2010 Medicare Part D Plan Formulary Information |
Kaiser Permanente Senior Advantage Enhance (H1230-001-0)
Benefit Details
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The Kaiser Permanente Senior Advantage Enhance (H1230-001-0) Formulary Drugs Starting with the Letter M in Maui County, HI: CMS MA Region 25 which includes: HI
|
Drugs Starting with Letter M
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
M-M-R II VACCINE W/DILUENT 1 DOSE/0.5ML ![Compare how all Medicare Part D PDP plans in HI cover M-M-R II VACCINE W/DILUENT 1 DOSE/0.5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MACRODANTIN 25MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover MACRODANTIN 25MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MAGENSIUM SULFATE IN 5% DEXTROSE INJECTION 5-1 24 X 100ML CTR ![Compare how all Medicare Part D PDP plans in HI cover MAGENSIUM SULFATE IN 5% DEXTROSE INJECTION 5-1 24 X 100ML CTR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MAGNESIUM SULFATE 4% IV SOLUTION ![Compare how all Medicare Part D PDP plans in HI cover MAGNESIUM SULFATE 4% IV SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MAGNESIUM SULFATE INJECTION 5 GM/10ML ![Compare how all Medicare Part D PDP plans in HI cover MAGNESIUM SULFATE INJECTION 5 GM/10ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MALARONE 250-100MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MALARONE 250-100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MALARONE 62.5-25MG PED TABLET ![Compare how all Medicare Part D PDP plans in HI cover MALARONE 62.5-25MG PED TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MAPROTILINE 25MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MAPROTILINE 25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MAPROTILINE 50MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MAPROTILINE 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MAPROTILINE 75MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MAPROTILINE 75MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MARPLAN 10MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in HI cover MARPLAN 10MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MATULANE 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover MATULANE 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
25% | 25% | None |
MAXALT MLT 10MG TABLET 4X3 UNIT DOSE CASE ![Compare how all Medicare Part D PDP plans in HI cover MAXALT MLT 10MG TABLET 4X3 UNIT DOSE CASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MAXALT MLT 5MG TABLET 4X3 UNIT CASE ![Compare how all Medicare Part D PDP plans in HI cover MAXALT MLT 5MG TABLET 4X3 UNIT CASE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MAXIPIME 2G ADD-VANTAGE VL ![Compare how all Medicare Part D PDP plans in HI cover MAXIPIME 2G ADD-VANTAGE VL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MEBENDAZOLE 100MG TABLET CHEW ![Compare how all Medicare Part D PDP plans in HI cover MEBENDAZOLE 100MG TABLET CHEW.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MECLOFENAMATE 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover MECLOFENAMATE 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MECLOFENAMATE 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover MECLOFENAMATE 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MEDROL 16MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MEDROL 16MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | P |
MEDROL 2MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MEDROL 2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | P |
MEDROL 32MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MEDROL 32MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MEDROXYPROGESTERONE 10MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MEDROXYPROGESTERONE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MEDROXYPROGESTERONE 2.5MG ![Compare how all Medicare Part D PDP plans in HI cover MEDROXYPROGESTERONE 2.5MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MEDROXYPROGESTERONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MEDROXYPROGESTERONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MEDROXYPROGESTERONE ACETATE INJECTION SUSPENSION 150MG 1 VIALSD CRTN ![Compare how all Medicare Part D PDP plans in HI cover MEDROXYPROGESTERONE ACETATE INJECTION SUSPENSION 150MG 1 VIALSD CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MEFLOQUINE HCL 250MG TABLET 25 BOT ![Compare how all Medicare Part D PDP plans in HI cover MEFLOQUINE HCL 250MG TABLET 25 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MEGESTROL 20MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MEGESTROL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MEGESTROL ACETATE 400MG/10ML SUSPENSION ORAL ![Compare how all Medicare Part D PDP plans in HI cover MEGESTROL ACETATE 400MG/10ML SUSPENSION ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MEGESTROL ACETATE 