2009 Medicare Part D Plan Formulary Information |
Blue MedicareRx Premier (S5596-023-0)
Sanctioned Plan
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The Blue MedicareRx Premier (S5596-023-0) Formulary Drugs Starting with the Letter R in CMS PDP Region 16 which includes: WI
|
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 WI cover RABAVERT RABIES VACCINE KIT 2.5 IU/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
RAMIPRIL 1.25MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RAMIPRIL 1.25MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
RAMIPRIL 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RAMIPRIL 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
RAMIPRIL 2.5MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RAMIPRIL 2.5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
RAMIPRIL 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RAMIPRIL 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
RANEXA 1000MG TABLET SR 12HR ![Compare how all Medicare Part D PDP plans in WI cover RANEXA 1000MG TABLET SR 12HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
RANEXA 500MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RANEXA 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
RANICLOR 250MG TABLET CHEWABLE ![Compare how all Medicare Part D PDP plans in WI cover RANICLOR 250MG TABLET CHEWABLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RANICLOR 375MG TABLET CHEWABLE ![Compare how all Medicare Part D PDP plans in WI cover RANICLOR 375MG TABLET CHEWABLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RANITIDINE 1000MG/40ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover RANITIDINE 1000MG/40ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | 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 WI cover RANITIDINE 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
RANITIDINE HCL 15MG/ML SYRUP ![Compare how all Medicare Part D PDP plans in WI cover RANITIDINE HCL 15MG/ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
RANITIDINE HCL 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover RANITIDINE HCL 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | None |
RANITIDINE HCL 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover RANITIDINE HCL 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | None |
RANITIDINE HCL 300MG CAPSULE (30 CT) ![Compare how all Medicare Part D PDP plans in WI cover RANITIDINE HCL 300MG CAPSULE (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
RANITIDINE TABLET 300MG (100 CT) ![Compare how all Medicare Part D PDP plans in WI cover RANITIDINE TABLET 300MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
RANITIDINE TABLET USP 150MG (500 CT) ![Compare how all Medicare Part D PDP plans in WI cover RANITIDINE TABLET USP 150MG (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
RAPAMUNE 1MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RAPAMUNE 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | P |
RAPAMUNE 1MG/ML ORAL TUBEX ![Compare how all Medicare Part D PDP plans in WI cover RAPAMUNE 1MG/ML ORAL TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | P |
RAPAMUNE 2MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RAPAMUNE 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | P |
RAPIFLUX FLUOXETINE 20MG ORAL TABLET ![Compare how all Medicare Part D PDP plans in WI cover RAPIFLUX FLUOXETINE 20MG ORAL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:120 /30Days |
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 WI cover RAZADYNE 12MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | Q:60 /30Days |
RAZADYNE 4MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RAZADYNE 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | Q:60 /30Days |
RAZADYNE 8MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RAZADYNE 8MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | Q:60 /30Days |
RAZADYNE ER 16MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RAZADYNE ER 16MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | Q:30 /30Days |
RAZADYNE ER 24MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RAZADYNE ER 24MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | Q:30 /30Days |
RAZADYNE ER 8MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RAZADYNE ER 8MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | Q:30 /30Days |
RAZADYNE SOL 4MG/ML ![Compare how all Medicare Part D PDP plans in WI cover RAZADYNE SOL 4MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | Q:180 /30Days |
REBETOL 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover REBETOL 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
REBETOL 40MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in WI cover REBETOL 40MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
REBIF 22MCG/0.5ML SYRINGE ![Compare how all Medicare Part D PDP plans in WI cover REBIF 22MCG/0.5ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | P |
REBIF 44MCG/0.5ML SYRINGE ![Compare how all Medicare Part D PDP plans in WI cover REBIF 44MCG/0.5ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REBIF TITRTN SOL PACK 8.8MCG/22 VIAL ![Compare how all Medicare Part D PDP plans in WI cover REBIF TITRTN SOL PACK 8.8MCG/22 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | P |
RECLIPSEN 0.15-0.03 TABLET ![Compare how all Medicare Part D PDP plans in WI cover RECLIPSEN 0.15-0.03 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | Q:28 /28Days |
RECOMBIVAX HB 40MCG/ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover RECOMBIVAX HB 40MCG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | P |
RECOMBIVAX HB 5MCG/0.5ML VL ![Compare how all Medicare Part D PDP plans in WI cover RECOMBIVAX HB 5MCG/0.5ML VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | P |
