ACETATE 0.1MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUMADINE 100MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLUMADINE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FLUNISOLIDE 29MCG AEROSOL SPRAY ![Compare how all Medicare Part D PDP plans in PA cover FLUNISOLIDE 29MCG AEROSOL SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUNISOLIDE NASAL SOLUTION 0.025% 25ML INHL ![Compare how all Medicare Part D PDP plans in PA cover FLUNISOLIDE NASAL SOLUTION 0.025% 25ML INHL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOCINOLONE 0.01% CREAM ![Compare how all Medicare Part D PDP plans in PA cover FLUOCINOLONE 0.01% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOCINOLONE 0.01% SOLUTION ![Compare how all Medicare Part D PDP plans in PA cover FLUOCINOLONE 0.01% SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOCINOLONE 0.025% CREAM ![Compare how all Medicare Part D PDP plans in PA cover FLUOCINOLONE 0.025% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOCINOLONE 0.025% OINTMENT ![Compare how all Medicare Part D PDP plans in PA cover FLUOCINOLONE 0.025% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOCINONIDE 0.05% CREAM ![Compare how all Medicare Part D PDP plans in PA cover FLUOCINONIDE 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLUOCINONIDE 0.05% GEL ![Compare how all Medicare Part D PDP plans in PA cover FLUOCINONIDE 0.05% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOCINONIDE 0.05% OINTMENT ![Compare how all Medicare Part D PDP plans in PA cover FLUOCINONIDE 0.05% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOCINONIDE 0.05% SOLUTION ![Compare how all Medicare Part D PDP plans in PA cover FLUOCINONIDE 0.05% SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOCINONIDE EMOLLIENT 0.05% CREAM ![Compare how all Medicare Part D PDP plans in PA cover FLUOCINONIDE EMOLLIENT 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOCINONIDE-E 0.05% CREAM ![Compare how all Medicare Part D PDP plans in PA cover FLUOCINONIDE-E 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOR-OP 0.1% EYE DROPS ![Compare how all Medicare Part D PDP plans in PA cover FLUOR-OP 0.1% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOROMETHOLONE 0.1% DROPS ![Compare how all Medicare Part D PDP plans in PA cover FLUOROMETHOLONE 0.1% DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOROPLEX 1% CREAM ![Compare how all Medicare Part D PDP plans in PA cover FLUOROPLEX 1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FLUOROURACIL 2% SOLUTION NON-ORAL ![Compare how all Medicare Part D PDP plans in PA cover FLUOROURACIL 2% SOLUTION NON-ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOROURACIL 5% SOLUTION NON-ORAL ![Compare how all Medicare Part D PDP plans in PA cover FLUOROURACIL 5% SOLUTION NON-ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOROURACIL 50MG/ML VIAL ![Compare how all Medicare Part D PDP plans in PA cover FLUOROURACIL 50MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLUOROURACIL CREA 5% ![Compare how all Medicare Part D PDP plans in PA cover FLUOROURACIL CREA 5%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOXETINE 20MG CAPSULES (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover FLUOXETINE 20MG CAPSULES (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOXETINE 20MG/5ML TUBEX ![Compare how all Medicare Part D PDP plans in PA cover FLUOXETINE 20MG/5ML TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOXETINE 40MG CAPSULE (30 CT) ![Compare how all Medicare Part D PDP plans in PA cover FLUOXETINE 40MG CAPSULE (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOXETINE CAPSULES 10MG (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover FLUOXETINE CAPSULES 10MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOXETINE HCL 10MG TABLET (2000 CT) ![Compare how all Medicare Part D PDP plans in PA cover FLUOXETINE HCL 10MG TABLET (2000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOXETINE HCL 20MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLUOXETINE HCL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUOXYMESTERONE 10MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLUOXYMESTERONE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FLUPHENAZINE 10MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLUPHENAZINE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUPHENAZINE 1MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLUPHENAZINE 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUPHENAZINE 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLUPHENAZINE 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLUPHENAZINE 2.5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in PA cover FLUPHENAZINE 2.5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUPHENAZINE 5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLUPHENAZINE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUPHENAZINE 5MG/ML CONC ![Compare how all Medicare Part D PDP plans in PA cover FLUPHENAZINE 5MG/ML CONC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FLUPHENAZINE DECANOATE INJECTION USP 25MG 1 X 5ML VIAL ![Compare how all Medicare Part D PDP plans in PA cover FLUPHENAZINE DECANOATE INJECTION USP 25MG 1 X 5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUPHENAZINE HCL 2.5MG/5ML ELIXIR ![Compare how all Medicare Part D PDP plans in PA cover FLUPHENAZINE HCL 2.5MG/5ML ELIXIR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLURBIPROFEN 0.03% EYE DROP ![Compare how all Medicare Part D PDP plans in PA cover FLURBIPROFEN 0.03% EYE DROP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLURBIPROFEN 100MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in PA cover FLURBIPROFEN 100MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLURBIPROFEN 50MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLURBIPROFEN 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUTAMIDE 125MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover FLUTAMIDE 125MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUTICASONE PROPIONATE 0.005% OINTMENT ![Compare how all Medicare Part D PDP plans in PA cover FLUTICASONE PROPIONATE 0.005% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUTICASONE PROPIONATE 0.05% CREAM ![Compare how all Medicare Part D PDP plans in PA cover FLUTICASONE PROPIONATE 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLUTICASONE PROPIONATE 50MCG SPRAY SUSPENSION ![Compare how all Medicare Part D PDP plans in PA cover FLUTICASONE PROPIONATE 50MCG SPRAY SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FLUVOXAMINE MALEATE 100MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLUVOXAMINE MALEATE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FLUVOXAMINE MALEATE 25MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover FLUVOXAMINE MALEATE 25MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FLUVOXAMINE MALEATE 50MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FLUVOXAMINE MALEATE 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FML FORTE 0.25% EYE DROPS ![Compare how all Medicare Part D PDP plans in PA cover FML FORTE 0.25% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FML LIQUIFILM 0.1% EYE DROP ![Compare how all Medicare Part D PDP plans in PA cover FML LIQUIFILM 0.1% EYE DROP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FML S.O.P. 0.1% OINTMENT ![Compare how all Medicare Part D PDP plans in PA cover FML S.O.P. 0.1% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FOCALIN 10MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FOCALIN 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FOCALIN 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FOCALIN 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FOCALIN 5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FOCALIN 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FOCALIN XR 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover FOCALIN XR 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:62 /31Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FOCALIN XR 15MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover FOCALIN XR 15MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:31 /31Days |
FOCALIN XR 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover FOCALIN XR 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:31 /31Days |
FOCALIN XR 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in PA cover FOCALIN XR 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:124 /31Days |
FOMEPIZOLE INJECTION 1GM/ML ![Compare how all Medicare Part D PDP plans in PA cover FOMEPIZOLE INJECTION 1GM/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
FORADIL AEROLIZER 12 MCG CAP ![Compare how all Medicare Part D PDP plans in PA cover FORADIL AEROLIZER 12 MCG CAP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FORTAMET 1000MG TABLET SR OSMOTIC PUSH 24HR ![Compare how all Medicare Part D PDP plans in PA cover FORTAMET 1000MG TABLET SR OSMOTIC PUSH 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FORTAMET 500MG TABLET SR OSMOTIC PUSH 24HR ![Compare how all Medicare Part D PDP plans in PA cover FORTAMET 500MG TABLET SR OSMOTIC PUSH 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FORTAZ 1GM ADD-VANTAGE VIAL ![Compare how all Medicare Part D PDP plans in PA cover FORTAZ 1GM ADD-VANTAGE VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FORTAZ 1GM VIAL ![Compare how all Medicare Part D PDP plans in PA cover FORTAZ 1GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FORTAZ 2GM ADD-VANTAGE VIAL ![Compare how all Medicare Part D PDP plans in PA cover FORTAZ 2GM ADD-VANTAGE VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FORTAZ 2GM VIAL ![Compare how all Medicare Part D PDP plans in PA cover FORTAZ 2GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FORTAZ 500MG VIAL ![Compare how all Medicare Part D PDP plans in PA cover FORTAZ 500MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FORTAZ 6GM VIAL ![Compare how all Medicare Part D PDP plans in PA cover FORTAZ 6GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FORTAZ/ISO-OSMOT 2GM/50ML ![Compare how all Medicare Part D PDP plans in PA cover FORTAZ/ISO-OSMOT 2GM/50ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FORTAZ/ISO-OSMOTIC 1GM/50ML ![Compare how all Medicare Part D PDP plans in PA cover FORTAZ/ISO-OSMOTIC 1GM/50ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FORTEO 750MCG/3ML PEN ![Compare how all Medicare Part D PDP plans in PA cover FORTEO 750MCG/3ML PEN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | P |
FORTEO INJECTION ![Compare how all Medicare Part D PDP plans in PA cover FORTEO INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | P |
FORTICAL 200 U/DOSE AEROSOL SPRAY W/PUMP ![Compare how all Medicare Part D PDP plans in PA cover FORTICAL 200 U/DOSE AEROSOL SPRAY W/PUMP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | Q:3 /31Days |
FOSAMAX 10MG TABLET (30 CT) ![Compare how all Medicare Part D PDP plans in PA cover FOSAMAX 10MG TABLET (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FOSAMAX 40MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FOSAMAX 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FOSAMAX 5MG TABLET (30 CT) ![Compare how all Medicare Part D PDP plans in PA cover FOSAMAX 5MG TABLET (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FOSAMAX 70MG ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in PA cover FOSAMAX 70MG ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:375 /31Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FOSAMAX 70MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FOSAMAX 70MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FOSAMAX PLUS D 70MG-5600 TABLET ![Compare how all Medicare Part D PDP plans in PA cover FOSAMAX PLUS D 70MG-5600 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:5 /31Days |