40MG TABLET (250 CT) ![Compare how all Medicare Part D PDP plans in HI cover MEGESTROL ACETATE 40MG TABLET (250 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MELOXICAM 15MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in HI cover MELOXICAM 15MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MELOXICAM TABLETS 7.5MG ![Compare how all Medicare Part D PDP plans in HI cover MELOXICAM TABLETS 7.5MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MENACTRA INJECTION 4MCG/0.5ML 5 X .5ML SYR ![Compare how all Medicare Part D PDP plans in HI cover MENACTRA INJECTION 4MCG/0.5ML 5 X .5ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MENOMUNE-A/C/Y/W-135 VIAL ![Compare how all Medicare Part D PDP plans in HI cover MENOMUNE-A/C/Y/W-135 VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MEPERIDINE 10MG/ML SYRINGE ![Compare how all Medicare Part D PDP plans in HI cover MEPERIDINE 10MG/ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MEPERIDINE 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover MEPERIDINE 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MEPERIDINE 50MG/ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover MEPERIDINE 50MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MEPERIDINE HCL INJECTION 75MG 25 X 1ML VIALSD ![Compare how all Medicare Part D PDP plans in HI cover MEPERIDINE HCL INJECTION 75MG 25 X 1ML VIALSD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MEPERIDINE HYDROCHLORIDE INJECTION 100MG/ML 25 X 1 ML VIALSD ![Compare how all Medicare Part D PDP plans in HI cover MEPERIDINE HYDROCHLORIDE INJECTION 100MG/ML 25 X 1 ML VIALSD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MEPRON 750MG/5ML ORAL SUSP ![Compare how all Medicare Part D PDP plans in HI cover MEPRON 750MG/5ML ORAL SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
25% | 25% | None |
MERCAPTOPURINE 50MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MERCAPTOPURINE 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MERREM INJECTION 500MG 10X20MLVIALS VIAL ![Compare how all Medicare Part D PDP plans in HI cover MERREM INJECTION 500MG 10X20MLVIALS VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MERUVAX II VACCINE/DILUENT ![Compare how all Medicare Part D PDP plans in HI cover MERUVAX II VACCINE/DILUENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MESALAMINE 4G/60ML ENEMA ![Compare how all Medicare Part D PDP plans in HI cover MESALAMINE 4G/60ML ENEMA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MESNA INJECTION 1GM/ML 10ML VIALMD CRTN ![Compare how all Medicare Part D PDP plans in HI cover MESNA INJECTION 1GM/ML 10ML VIALMD CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MESNEX 400MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MESNEX 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MESTINON 180MG TIMESPAN ![Compare how all Medicare Part D PDP plans in HI cover MESTINON 180MG TIMESPAN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MESTINON 60MG/5ML SYRUP ![Compare how all Medicare Part D PDP plans in HI cover MESTINON 60MG/5ML SYRUP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
METADATE CD 10MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover METADATE CD 10MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
METADATE CD 20MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover METADATE CD 20MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
METADATE CD 30MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover METADATE CD 30MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
METADATE CD 40MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover METADATE CD 40MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
METADATE CD 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover METADATE CD 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
METADATE CD 60MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover METADATE CD 60MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
METAPROTERENOL 10MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METAPROTERENOL 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METAPROTERENOL 10MG/5ML SYR ![Compare how all Medicare Part D PDP plans in HI cover METAPROTERENOL 10MG/5ML SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METAPROTERENOL 20MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METAPROTERENOL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METFORMIN HCL 1000MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in HI cover METFORMIN HCL 1000MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METFORMIN HCL 500MG TABLET (1000 CT) ![Compare how all Medicare Part D PDP plans in HI cover METFORMIN HCL 500MG TABLET (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METFORMIN HCL 850MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METFORMIN HCL 850MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METFORMIN HCL ER 500MG TABLET SR 