REGLAN 10MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover REGLAN 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
REGLAN 5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover REGLAN 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
REGLAN 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover REGLAN 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | None |
REGONOL AMP 10MG 5ML ![Compare how all Medicare Part D PDP plans in WI cover REGONOL AMP 10MG 5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | None |
REGRANEX 0.01% GEL ![Compare how all Medicare Part D PDP plans in WI cover REGRANEX 0.01% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | P |
RELENZA 5MG DISKHALER ![Compare how all Medicare Part D PDP plans in WI cover RELENZA 5MG DISKHALER.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | P Q:60 /180Days |
RELION 70/30 INJ 100/ML ![Compare how all Medicare Part D PDP plans in WI cover RELION 70/30 INJ 100/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RELION 70/30 INJ INNOLET 2 0.33% ![Compare how all Medicare Part D PDP plans in WI cover RELION 70/30 INJ INNOLET 2 0.33%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
RELION N INJ 100/ML ![Compare how all Medicare Part D PDP plans in WI cover RELION N INJ 100/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
RELION N INJ INNOLET 3 0.50% ![Compare how all Medicare Part D PDP plans in WI cover RELION N INJ INNOLET 3 0.50%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
RELION R INJ 100/ML ![Compare how all Medicare Part D PDP plans in WI cover RELION R INJ 100/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
RELISTOR KIT ![Compare how all Medicare Part D PDP plans in WI cover RELISTOR KIT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | P |
RELISTOR SOLUTION ![Compare how all Medicare Part D PDP plans in WI cover RELISTOR SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | P |
RELPAX 20MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RELPAX 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:9 /30Days |
RELPAX 40MG TABLET 6X2 BLPK ![Compare how all Medicare Part D PDP plans in WI cover RELPAX 40MG TABLET 6X2 BLPK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:9 /30Days |
REMERON 15MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover REMERON 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:30 /30Days |
REMERON 30MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover REMERON 30MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:30 /30Days |
REMERON 45MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover REMERON 45MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:30 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REMERON SLTABLET 15MG TABLET 30 BLPK CRTN ![Compare how all Medicare Part D PDP plans in WI cover REMERON SLTABLET 15MG TABLET 30 BLPK CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:30 /30Days |
REMERON SLTABLET 30MG TABLET 30 TABLET S CRTN ![Compare how all Medicare Part D PDP plans in WI cover REMERON SLTABLET 30MG TABLET 30 TABLET S CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:30 /30Days |
REMERON SLTABLET 45MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover REMERON SLTABLET 45MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:30 /30Days |
REMICADE 100MG VIAL ![Compare how all Medicare Part D PDP plans in WI cover REMICADE 100MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | P |
RENAGEL 400MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RENAGEL 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
RENAGEL 800MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RENAGEL 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
RENAMIN 6.5% IV SOLUTION ![Compare how all Medicare Part D PDP plans in WI cover RENAMIN 6.5% IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | P |
RENVELA 800MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RENVELA 800MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
REPREXAIN TABLET 200-5MG (100 CT) ![Compare how all Medicare Part D PDP plans in WI cover REPREXAIN TABLET 200-5MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:480 /30Days |
REQUIP 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover REQUIP 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
REQUIP 0.5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover REQUIP 0.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REQUIP 1MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover REQUIP 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
REQUIP 2MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover REQUIP 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
REQUIP 3MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover REQUIP 3MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
REQUIP 4MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover REQUIP 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
REQUIP 5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover REQUIP 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RESCRIPTOR 100MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RESCRIPTOR 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
RESCRIPTOR 200MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RESCRIPTOR 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
RESERPINE 0.1MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RESERPINE 0.1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
RESERPINE 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RESERPINE 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
RESTASIS 0.05% EYE EMULSION ![Compare how all Medicare Part D PDP plans in WI cover RESTASIS 0.05% EYE EMULSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
