2009 Medicare Part D Plan Formulary Information |
UnitedHealth Rx Basic (S5921-202-0)
Benefit Details
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The UnitedHealth Rx Basic (S5921-202-0) Formulary Drugs Starting with the Letter R in CMS PDP Region 23 which includes: OK
|
Drugs Starting with Letter R
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
RABAVERT RABIES VACCINE KIT 2.5 IU/ML ![Compare how all Medicare Part D PDP plans in OK cover RABAVERT RABIES VACCINE KIT 2.5 IU/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
RAMIPRIL 1.25MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RAMIPRIL 1.25MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RAMIPRIL 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RAMIPRIL 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RAMIPRIL 2.5MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RAMIPRIL 2.5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RAMIPRIL 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RAMIPRIL 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RANEXA 1000MG TABLET SR 12HR ![Compare how all Medicare Part D PDP plans in OK cover RANEXA 1000MG TABLET SR 12HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | S |
RANEXA 500MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RANEXA 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | S |
RANICLOR 250MG TABLET CHEWABLE ![Compare how all Medicare Part D PDP plans in OK cover RANICLOR 250MG TABLET CHEWABLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RANICLOR 375MG TABLET CHEWABLE ![Compare how all Medicare Part D PDP plans in OK cover RANICLOR 375MG TABLET CHEWABLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RANITIDINE 1000MG/40ML VIAL ![Compare how all Medicare Part D PDP plans in OK cover RANITIDINE 1000MG/40ML 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 |
RANITIDINE 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RANITIDINE 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RANITIDINE HCL 15MG/ML SYRUP ![Compare how all Medicare Part D PDP plans in OK cover RANITIDINE HCL 15MG/ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RANITIDINE HCL 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in OK cover RANITIDINE HCL 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RANITIDINE HCL 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in OK cover RANITIDINE HCL 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RANITIDINE HCL 300MG CAPSULE (30 CT) ![Compare how all Medicare Part D PDP plans in OK cover RANITIDINE HCL 300MG CAPSULE (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RANITIDINE TABLET 300MG (100 CT) ![Compare how all Medicare Part D PDP plans in OK cover RANITIDINE TABLET 300MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RANITIDINE TABLET USP 150MG (500 CT) ![Compare how all Medicare Part D PDP plans in OK cover RANITIDINE TABLET USP 150MG (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RAPAMUNE 1MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RAPAMUNE 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
RAPAMUNE 1MG/ML ORAL TUBEX ![Compare how all Medicare Part D PDP plans in OK cover RAPAMUNE 1MG/ML ORAL TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | P |
RAPAMUNE 2MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RAPAMUNE 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
RAPTIVA 125MG KIT 4 X VIAL SD PKG ![Compare how all Medicare Part D PDP plans in OK cover RAPTIVA 125MG KIT 4 X VIAL SD PKG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RAZADYNE 12MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RAZADYNE 12MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
RAZADYNE 4MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RAZADYNE 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
RAZADYNE 8MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RAZADYNE 8MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
RAZADYNE ER 16MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RAZADYNE ER 16MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
RAZADYNE ER 24MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RAZADYNE ER 24MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
RAZADYNE ER 8MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RAZADYNE ER 8MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
RAZADYNE SOL 4MG/ML ![Compare how all Medicare Part D PDP plans in OK cover RAZADYNE SOL 4MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
REBETOL 40MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in OK cover REBETOL 40MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
REBIF 22MCG/0.5ML SYRINGE ![Compare how all Medicare Part D PDP plans in OK cover REBIF 22MCG/0.5ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
REBIF 44MCG/0.5ML SYRINGE ![Compare how all Medicare Part D PDP plans in OK cover REBIF 44MCG/0.5ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL ![Compare how all Medicare Part D PDP plans in OK cover REBIF TITRTN SOL PACK 8.8MCG/22 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RECLIPSEN 0.15-0.03 TABLET ![Compare how all Medicare Part D PDP plans in OK cover RECLIPSEN 0.15-0.03 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RECOMBIVAX HB 40MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in OK cover RECOMBIVAX HB 40MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | P |
RECOMBIVAX HB 5MCG/0.5ML VL ![Compare how all Medicare Part D PDP plans in OK cover RECOMBIVAX HB 5MCG/0.5ML VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | P |
REGONOL AMP 10MG 5ML ![Compare how all Medicare Part D PDP plans in OK cover REGONOL AMP 10MG 5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