24HR ![Compare how all Medicare Part D PDP plans in HI cover METFORMIN HCL ER 500MG TABLET SR 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METFORMIN HCL ER 750MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in HI cover METFORMIN HCL ER 750MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHADONE 10MG/5ML SOLUTION ![Compare how all Medicare Part D PDP plans in HI cover METHADONE 10MG/5ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHADONE 5MG/5ML SOLUTION ![Compare how all Medicare Part D PDP plans in HI cover METHADONE 5MG/5ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHADONE HCL 10MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METHADONE HCL 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHADONE HCL 5MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in HI cover METHADONE HCL 5MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METHADONE HCL ORAL CONCENTRATE 10MG 946ML BOT ![Compare how all Medicare Part D PDP plans in HI cover METHADONE HCL ORAL CONCENTRATE 10MG 946ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHADONE INJ 10MG/ML ![Compare how all Medicare Part D PDP plans in HI cover METHADONE INJ 10MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHAZOLAMIDE 25MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METHAZOLAMIDE 25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHAZOLAMIDE 50MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METHAZOLAMIDE 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHENAMINE HIPPURATE 1G TABLET ![Compare how all Medicare Part D PDP plans in HI cover METHENAMINE HIPPURATE 1G TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHERGINE 0.2MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METHERGINE 0.2MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
METHIMAZOLE 10MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METHIMAZOLE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHIMAZOLE 5MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METHIMAZOLE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHITEST 10MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METHITEST 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHOCARBAMOL 500MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METHOCARBAMOL 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHOCARBAMOL 750MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in HI cover METHOCARBAMOL 750MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METHOTREXATE 1GM VIAL ![Compare how all Medicare Part D PDP plans in HI cover METHOTREXATE 1GM VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHOTREXATE 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METHOTREXATE 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | P |
METHOTREXATE 25MG/ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover METHOTREXATE 25MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHYLDOPA 250MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METHYLDOPA 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHYLDOPA 500MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METHYLDOPA 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHYLIN 10MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in HI cover METHYLIN 10MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHYLIN 2.5MG TABLET CHEWABLE ![Compare how all Medicare Part D PDP plans in HI cover METHYLIN 2.5MG TABLET CHEWABLE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
METHYLIN 20MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METHYLIN 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHYLIN ER 10MG TABLET SA ![Compare how all Medicare Part D PDP plans in HI cover METHYLIN ER 10MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHYLIN ER 20MG TABLET SA ![Compare how all Medicare Part D PDP plans in HI cover METHYLIN ER 20MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHYLIN SOLUTION 5MG/5ML 500 ML BOT ![Compare how all Medicare Part D PDP plans in HI cover METHYLIN SOLUTION 5MG/5ML 500 ML BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METHYLIN TABLET 5MG (100 CT) ![Compare how all Medicare Part D PDP plans in HI cover METHYLIN TABLET 5MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METHYLPR ACE INJ 80MG/ML ![Compare how all Medicare Part D PDP plans in HI cover METHYLPR ACE INJ 80MG/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | P |
METHYLPREDNISOLONE 40MG/ML VL 5ML ![Compare how all Medicare Part D PDP plans in HI cover METHYLPREDNISOLONE 40MG/ML VL 5ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | P |
METHYLPREDNISOLONE 8MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METHYLPREDNISOLONE 8MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | P |
METHYLPREDNISOLONE SODIUM SUCCINATE POWDER FOR INJECTION 125MG 25X125MG VIAL ![Compare how all Medicare Part D PDP plans in HI cover METHYLPREDNISOLONE SODIUM SUCCINATE POWDER FOR INJECTION 125MG 25X125MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | P |