RETIN-A 0.01% GEL ![Compare how all Medicare Part D PDP plans in WI cover RETIN-A 0.01% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:90 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RETIN-A 0.025% CREAM ![Compare how all Medicare Part D PDP plans in WI cover RETIN-A 0.025% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:90 /30Days |
RETIN-A 0.025% GEL ![Compare how all Medicare Part D PDP plans in WI cover RETIN-A 0.025% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:90 /30Days |
RETIN-A 0.05% CREAM ![Compare how all Medicare Part D PDP plans in WI cover RETIN-A 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:90 /30Days |
RETIN-A 0.1% CREAM ![Compare how all Medicare Part D PDP plans in WI cover RETIN-A 0.1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:90 /30Days |
RETIN-A MICRO 0.04% GEL ![Compare how all Medicare Part D PDP plans in WI cover RETIN-A MICRO 0.04% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:90 /30Days |
RETIN-A MICRO 0.1% GEL ![Compare how all Medicare Part D PDP plans in WI cover RETIN-A MICRO 0.1% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:90 /30Days |
RETROVIR 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RETROVIR 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RETROVIR 10MGML SYRUP ![Compare how all Medicare Part D PDP plans in WI cover RETROVIR 10MGML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RETROVIR 300MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RETROVIR 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RETROVIR IV INFUSION VIAL ![Compare how all Medicare Part D PDP plans in WI cover RETROVIR IV INFUSION VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | None |
REVATIO 20MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover REVATIO 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | P Q:90 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
REVIA 50MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover REVIA 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
REVLIMID 10MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in WI cover REVLIMID 10MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | P Q:30 /30Days |
REVLIMID 15MG CAPSULE 21 BOT ![Compare how all Medicare Part D PDP plans in WI cover REVLIMID 15MG CAPSULE 21 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | P Q:30 /30Days |
REVLIMID 25MG CAPSULE (100 CT) ![Compare how all Medicare Part D PDP plans in WI cover REVLIMID 25MG CAPSULE (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | P Q:30 /30Days |
REVLIMID 5MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover REVLIMID 5MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | P Q:30 /30Days |
REYATAZ 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover REYATAZ 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
REYATAZ 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover REYATAZ 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
REYATAZ 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover REYATAZ 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
REYATAZ 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover REYATAZ 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
RHEUMATREX 2.5MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in WI cover RHEUMATREX 2.5MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RHINOCORT AQUA NASAL SPRAY 32 MCG/SPRAY ![Compare how all Medicare Part D PDP plans in WI cover RHINOCORT AQUA NASAL SPRAY 32 MCG/SPRAY.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:18 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIBAPAK 400-400MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in WI cover RIBAPAK 400-400MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
RIBAPAK 600-400MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in WI cover RIBAPAK 600-400MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
RIBAPAK 600-600MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in WI cover RIBAPAK 600-600MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
RIBASPHERE 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RIBASPHERE 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
RIBASPHERE 200MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RIBASPHERE 200MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
RIBASPHERE 400MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RIBASPHERE 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
RIBASPHERE 600MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RIBASPHERE 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
RIBATAB 400MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RIBATAB 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
RIBATAB 600-400MG TABLET DOSE PACK ![Compare how all Medicare Part D PDP plans in WI cover RIBATAB 600-400MG TABLET DOSE PACK.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
RIBATAB 600MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RIBATAB 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
RIBAVIRIN 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RIBAVIRIN 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIBAVIRIN 200MG TABLET 168 BOT ![Compare how all Medicare Part D PDP plans in WI cover RIBAVIRIN 200MG TABLET 168 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
RIDAURA 3MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RIDAURA 3MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RIFADIN 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RIFADIN 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RIFADIN 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RIFADIN 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RIFADIN IV 600MG VIAL ![Compare how all Medicare Part D PDP plans in WI cover RIFADIN IV 600MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | None |