REGRANEX 0.01% GEL ![Compare how all Medicare Part D PDP plans in OK cover REGRANEX 0.01% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P Q:30 /31Days |
RELENZA 5MG DISKHALER ![Compare how all Medicare Part D PDP plans in OK cover RELENZA 5MG DISKHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RELION 70/30 INJ 100/ML ![Compare how all Medicare Part D PDP plans in OK cover RELION 70/30 INJ 100/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
RELION 70/30 INJ INNOLET 2 0.33% ![Compare how all Medicare Part D PDP plans in OK cover RELION 70/30 INJ INNOLET 2 0.33%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
RELION N INJ 100/ML ![Compare how all Medicare Part D PDP plans in OK cover RELION N INJ 100/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
RELION N INJ INNOLET 3 0.50% ![Compare how all Medicare Part D PDP plans in OK cover RELION N INJ INNOLET 3 0.50%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
RELION R INJ 100/ML ![Compare how all Medicare Part D PDP plans in OK cover RELION R INJ 100/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RELISTOR KIT ![Compare how all Medicare Part D PDP plans in OK cover RELISTOR KIT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
RELISTOR SOLUTION ![Compare how all Medicare Part D PDP plans in OK cover RELISTOR SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
RELPAX 20MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RELPAX 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | Q:12 /31Days |
RELPAX 40MG TABLET 6X2 BLPK ![Compare how all Medicare Part D PDP plans in OK cover RELPAX 40MG TABLET 6X2 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | Q:12 /31Days |
REMICADE 100MG VIAL ![Compare how all Medicare Part D PDP plans in OK cover REMICADE 100MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
REMODULIN 10MG/ML VIAL ![Compare how all Medicare Part D PDP plans in OK cover REMODULIN 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
REMODULIN 1MG/ML VIAL ![Compare how all Medicare Part D PDP plans in OK cover REMODULIN 1MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
REMODULIN 2.5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in OK cover REMODULIN 2.5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
REMODULIN 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in OK cover REMODULIN 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
RENAGEL 400MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RENAGEL 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
RENAGEL 800MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RENAGEL 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RENAMIN 6.5% IV SOLUTION ![Compare how all Medicare Part D PDP plans in OK cover RENAMIN 6.5% IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | P |
RENVELA 800MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RENVELA 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
REQUIP 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover REQUIP 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
REQUIP 0.5MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover REQUIP 0.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
REQUIP 1MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover REQUIP 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
REQUIP 2MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover REQUIP 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
REQUIP 3MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover REQUIP 3MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
REQUIP 4MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover REQUIP 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
REQUIP 5MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover REQUIP 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
REQUIP XL ROPINIROLE HCL 2MG ![Compare how all Medicare Part D PDP plans in OK cover REQUIP XL ROPINIROLE HCL 2MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
REQUIP XL ROPINIROLE HCL 4MG ![Compare how all Medicare Part D PDP plans in OK cover REQUIP XL ROPINIROLE HCL 4MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REQUIP XL ROPINIROLE HCL 8MG ![Compare how all Medicare Part D PDP plans in OK cover REQUIP XL ROPINIROLE HCL 8MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
REQUIP XL TABLET 12 MG ![Compare how all Medicare Part D PDP plans in OK cover REQUIP XL TABLET 12 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RESCRIPTOR 100MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RESCRIPTOR 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RESCRIPTOR 200MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RESCRIPTOR 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RESERPINE 0.1MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RESERPINE 0.1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RESERPINE 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RESERPINE 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RESTASIS 0.05% EYE EMULSION ![Compare how all Medicare Part D PDP plans in OK cover RESTASIS 0.05% EYE EMULSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RETIN-A MICRO 0.04% GEL ![Compare how all Medicare Part D PDP plans in OK cover RETIN-A MICRO 0.04% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
RETIN-A MICRO 0.1% GEL ![Compare how all Medicare Part D PDP plans in OK cover RETIN-A MICRO 0.1% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
RETROVIR IV INFUSION VIAL ![Compare how all Medicare Part D PDP plans in OK cover RETROVIR IV INFUSION VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
REVATIO 20MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover REVATIO 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REVLIMID 10MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in OK cover REVLIMID 10MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