METHYLPREDNISOLONE TABLET 4MG 21 PKGCOM ![Compare how all Medicare Part D PDP plans in HI cover METHYLPREDNISOLONE TABLET 4MG 21 PKGCOM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | P |
METIPRANOLOL 0.3% EYE DROPS ![Compare how all Medicare Part D PDP plans in HI cover METIPRANOLOL 0.3% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METOCLOPRAMIDE 5MG TABLET 1000 TABLET S BOT ![Compare how all Medicare Part D PDP plans in HI cover METOCLOPRAMIDE 5MG TABLET 1000 TABLET S BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | P |
METOCLOPRAMIDE 5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover METOCLOPRAMIDE 5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METOCLOPRAMIDE HYDROCHLORIDE TABLETS 10MG 500 BOTPL ![Compare how all Medicare Part D PDP plans in HI cover METOCLOPRAMIDE HYDROCHLORIDE TABLETS 10MG 500 BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | P |
METOCLOPRAMIDE SOLUTION ORAL USP 5MG 1 PT BOT ![Compare how all Medicare Part D PDP plans in HI cover METOCLOPRAMIDE SOLUTION ORAL USP 5MG 1 PT BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METOLAZONE 10MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METOLAZONE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METOLAZONE 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METOLAZONE 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METOLAZONE 5MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover METOLAZONE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METOPROLOL SUCCINATE 25MG TABLET SR 24HR ![Compare how all Medicare Part D PDP plans in HI cover METOPROLOL SUCCINATE 25MG TABLET SR 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METOPROLOL SUCCINATE 50MG TABLET SR 24HR ![Compare how all Medicare Part D PDP plans in HI cover METOPROLOL SUCCINATE 50MG TABLET SR 24HR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METOPROLOL SUCCINATE TABLETS EXTENDED RELEASE 100MG 100 BOT ![Compare how all Medicare Part D PDP plans in HI cover METOPROLOL SUCCINATE TABLETS EXTENDED RELEASE 100MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METOPROLOL SUCINNATE TABLETS EXTENDED RELEASE 200MG 1000 BOT ![Compare how all Medicare Part D PDP plans in HI cover METOPROLOL SUCINNATE TABLETS EXTENDED RELEASE 200MG 1000 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METOPROLOL TARTRATE 25MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in HI cover METOPROLOL TARTRATE 25MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METOPROLOL TARTRATE INJECTION USP 5MG 10X5ML VIALSD ![Compare how all Medicare Part D PDP plans in HI cover METOPROLOL TARTRATE INJECTION USP 5MG 10X5ML VIALSD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METOPROLOL TARTRATE TABLET FILM COATED 50MG (1000 CT) ![Compare how all Medicare Part D PDP plans in HI cover METOPROLOL TARTRATE TABLET FILM COATED 50MG (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METOPROLOL TARTRATE TABLET USP 100MG (1000 CT) ![Compare how all Medicare Part D PDP plans in HI cover METOPROLOL TARTRATE TABLET USP 100MG (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
METROCREAM 0.75% CREAM ![Compare how all Medicare Part D PDP plans in HI cover METROCREAM 0.75% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
METROLOTION TOPICAL 0.75% ![Compare how all Medicare Part D PDP plans in HI cover METROLOTION TOPICAL 0.75%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
METRONIDAZOLE 375MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover METRONIDAZOLE 375MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METRONIDAZOLE 500MG/100ML ![Compare how all Medicare Part D PDP plans in HI cover METRONIDAZOLE 500MG/100ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METRONIDAZOLE TABLETS USP 250MG 250 BOTPL ![Compare how all Medicare Part D PDP plans in HI cover METRONIDAZOLE TABLETS USP 250MG 250 BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METRONIDAZOLE TABLETS USP 500MG 100 BOTPL ![Compare how all Medicare Part D PDP plans in HI cover METRONIDAZOLE TABLETS USP 500MG 100 BOTPL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METRONIDAZOLE TOPICAL GEL 0.75% 45GM TUBE ![Compare how all Medicare Part D PDP plans in HI cover METRONIDAZOLE TOPICAL GEL 0.75% 45GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