RIFAMATE CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RIFAMATE CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RIFAMPIN 150MG CAPSULE (30 CT) ![Compare how all Medicare Part D PDP plans in WI cover RIFAMPIN 150MG CAPSULE (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
RIFAMPIN 300MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RIFAMPIN 300MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
RIFAMPIN 600MG VIAL ![Compare how all Medicare Part D PDP plans in WI cover RIFAMPIN 600MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | None |
RIFATER TABLET ![Compare how all Medicare Part D PDP plans in WI cover RIFATER TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
RILUTEK 50MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RILUTEK 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RIMANTADINE 100MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RIMANTADINE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
RINGERS INJECTION 1000ML BAG ![Compare how all Medicare Part D PDP plans in WI cover RINGERS INJECTION 1000ML BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | None |
RINGERS IRRIGATION 860-30 12X1000ML BAG ![Compare how all Medicare Part D PDP plans in WI cover RINGERS IRRIGATION 860-30 12X1000ML BAG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | None |
RIOMET 500MG/5ML SOLUTION ORAL ![Compare how all Medicare Part D PDP plans in WI cover RIOMET 500MG/5ML SOLUTION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RISPERDAL 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:60 /30Days |
RISPERDAL 0.5MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL 0.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:60 /30Days |
RISPERDAL 1MG M-TAB ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL 1MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | Q:60 /30Days |
RISPERDAL 1MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:60 /30Days |
RISPERDAL 1MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL 1MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | Q:480 /30Days |
RISPERDAL 2MG M-TAB ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL 2MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | Q:60 /30Days |
RISPERDAL 2MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERDAL 3MG M-TAB ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL 3MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | Q:60 /30Days |
RISPERDAL 3MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL 3MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:60 /30Days |
RISPERDAL 4MG M-TAB ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL 4MG M-TAB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | Q:120 /30Days |
RISPERDAL 4MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL 4MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:60 /30Days |
RISPERDAL CONSTA 25MG SYR ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL CONSTA 25MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | Q:2 /28Days |
RISPERDAL CONSTA 37.5MG SYR ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL CONSTA 37.5MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | Q:2 /28Days |
RISPERDAL CONSTA 50MG SYR ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL CONSTA 50MG SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | Q:2 /28Days |
RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL CONSTA FOR INJECTION 12.5MG/VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | Q:2 /28Days |
RISPERDAL M TABLET 0.5MG ![Compare how all Medicare Part D PDP plans in WI cover RISPERDAL M TABLET 0.5MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | Q:60 /30Days |
RISPERIDONE ORAL SOLUTION 1MG 30 ML BOTDR ![Compare how all Medicare Part D PDP plans in WI cover RISPERIDONE ORAL SOLUTION 1MG 30 ML BOTDR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | Q:480 /30Days |
RISPERIDONE TABLET ![Compare how all Medicare Part D PDP plans in WI cover RISPERIDONE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | Q:60 /30Days |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RISPERIDONE TABLET 1 MG ![Compare how all Medicare Part D PDP plans in WI cover RISPERIDONE TABLET 1 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | Q:60 /30Days |
RISPERIDONE TABLET 2 MG ![Compare how all Medicare Part D PDP plans in WI cover RISPERIDONE TABLET 2 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | Q:60 /30Days |
RISPERIDONE TABLET 3 MG ![Compare how all Medicare Part D PDP plans in WI cover RISPERIDONE TABLET 3 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | Q:60 /30Days |
RISPERIDONE TABLET 4 MG ![Compare how all Medicare Part D PDP plans in WI cover RISPERIDONE TABLET 4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | Q:60 /30Days |
RISPERIODONE TABLET ![Compare how all Medicare Part D PDP plans in WI cover RISPERIODONE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | Q:60 /30Days |
RITUXAN 10MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover RITUXAN 10MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | P |
ROBAXIN 100MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover ROBAXIN 100MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | None |
ROBAXIN 500MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ROBAXIN 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
ROBAXIN-750 TABLET 750MG ![Compare how all Medicare Part D PDP plans in WI cover ROBAXIN-750 TABLET 750MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
ROBINUL 0.2MG/ML VIAL ![Compare how all Medicare Part D PDP plans in WI cover ROBINUL 0.2MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | None |