REVLIMID 15MG CAPSULE 21 BOT ![Compare how all Medicare Part D PDP plans in OK cover REVLIMID 15MG CAPSULE 21 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
REVLIMID 25MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in OK cover REVLIMID 25MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
REVLIMID 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover REVLIMID 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
REYATAZ 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover REYATAZ 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
REYATAZ 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover REYATAZ 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
REYATAZ 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover REYATAZ 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
REYATAZ 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover REYATAZ 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
RHINOCORT AQUA NASAL SPRAY 32 MCG/SPRAY ![Compare how all Medicare Part D PDP plans in OK cover RHINOCORT AQUA NASAL SPRAY 32 MCG/SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | Q:17 /31Days |
RIBASPHERE 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RIBASPHERE 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | P |
RIBASPHERE 200MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RIBASPHERE 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIBASPHERE 400MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RIBASPHERE 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | P |
RIBASPHERE 600MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RIBASPHERE 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | P |
RIBATAB 400MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RIBATAB 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | P |
RIBATAB 600-400MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in OK cover RIBATAB 600-400MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
RIBATAB 600MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RIBATAB 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | P |
RIBAVIRIN 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RIBAVIRIN 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | P |
RIBAVIRIN 200MG TABLET 168 BOT ![Compare how all Medicare Part D PDP plans in OK cover RIBAVIRIN 200MG TABLET 168 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | P |
RIDAURA 3MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RIDAURA 3MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RIFAMPIN 150MG CAPSULE (30 CT) ![Compare how all Medicare Part D PDP plans in OK cover RIFAMPIN 150MG CAPSULE (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RIFAMPIN 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RIFAMPIN 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RIFAMPIN 600MG VIAL ![Compare how all Medicare Part D PDP plans in OK cover RIFAMPIN 600MG 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 |
RIFATER TABLET ![Compare how all Medicare Part D PDP plans in OK cover RIFATER TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RILUTEK 50MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RILUTEK 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
RIMANTADINE 100MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RIMANTADINE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RINGERS INJECTION 1000ML BAG ![Compare how all Medicare Part D PDP plans in OK cover RINGERS INJECTION 1000ML BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RINGERS IRRIGATION 860-30 12X1000ML BAG ![Compare how all Medicare Part D PDP plans in OK cover RINGERS IRRIGATION 860-30 12X1000ML BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RIOMET 500MG/5ML SOLUTION ORAL ![Compare how all Medicare Part D PDP plans in OK cover RIOMET 500MG/5ML SOLUTION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RISPERDAL 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RISPERDAL 0.5MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL 0.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RISPERDAL 1MG M-TAB ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL 1MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RISPERDAL 1MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RISPERDAL 1MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL 1MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERDAL 2MG M-TAB ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL 2MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RISPERDAL 2MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RISPERDAL 3MG M-TAB ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL 3MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RISPERDAL 3MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL 3MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RISPERDAL 4MG M-TAB ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL 4MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RISPERDAL 4MG TABLET ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RISPERDAL CONSTA 25MG SYR ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL CONSTA 25MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | Q:4 /28Days |
RISPERDAL CONSTA 37.5MG SYR ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL CONSTA 37.5MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
RISPERDAL CONSTA 50MG SYR ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL CONSTA 50MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | None |
RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | Q:4 /28Days |