METRONIDAZOLE VAGINAL GEL .75% 70GM TUBE ![Compare how all Medicare Part D PDP plans in HI cover METRONIDAZOLE VAGINAL GEL .75% 70GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MEXILETINE 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover MEXILETINE 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MEXILETINE 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover MEXILETINE 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MEXILETINE 250MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover MEXILETINE 250MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MIACALCIN 200IU/ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover MIACALCIN 200IU/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MIDODRINE HCL 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MIDODRINE HCL 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MIDODRINE HCL 5MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in HI cover MIDODRINE HCL 5MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MIGERGOT 2-100MG SUPPOSITORY RECTAL ![Compare how all Medicare Part D PDP plans in HI cover MIGERGOT 2-100MG SUPPOSITORY RECTAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MIGRANAL 0.5MG/SPRY AEROSOL SPRAY W/PUMP ![Compare how all Medicare Part D PDP plans in HI cover MIGRANAL 0.5MG/SPRY AEROSOL SPRAY W/PUMP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MILLIPRED TABLETS 5MG ![Compare how all Medicare Part D PDP plans in HI cover MILLIPRED TABLETS 5MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | P |
MINITRAN 0.1MG/HR PATCH 30 EA ![Compare how all Medicare Part D PDP plans in HI cover MINITRAN 0.1MG/HR PATCH 30 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MINITRAN 0.2MG/HR PATCH 30 EA ![Compare how all Medicare Part D PDP plans in HI cover MINITRAN 0.2MG/HR PATCH 30 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MINITRAN 0.4MG/HR PATCH 30 EA ![Compare how all Medicare Part D PDP plans in HI cover MINITRAN 0.4MG/HR PATCH 30 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MINITRAN 0.6MG/HR PATCH 30 EA ![Compare how all Medicare Part D PDP plans in HI cover MINITRAN 0.6MG/HR PATCH 30 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MINOCYCLINE 100MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover MINOCYCLINE 100MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MINOCYCLINE 50MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover MINOCYCLINE 50MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MINOCYCLINE HCL 100MG TABLET 60 EA ![Compare how all Medicare Part D PDP plans in HI cover MINOCYCLINE HCL 100MG TABLET 60 EA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MINOCYCLINE HCL 75MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover MINOCYCLINE HCL 75MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MINOXIDIL 10MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MINOXIDIL 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MINOXIDIL 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MINOXIDIL 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MIRAPEX 0.125MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MIRAPEX 0.125MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MIRAPEX 0.25MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MIRAPEX 0.25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MIRAPEX 0.5MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MIRAPEX 0.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MIRAPEX 1.5MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MIRAPEX 1.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MIRAPEX 1MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MIRAPEX 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MIRTAZAPINE 15MG TABLET (1000 CT) ![Compare how all Medicare Part D PDP plans in HI cover MIRTAZAPINE 15MG TABLET (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MIRTAZAPINE 15MG TABLET RAPID DISSOLVE ![Compare how all Medicare Part D PDP plans in HI cover MIRTAZAPINE 15MG TABLET RAPID DISSOLVE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MIRTAZAPINE 30MG TABLET RAPID DISSOLVE ![Compare how all Medicare Part D PDP plans in HI cover MIRTAZAPINE 30MG TABLET RAPID DISSOLVE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MIRTAZAPINE ORALLY DISINTEGRATING TABLETS 45MG 10 X 3 BOX ![Compare how all Medicare Part D PDP plans in HI cover MIRTAZAPINE ORALLY DISINTEGRATING TABLETS 45MG 10 X 3 BOX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MIRTAZAPINE TABLET 30MG (30 CT) ![Compare how all Medicare Part D PDP plans in HI cover MIRTAZAPINE TABLET 30MG (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MIRTAZAPINE TABLET 7.5MG (30 CT) ![Compare how all Medicare Part D PDP plans in HI cover MIRTAZAPINE TABLET 7.5MG (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MIRTAZAPINE TABLETS 45MG 30 BOT ![Compare how all Medicare Part D PDP plans in HI cover MIRTAZAPINE TABLETS 45MG 30 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MISOPROSTOL 100MCG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MISOPROSTOL 100MCG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MISOPROSTOL 200MCG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MISOPROSTOL 200MCG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MITOMYCIN POWDER FOR INJECTION USP 20MG VIAL ![Compare how all Medicare Part D PDP plans in HI cover MITOMYCIN POWDER FOR INJECTION USP 20MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MITOXANTRONE INJECTION 2MG 125ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover MITOXANTRONE INJECTION 2MG 125ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MOBAN 10MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MOBAN 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MOBAN 25MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MOBAN 25MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MOBAN 50MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MOBAN 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MOBAN 5MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MOBAN 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MOMETASONE FUROATE CREAM 0.1% 45GM TUBE ![Compare how all Medicare Part D PDP plans in HI cover MOMETASONE FUROATE CREAM 0.1% 45GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MOMETASONE FUROATE OINTMENT 0.1% 45GM TUBE ![Compare how all Medicare Part D PDP plans in HI cover MOMETASONE FUROATE OINTMENT 0.1% 45GM TUBE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MOMETASONE FUROATE TOPICAL SOLUTION 0.1% ![Compare how all Medicare Part D PDP plans in HI cover MOMETASONE FUROATE TOPICAL SOLUTION 0.1%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MORPHINE SULFATE 100MG TABLET SA ![Compare how all Medicare Part D PDP plans in HI cover MORPHINE SULFATE 100MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MORPHINE SULFATE 15MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MORPHINE SULFATE 15MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MORPHINE SULFATE 15MG TABLET SA ![Compare how all Medicare Part D PDP plans in HI cover MORPHINE SULFATE 15MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MORPHINE SULFATE 200MG TABLET SA ![Compare how all Medicare Part D PDP plans in HI cover MORPHINE SULFATE 200MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MORPHINE SULFATE 30MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MORPHINE SULFATE 30MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MORPHINE SULFATE 30MG TABLET SA ![Compare how all Medicare Part D PDP plans in HI cover MORPHINE SULFATE 30MG TABLET SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MORPHINE SULFATE INJECTION 0.5MG 5X10ML VIALGL ![Compare how all Medicare Part D PDP plans in HI cover MORPHINE SULFATE INJECTION 0.5MG 5X10ML VIALGL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MORPHINE SULFATE INJECTION 1MG 5X10ML VIALGL ![Compare how all Medicare Part D PDP plans in HI cover MORPHINE SULFATE INJECTION 1MG 5X10ML VIALGL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MORPHINE SULFATE ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in HI cover MORPHINE SULFATE ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MORPHINE SULFATE ORAL SOLUTION ![Compare how all Medicare Part D PDP plans in HI cover MORPHINE SULFATE ORAL SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MORPHINE SULFATE TABLET ER 60MG (100 CT) ![Compare how all Medicare Part D PDP plans in HI cover MORPHINE SULFATE TABLET ER 60MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MUPIROCIN 2% OINTMENT ![Compare how all Medicare Part D PDP plans in HI cover MUPIROCIN 2% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | None |
MUSTARGEN 10MG VIAL ![Compare how all Medicare Part D PDP plans in HI cover MUSTARGEN 10MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MYCOBUTIN 150MG CAPSULE ![Compare how all Medicare Part D PDP plans in HI cover MYCOBUTIN 150MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MYCOPHENOLATE MOFETIL CAPSULES 250MG 100 BOT ![Compare how all Medicare Part D PDP plans in HI cover MYCOPHENOLATE MOFETIL CAPSULES 250MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | P |
MYCOPHENOLATE MOFETIL TABLETS 500MG 500 BOT ![Compare how all Medicare Part D PDP plans in HI cover MYCOPHENOLATE MOFETIL TABLETS 500MG 500 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 |
$10.00 | $20.00 | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
MYFORTIC 180MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MYFORTIC 180MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | P |
MYFORTIC 360MG TABLET ![Compare how all Medicare Part D PDP plans in HI cover MYFORTIC 360MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | P |
MYLOTARG 5MG VIAL ![Compare how all Medicare Part D PDP plans in HI cover MYLOTARG 5MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MYOBLOC 5000UNITS/1ML VIAL ![Compare how all Medicare Part D PDP plans in HI cover MYOBLOC 5000UNITS/1ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |
MYOZYME 50MG VIAL ![Compare how all Medicare Part D PDP plans in HI cover MYOZYME 50MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 |
25% | 25% | None |
MYTELASE 10MG CAPLET ![Compare how all Medicare Part D PDP plans in HI cover MYTELASE 10MG CAPLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 |
$40.00 | $80.00 | None |