ROBINUL 1MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ROBINUL 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROBINUL FORTE 2MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ROBINUL FORTE 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
ROCALTROL 0.25MCG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ROCALTROL 0.25MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
ROCALTROL 0.5MCG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover ROCALTROL 0.5MCG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
ROCALTROL 1MCG/ML ORAL TUBEX ![Compare how all Medicare Part D PDP plans in WI cover ROCALTROL 1MCG/ML ORAL TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
ROCEPHIN 10GM VIAL ![Compare how all Medicare Part D PDP plans in WI cover ROCEPHIN 10GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
ROCEPHIN 1GM VIAL ![Compare how all Medicare Part D PDP plans in WI cover ROCEPHIN 1GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
ROCEPHIN 250MG VIAL ![Compare how all Medicare Part D PDP plans in WI cover ROCEPHIN 250MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 Non-Specialty Injectable |
33% | 33% | None |
ROCEPHIN 2GM VIAL ![Compare how all Medicare Part D PDP plans in WI cover ROCEPHIN 2GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
ROCEPHIN 2GM/DEXTROSE 2.4% ![Compare how all Medicare Part D PDP plans in WI cover ROCEPHIN 2GM/DEXTROSE 2.4%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
ROCEPHIN 500MG VIAL ![Compare how all Medicare Part D PDP plans in WI cover ROCEPHIN 500MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
ROCEPHIN ADD-VANTAGE 1GM VL ![Compare how all Medicare Part D PDP plans in WI cover ROCEPHIN ADD-VANTAGE 1GM VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROCEPHIN ADD-VANTAGE 2GM VL ![Compare how all Medicare Part D PDP plans in WI cover ROCEPHIN ADD-VANTAGE 2GM VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
ROCEPHIN/DEX INJ 1GM ![Compare how all Medicare Part D PDP plans in WI cover ROCEPHIN/DEX INJ 1GM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
5 |
Tier 5. |
33% | N/A | None |
ROMYCIN 5MG/G OINTMENT ![Compare how all Medicare Part D PDP plans in WI cover ROMYCIN 5MG/G OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | Q:8 /30Days |
ROPINIROLE HCL TABLET ![Compare how all Medicare Part D PDP plans in WI cover ROPINIROLE HCL TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
ROPINIROLE HCL TABLET 1 MG ![Compare how all Medicare Part D PDP plans in WI cover ROPINIROLE HCL TABLET 1 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
ROPINIROLE HCL TABLET 2 MG ![Compare how all Medicare Part D PDP plans in WI cover ROPINIROLE HCL TABLET 2 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
ROPINIROLE HCL TABLET 3 MG ![Compare how all Medicare Part D PDP plans in WI cover ROPINIROLE HCL TABLET 3 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
ROPINIROLE HCL TABLET 4 MG ![Compare how all Medicare Part D PDP plans in WI cover ROPINIROLE HCL TABLET 4 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
ROPINIROLE HCL TABLET 5 MG ![Compare how all Medicare Part D PDP plans in WI cover ROPINIROLE HCL TABLET 5 MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
ROPINIROLE HYDROCLORIDE TABLET ![Compare how all Medicare Part D PDP plans in WI cover ROPINIROLE HYDROCLORIDE TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | None |
ROTATEQ VACCINE ![Compare how all Medicare Part D PDP plans in WI cover ROTATEQ VACCINE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 Preferred Brand |
$35.00 | $87.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
ROWASA 4GM/60ML ENEMA 28 X 60ML BOT ![Compare how all Medicare Part D PDP plans in WI cover ROWASA 4GM/60ML ENEMA 28 X 60ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
ROXICET 5-325/5ML SOLUTION ORAL ![Compare how all Medicare Part D PDP plans in WI cover ROXICET 5-325/5ML SOLUTION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:600 /30Days |
ROXICET 5/325 TABLET ![Compare how all Medicare Part D PDP plans in WI cover ROXICET 5/325 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | Q:360 /30Days |
ROXICET 5/500 CAPLET ![Compare how all Medicare Part D PDP plans in WI cover ROXICET 5/500 CAPLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | Q:240 /30Days |
ROXICODONE 15MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ROXICODONE 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
ROXICODONE 30MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover ROXICODONE 30MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
ROXILOX 500-5MG (100 CT) ![Compare how all Medicare Part D PDP plans in WI cover ROXILOX 500-5MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 Preferred Generic |
$9.00 | $13.50 | Q:240 /30Days |
RYTHMOL 150MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RYTHMOL 150MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RYTHMOL 225MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RYTHMOL 225MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RYTHMOL 300MG TABLET ![Compare how all Medicare Part D PDP plans in WI cover RYTHMOL 300MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RYTHMOL SR 225MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RYTHMOL SR 225MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
RYTHMOL SR 325MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RYTHMOL SR 325MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |
RYTHMOL SR 425MG CAPSULE ![Compare how all Medicare Part D PDP plans in WI cover RYTHMOL SR 425MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 Non-Preferred Brand or Generic |
$75.00 | $187.50 | None |