FOSAMAX PLUS D 70MG/2800 IU 20 BLPK ![Compare how all Medicare Part D PDP plans in PA cover FOSAMAX PLUS D 70MG/2800 IU 20 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:5 /31Days |
FOSAMAX TABLET 35MG 20 BLPK ![Compare how all Medicare Part D PDP plans in PA cover FOSAMAX TABLET 35MG 20 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FOSCARNET 24MG/ML INFUS BTTL ![Compare how all Medicare Part D PDP plans in PA cover FOSCARNET 24MG/ML INFUS BTTL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | P |
FOSCAVIR 24MG/ML INFUS BTTL ![Compare how all Medicare Part D PDP plans in PA cover FOSCAVIR 24MG/ML INFUS BTTL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | P |
FOSINOPRIL SODIUM 10MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in PA cover FOSINOPRIL SODIUM 10MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FOSINOPRIL SODIUM 20MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FOSINOPRIL SODIUM 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FOSINOPRIL SODIUM 40MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FOSINOPRIL SODIUM 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FOSINOPRIL-HYDROCHLOROTHIAZIDE 10-12.5MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover FOSINOPRIL-HYDROCHLOROTHIAZIDE 10-12.5MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FOSINOPRIL-HYDROCHLOROTHIAZIDE 20-12.5MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in PA cover FOSINOPRIL-HYDROCHLOROTHIAZIDE 20-12.5MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FOSPHEN SDV 50MGPE/ML 2MLGEN10 50MG PE/ML VIAL ![Compare how all Medicare Part D PDP plans in PA cover FOSPHEN SDV 50MGPE/ML 2MLGEN10 50MG PE/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FOSRENOL 1000MG TABLET CHEW ![Compare how all Medicare Part D PDP plans in PA cover FOSRENOL 1000MG TABLET CHEW.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FOSRENOL 250MG TABLET CHEW ![Compare how all Medicare Part D PDP plans in PA cover FOSRENOL 250MG TABLET CHEW.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FOSRENOL 500MG TABLET CHEW ![Compare how all Medicare Part D PDP plans in PA cover FOSRENOL 500MG TABLET CHEW.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FOSRENOL 750MG TABLET CHEW ![Compare how all Medicare Part D PDP plans in PA cover FOSRENOL 750MG TABLET CHEW.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$38.00 | $99.00 | None |
FRAGMIN 25000UNITS/ML VIAL 3.8ML x 1 ![Compare how all Medicare Part D PDP plans in PA cover FRAGMIN 25000UNITS/ML VIAL 3.8ML x 1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
FRAGMIN 2500UNITS SYRINGE 0.2ML x 10 ![Compare how all Medicare Part D PDP plans in PA cover FRAGMIN 2500UNITS SYRINGE 0.2ML x 10.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:400 /1Days |
FRAGMIN 5000UNITS SYRINGE 0.2ML x 10 ![Compare how all Medicare Part D PDP plans in PA cover FRAGMIN 5000UNITS SYRINGE 0.2ML x 10.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:400 /1Days |
FRAGMIN INJECTION 10000UNITS 1 X 10 SYR ![Compare how all Medicare Part D PDP plans in PA cover FRAGMIN INJECTION 10000UNITS 1 X 10 SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
FRAGMIN INJECTION 7500UNT/ML ![Compare how all Medicare Part D PDP plans in PA cover FRAGMIN INJECTION 7500UNT/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
FREAMINE HBC INJECTION ![Compare how all Medicare Part D PDP plans in PA cover FREAMINE HBC INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FREAMINE III INJECTION 8.5% ![Compare how all Medicare Part D PDP plans in PA cover FREAMINE III INJECTION 8.5%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | P |
FREAMINE III INJECTION WITH ELECTROLYTES 3% ![Compare how all Medicare Part D PDP plans in PA cover FREAMINE III INJECTION WITH ELECTROLYTES 3%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | P |
FROVA 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FROVA 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | Q:18 /31Days |
FURADANTIN 25MG/5ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in PA cover FURADANTIN 25MG/5ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.50 | $259.50 | None |
FUROSEMIDE 10MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in PA cover FUROSEMIDE 10MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FUROSEMIDE 20MG TABLET (1000 CT) ![Compare how all Medicare Part D PDP plans in PA cover FUROSEMIDE 20MG TABLET (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FUROSEMIDE 40MG TABLET ![Compare how all Medicare Part D PDP plans in PA cover FUROSEMIDE 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FUROSEMIDE 40MG/5ML TUBEX ![Compare how all Medicare Part D PDP plans in PA cover FUROSEMIDE 40MG/5ML TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FUROSEMIDE 80MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in PA cover FUROSEMIDE 80MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FUROSEMIDE INJECTION USP 10MG 25 X 4ML VIALSD ![Compare how all Medicare Part D PDP plans in PA cover FUROSEMIDE INJECTION USP 10MG 25 X 4ML VIALSD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1-Preferred Generic |
$7.00 | $0.00 | None |
FUZEON CONVENIENCE KIT ![Compare how all Medicare Part D PDP plans in PA cover FUZEON CONVENIENCE KIT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |