2010 Medicare Part D Plan Formulary Information |
Windsor Rx (PDP) (S2505-007-0)
Benefit Details
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The Windsor Rx (PDP) (S2505-007-0) Formulary Drugs Starting with the Letter F in CMS PDP Region 9 which includes: SC
|
Drugs Starting with Letter F
Drug Name |
Drug Tier Information |
Cost-Sharing |
Drug Usage Mgmt |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
FABRAZYME 35MG VIAL ![Compare how all Medicare Part D PDP plans in SC cover FABRAZYME 35MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Specialty |
25% | N/A | P |
FACTIVE 320MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FACTIVE 320MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | Q:5 /21Days |
FAMCICLOVIR 125MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FAMCICLOVIR 125MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FAMCICLOVIR 250MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FAMCICLOVIR 250MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FAMCICLOVIR 500MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FAMCICLOVIR 500MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FAMOTIDINE 20MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in SC cover FAMOTIDINE 20MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FAMOTIDINE 40MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FAMOTIDINE 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FANSIDAR 500/25 TABLET ![Compare how all Medicare Part D PDP plans in SC cover FANSIDAR 500/25 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FARESTON 60MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FARESTON 60MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FASLODEX 125MG/2.5ML SYRNGE ![Compare how all Medicare Part D PDP plans in SC cover FASLODEX 125MG/2.5ML SYRNGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Specialty |
25% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FASLODEX 250MG/5ML SYRINGE ![Compare how all Medicare Part D PDP plans in SC cover FASLODEX 250MG/5ML SYRINGE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Specialty |
25% | N/A | None |
FAZACLO 12.5MG TABLET RAPID DISSOLVE ![Compare how all Medicare Part D PDP plans in SC cover FAZACLO 12.5MG TABLET RAPID DISSOLVE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | P |
FAZACLO TABLET ORALLY DISINTEGRATING 100MG (100 CT) ![Compare how all Medicare Part D PDP plans in SC cover FAZACLO TABLET ORALLY DISINTEGRATING 100MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | P |
FAZACLO TABLET ORALLY DISINTEGRATING 25MG (10 CT) ![Compare how all Medicare Part D PDP plans in SC cover FAZACLO TABLET ORALLY DISINTEGRATING 25MG (10 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | P |
FELBATOL 400MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FELBATOL 400MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FELBATOL 600MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FELBATOL 600MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FELBATOL 600MG/5ML SUSP ![Compare how all Medicare Part D PDP plans in SC cover FELBATOL 600MG/5ML SUSP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FELODIPINE ER 2.5MG TABLET 90 TABLET BOT ![Compare how all Medicare Part D PDP plans in SC cover FELODIPINE ER 2.5MG TABLET 90 TABLET BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FELODIPINE TABLET ER 10MG (1000 CT) ![Compare how all Medicare Part D PDP plans in SC cover FELODIPINE TABLET ER 10MG (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FELODIPINE TABLET ER 5MG (1000 CT) ![Compare how all Medicare Part D PDP plans in SC cover FELODIPINE TABLET ER 5MG (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FEMARA 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FEMARA 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FEMHRT 0.5MG/2.5MCG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FEMHRT 0.5MG/2.5MCG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FEMHRT 1/5 TABLET ![Compare how all Medicare Part D PDP plans in SC cover FEMHRT 1/5 TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FENOFIBRATE 134MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover FENOFIBRATE 134MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FENOFIBRATE 160MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FENOFIBRATE 160MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FENOFIBRATE 200MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover FENOFIBRATE 200MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FENOFIBRATE 54MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FENOFIBRATE 54MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FENOFIBRATE 67MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover FENOFIBRATE 67MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FENTANYL 100MCG/HR PATCH TRANSDERMAL 72 HOURS ![Compare how all Medicare Part D PDP plans in SC cover FENTANYL 100MCG/HR PATCH TRANSDERMAL 72 HOURS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | S |
FENTANYL 12MCG/HR PATCH TRANSDERMAL 72 HOURS ![Compare how all Medicare Part D PDP plans in SC cover FENTANYL 12MCG/HR PATCH TRANSDERMAL 72 HOURS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | S |
FENTANYL CITRATE INJECTION 50MCG 10 X 2ML CTG ![Compare how all Medicare Part D PDP plans in SC cover FENTANYL CITRATE INJECTION 50MCG 10 X 2ML CTG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | P |
FENTANYL TRANSDERMAL SYSTEM 25MCG 5 SYSTEMS CRTN ![Compare how all Medicare Part D PDP plans in SC cover FENTANYL TRANSDERMAL SYSTEM 25MCG 5 SYSTEMS CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | S |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FENTANYL TRANSDERMAL SYSTEM 50MCG 5 SYSTEMS CRTN ![Compare how all Medicare Part D PDP plans in SC cover FENTANYL TRANSDERMAL SYSTEM 50MCG 5 SYSTEMS CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | S |
FENTANYL TRANSDERMAL SYSTEM 75MCG 5 SYSTEMS CRTN ![Compare how all Medicare Part D PDP plans in SC cover FENTANYL TRANSDERMAL SYSTEM 75MCG 5 SYSTEMS CRTN.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | S |
FEXOFENADINE HCL 180MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FEXOFENADINE HCL 180MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | S |
FEXOFENADINE HCL 30MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FEXOFENADINE HCL 30MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | S |
FEXOFENADINE HCL 60MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in SC cover FEXOFENADINE HCL 60MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | S |
FINASTERIDE 5MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FINASTERIDE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLEBOGAMMA INJECTION 50MG ![Compare how all Medicare Part D PDP plans in SC cover FLEBOGAMMA INJECTION 50MG.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Specialty |
25% | N/A | P |
FLECAINIDE ACETATE 150MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in SC cover FLECAINIDE ACETATE 150MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLECAINIDE ACETATE 50MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in SC cover FLECAINIDE ACETATE 50MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLECAINIDE ACETATE TABLET 100MG (100 CT) ![Compare how all Medicare Part D PDP plans in SC cover FLECAINIDE ACETATE TABLET 100MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLOMAX 0.4MG CAPSULE SA ![Compare how all Medicare Part D PDP plans in SC cover FLOMAX 0.4MG CAPSULE SA.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLOVENT DISKUS /BLIST AEPB ![Compare how all Medicare Part D PDP plans in SC cover FLOVENT DISKUS /BLIST AEPB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FLOVENT DISKUS /BLIST AEPB ![Compare how all Medicare Part D PDP plans in SC cover FLOVENT DISKUS /BLIST AEPB.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FLOVENT DISKUS POWDER 50MCG 60 CTR ![Compare how all Medicare Part D PDP plans in SC cover FLOVENT DISKUS POWDER 50MCG 60 CTR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FLOVENT HFA 110MCG INHALATION AEROSOL ![Compare how all Medicare Part D PDP plans in SC cover FLOVENT HFA 110MCG INHALATION AEROSOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FLOVENT HFA 220MCG INHALATION AEROSOL ![Compare how all Medicare Part D PDP plans in SC cover FLOVENT HFA 220MCG INHALATION AEROSOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FLOVENT HFA 44MCG INHALATION AEROSOL ![Compare how all Medicare Part D PDP plans in SC cover FLOVENT HFA 44MCG INHALATION AEROSOL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FLUCONAZOLE 100MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FLUCONAZOLE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUCONAZOLE 10MG/ML SUSPENSION RECONSTITUTED ORAL ![Compare how all Medicare Part D PDP plans in SC cover FLUCONAZOLE 10MG/ML SUSPENSION RECONSTITUTED ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUCONAZOLE 150 MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FLUCONAZOLE 150 MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUCONAZOLE 200MG TABLET (30 CT) ![Compare how all Medicare Part D PDP plans in SC cover FLUCONAZOLE 200MG TABLET (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUCONAZOLE 40MG/ML SUSPENSION RECONSTITUTED ORAL ![Compare how all Medicare Part D PDP plans in SC cover FLUCONAZOLE 40MG/ML SUSPENSION RECONSTITUTED ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLUCONAZOLE 50MG TABLET (30 CT) ![Compare how all Medicare Part D PDP plans in SC cover FLUCONAZOLE 50MG TABLET (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUDARABINE 50MG VIAL ![Compare how all Medicare Part D PDP plans in SC cover FLUDARABINE 50MG VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Specialty |
25% | N/A | P |
FLUDARABINE 50MG/2ML VIAL ![Compare how all Medicare Part D PDP plans in SC cover FLUDARABINE 50MG/2ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Specialty |
25% | N/A | P |
FLUDROCORTISONE ACETATE 0.1MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in SC cover FLUDROCORTISONE ACETATE 0.1MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOCINOLONE 0.01% CREAM ![Compare how all Medicare Part D PDP plans in SC cover FLUOCINOLONE 0.01% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOCINOLONE 0.01% SOLUTION ![Compare how all Medicare Part D PDP plans in SC cover FLUOCINOLONE 0.01% SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOCINOLONE 0.025% CREAM ![Compare how all Medicare Part D PDP plans in SC cover FLUOCINOLONE 0.025% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOCINOLONE 0.025% OINTMENT ![Compare how all Medicare Part D PDP plans in SC cover FLUOCINOLONE 0.025% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOCINONIDE 0.05% GEL ![Compare how all Medicare Part D PDP plans in SC cover FLUOCINONIDE 0.05% GEL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOCINONIDE 0.05% OINTMENT ![Compare how all Medicare Part D PDP plans in SC cover FLUOCINONIDE 0.05% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOCINONIDE 0.05% SOLUTION ![Compare how all Medicare Part D PDP plans in SC cover FLUOCINONIDE 0.05% SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLUOCINONIDE EMOLLIENT 0.05% CREAM ![Compare how all Medicare Part D PDP plans in SC cover FLUOCINONIDE EMOLLIENT 0.05% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOR-OP 0.1% EYE DROPS ![Compare how all Medicare Part D PDP plans in SC cover FLUOR-OP 0.1% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOROMETHOLONE 0.1% DROPS ![Compare how all Medicare Part D PDP plans in SC cover FLUOROMETHOLONE 0.1% DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOROPLEX 1% CREAM ![Compare how all Medicare Part D PDP plans in SC cover FLUOROPLEX 1% CREAM.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FLUOROURACIL 2% SOLUTION NON-ORAL ![Compare how all Medicare Part D PDP plans in SC cover FLUOROURACIL 2% SOLUTION NON-ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOROURACIL 5% SOLUTION NON-ORAL ![Compare how all Medicare Part D PDP plans in SC cover FLUOROURACIL 5% SOLUTION NON-ORAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOROURACIL CREA 5% ![Compare how all Medicare Part D PDP plans in SC cover FLUOROURACIL CREA 5%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOXETINE 20MG CAPSULES (100 CT) ![Compare how all Medicare Part D PDP plans in SC cover FLUOXETINE 20MG CAPSULES (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOXETINE 20MG/5ML TUBEX ![Compare how all Medicare Part D PDP plans in SC cover FLUOXETINE 20MG/5ML TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOXETINE 40MG CAPSULE (30 CT) ![Compare how all Medicare Part D PDP plans in SC cover FLUOXETINE 40MG CAPSULE (30 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOXETINE CAPSULES 10MG (100 CT) ![Compare how all Medicare Part D PDP plans in SC cover FLUOXETINE CAPSULES 10MG (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLUOXETINE HCL 20MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FLUOXETINE HCL 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOXETINE HYDROCHLORIDE TABLETS 10MG 100 BOT ![Compare how all Medicare Part D PDP plans in SC cover FLUOXETINE HYDROCHLORIDE TABLETS 10MG 100 BOT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUOXYMESTERONE 10MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FLUOXYMESTERONE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FLUPHENAZINE 10MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FLUPHENAZINE 10MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUPHENAZINE 1MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FLUPHENAZINE 1MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUPHENAZINE 2.5MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FLUPHENAZINE 2.5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUPHENAZINE 2.5MG/ML VIAL ![Compare how all Medicare Part D PDP plans in SC cover FLUPHENAZINE 2.5MG/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | P |
FLUPHENAZINE 5MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FLUPHENAZINE 5MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUPHENAZINE 5MG/ML CONC ![Compare how all Medicare Part D PDP plans in SC cover FLUPHENAZINE 5MG/ML CONC.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUPHENAZINE DECANOATE INJECTION USP 25MG 1 X 5ML VIAL ![Compare how all Medicare Part D PDP plans in SC cover FLUPHENAZINE DECANOATE INJECTION USP 25MG 1 X 5ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | P |
FLUPHENAZINE HCL 2.5MG/5ML ELIXIR ![Compare how all Medicare Part D PDP plans in SC cover FLUPHENAZINE HCL 2.5MG/5ML ELIXIR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FLURBIPROFEN 0.03% EYE DROP ![Compare how all Medicare Part D PDP plans in SC cover FLURBIPROFEN 0.03% EYE DROP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLURBIPROFEN 100MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in SC cover FLURBIPROFEN 100MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLURBIPROFEN 50MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FLURBIPROFEN 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUTAMIDE 125MG CAPSULE ![Compare how all Medicare Part D PDP plans in SC cover FLUTAMIDE 125MG CAPSULE.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUTICASONE PROPIONATE 50MCG SPRAY SUSPENSION ![Compare how all Medicare Part D PDP plans in SC cover FLUTICASONE PROPIONATE 50MCG SPRAY SUSPENSION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUVOXAMINE MALEATE 100MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FLUVOXAMINE MALEATE 100MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUVOXAMINE MALEATE 25MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in SC cover FLUVOXAMINE MALEATE 25MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FLUVOXAMINE MALEATE 50MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FLUVOXAMINE MALEATE 50MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FML FORTE 0.25% EYE DROPS ![Compare how all Medicare Part D PDP plans in SC cover FML FORTE 0.25% EYE DROPS.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FML S.O.P. 0.1% OINTMENT ![Compare how all Medicare Part D PDP plans in SC cover FML S.O.P. 0.1% OINTMENT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FOMEPIZOLE INJECTION 1GM/ML ![Compare how all Medicare Part D PDP plans in SC cover FOMEPIZOLE INJECTION 1GM/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | P |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FORTEO INJECTION ![Compare how all Medicare Part D PDP plans in SC cover FORTEO INJECTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Specialty |
25% | N/A | P |
FORTICAL 200 U/DOSE AEROSOL SPRAY W/PUMP ![Compare how all Medicare Part D PDP plans in SC cover FORTICAL 200 U/DOSE AEROSOL SPRAY W/PUMP.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FOSINOPRIL SODIUM 10MG TABLET (90 CT) ![Compare how all Medicare Part D PDP plans in SC cover FOSINOPRIL SODIUM 10MG TABLET (90 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FOSINOPRIL SODIUM 20MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FOSINOPRIL SODIUM 20MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FOSINOPRIL SODIUM 40MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FOSINOPRIL SODIUM 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FOSINOPRIL-HYDROCHLOROTHIAZIDE 10-12.5MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in SC cover FOSINOPRIL-HYDROCHLOROTHIAZIDE 10-12.5MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FOSINOPRIL-HYDROCHLOROTHIAZIDE 20-12.5MG TABLET (100 CT) ![Compare how all Medicare Part D PDP plans in SC cover FOSINOPRIL-HYDROCHLOROTHIAZIDE 20-12.5MG TABLET (100 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FOSPHEN SDV 50MGPE/ML 2MLGEN10 50MG PE/ML VIAL ![Compare how all Medicare Part D PDP plans in SC cover FOSPHEN SDV 50MGPE/ML 2MLGEN10 50MG PE/ML VIAL.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | P |
FOSRENOL 1000MG TABLET CHEW ![Compare how all Medicare Part D PDP plans in SC cover FOSRENOL 1000MG TABLET CHEW.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FOSRENOL 250MG TABLET CHEW ![Compare how all Medicare Part D PDP plans in SC cover FOSRENOL 250MG TABLET CHEW.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FOSRENOL 500MG TABLET CHEW ![Compare how all Medicare Part D PDP plans in SC cover FOSRENOL 500MG TABLET CHEW.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FOSRENOL 750MG TABLET CHEW ![Compare how all Medicare Part D PDP plans in SC cover FOSRENOL 750MG TABLET CHEW.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | None |
FRAGMIN 25000UNITS/ML VIAL 3.8ML x 1 ![Compare how all Medicare Part D PDP plans in SC cover FRAGMIN 25000UNITS/ML VIAL 3.8ML x 1.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | Q:8 /10Days |
FRAGMIN 2500UNITS SYRINGE 0.2ML x 10 ![Compare how all Medicare Part D PDP plans in SC cover FRAGMIN 2500UNITS SYRINGE 0.2ML x 10.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | Q:4 /10Days |
FRAGMIN 5000UNITS SYRINGE 0.2ML x 10 ![Compare how all Medicare Part D PDP plans in SC cover FRAGMIN 5000UNITS SYRINGE 0.2ML x 10.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
4 |
Tier 4 - NonPreferred Brand/NonPreferred Generic |
50% | N/A | Q:4 /10Days |
FRAGMIN INJECTION 10000UNITS 1 X 10 SYR ![Compare how all Medicare Part D PDP plans in SC cover FRAGMIN INJECTION 10000UNITS 1 X 10 SYR.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
2 |
Tier 2 - Preferred Brand |
20% | N/A | Q:20 /10Days |
FRAGMIN INJECTION 7500UNT/ML ![Compare how all Medicare Part D PDP plans in SC cover FRAGMIN INJECTION 7500UNT/ML.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Specialty |
25% | N/A | Q:6 /10Days |
FREAMINE III INJECTION 8.5% ![Compare how all Medicare Part D PDP plans in SC cover FREAMINE III INJECTION 8.5%.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | P |
FUROSEMIDE 10MG/ML SOLUTION ![Compare how all Medicare Part D PDP plans in SC cover FUROSEMIDE 10MG/ML SOLUTION.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FUROSEMIDE 20MG TABLET (1000 CT) ![Compare how all Medicare Part D PDP plans in SC cover FUROSEMIDE 20MG TABLET (1000 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FUROSEMIDE 40MG TABLET ![Compare how all Medicare Part D PDP plans in SC cover FUROSEMIDE 40MG TABLET.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FUROSEMIDE 40MG/5ML TUBEX ![Compare how all Medicare Part D PDP plans in SC cover FUROSEMIDE 40MG/5ML TUBEX.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
Drug Name |
Tier Nbr. |
Tier Description |
30-Day Preferred Pharm |
90-Day Mail Order |
Drug Usage Mgmt |
FUROSEMIDE 80MG TABLET (500 CT) ![Compare how all Medicare Part D PDP plans in SC cover FUROSEMIDE 80MG TABLET (500 CT).](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | None |
FUROSEMIDE INJECTION USP 10MG 25 X 4ML VIALSD ![Compare how all Medicare Part D PDP plans in SC cover FUROSEMIDE INJECTION USP 10MG 25 X 4ML VIALSD.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
1 |
Tier 1 - Preferred Generic |
$5.00 | N/A | P |
FUZEON CONVENIENCE KIT ![Compare how all Medicare Part D PDP plans in SC cover FUZEON CONVENIENCE KIT.](https://q1medicare.com/pics/ContentPics/compare_partd_plans_by_drug.png) |
3 |
Tier 3 - Specialty |
25% | N/A | None |