RISPERDAL M TABLET 0.5MG ![Compare how all Medicare Part D PDP plans in OK cover RISPERDAL M TABLET 0.5MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERIDONE ORAL SOLUTION 1MG 30 ML BOTDR ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE ORAL SOLUTION 1MG 30 ML BOTDR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RISPERIDONE TABLET ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RISPERIDONE TABLET 1 MG ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE TABLET 1 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RISPERIDONE TABLET 2 MG ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE TABLET 2 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RISPERIDONE TABLET 3 MG ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE TABLET 3 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RISPERIDONE TABLET 4 MG ![Compare how all Medicare Part D PDP plans in OK cover RISPERIDONE TABLET 4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RISPERIODONE TABLET ![Compare how all Medicare Part D PDP plans in OK cover RISPERIODONE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
RITALIN LA 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RITALIN LA 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | Q:62 /31Days |
RITALIN LA 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RITALIN LA 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | Q:93 /31Days |
RITALIN LA 30MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RITALIN LA 30MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | Q:62 /31Days |
RITALIN LA 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RITALIN LA 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | Q:31 /31Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RITUXAN 10MG/ML VIAL ![Compare how all Medicare Part D PDP plans in OK cover RITUXAN 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - Specialty (Generic, Brand) |
33% | 30% | P |
ROBAXIN 100MG/ML VIAL ![Compare how all Medicare Part D PDP plans in OK cover ROBAXIN 100MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
ROCALTROL 0.25MCG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover ROCALTROL 0.25MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
ROCALTROL 0.5MCG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover ROCALTROL 0.5MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
ROCEPHIN 2GM VIAL ![Compare how all Medicare Part D PDP plans in OK cover ROCEPHIN 2GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
ROCEPHIN 2GM/DEXTROSE 2.4% ![Compare how all Medicare Part D PDP plans in OK cover ROCEPHIN 2GM/DEXTROSE 2.4%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
ROCEPHIN ADD-VANTAGE 1GM VL ![Compare how all Medicare Part D PDP plans in OK cover ROCEPHIN ADD-VANTAGE 1GM VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
ROCEPHIN ADD-VANTAGE 2GM VL ![Compare how all Medicare Part D PDP plans in OK cover ROCEPHIN ADD-VANTAGE 2GM VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
ROCEPHIN/DEX INJ 1GM ![Compare how all Medicare Part D PDP plans in OK cover ROCEPHIN/DEX INJ 1GM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
ROMYCIN 5MG/G OINTMENT ![Compare how all Medicare Part D PDP plans in OK cover ROMYCIN 5MG/G OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
ROPINIROLE HCL TABLET ![Compare how all Medicare Part D PDP plans in OK cover ROPINIROLE HCL 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 |
ROPINIROLE HCL TABLET 1 MG ![Compare how all Medicare Part D PDP plans in OK cover ROPINIROLE HCL TABLET 1 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
ROPINIROLE HCL TABLET 2 MG ![Compare how all Medicare Part D PDP plans in OK cover ROPINIROLE HCL TABLET 2 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
ROPINIROLE HCL TABLET 3 MG ![Compare how all Medicare Part D PDP plans in OK cover ROPINIROLE HCL TABLET 3 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
ROPINIROLE HCL TABLET 4 MG ![Compare how all Medicare Part D PDP plans in OK cover ROPINIROLE HCL TABLET 4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
ROPINIROLE HCL TABLET 5 MG ![Compare how all Medicare Part D PDP plans in OK cover ROPINIROLE HCL TABLET 5 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
ROPINIROLE HYDROCLORIDE TABLET ![Compare how all Medicare Part D PDP plans in OK cover ROPINIROLE HYDROCLORIDE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
ROTATEQ VACCINE ![Compare how all Medicare Part D PDP plans in OK cover ROTATEQ VACCINE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Generic and Preferred Brand |
$35.00 | $90.00 | None |
ROXICET 5-325/5ML SOLUTION ORAL ![Compare how all Medicare Part D PDP plans in OK cover ROXICET 5-325/5ML SOLUTION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
ROXICET 5/325 TABLET ![Compare how all Medicare Part D PDP plans in OK cover ROXICET 5/325 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
ROXICET 5/500 CAPLET ![Compare how all Medicare Part D PDP plans in OK cover ROXICET 5/500 CAPLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$7.00 | $0.00 | None |
ROXILOX 500-5MG (100 CT) ![Compare how all Medicare Part D PDP plans in OK cover ROXILOX 500-5MG (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 |
ROZEREM 8MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in OK cover ROZEREM 8MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | Q:31 /31Days |
RYTHMOL SR 225MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RYTHMOL SR 225MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RYTHMOL SR 325MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RYTHMOL SR 325MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |
RYTHMOL SR 425MG CAPSULE ![Compare how all Medicare Part D PDP plans in OK cover RYTHMOL SR 425MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Other Non Preferred (Generic, Brand) |
$91.00 | $258.00 | None |